PL EN


Preferences help
enabled [disable] Abstract
Number of results
2009 | 81 | 11 | 550-553
Article title

Sublay Incisional Hernia Repair with Composite Mesh in Patients with Additional Abdominal Disorders

Content
Title variants
Languages of publication
EN
Abstracts
EN
The authors present two patients operated on for large incisional hernias with additional abdominal disorders requiring surgical treatment. The first patient was scheduled for cholecystectomy whereas the second one for partial resection of the small bowel. Since those hernias did not qualify for classical operations due to extensive destruction of the muscular and fascial layers of the abdominal wall the patients underwent repair with modern composite meshes. Those meshes can be applied directly on the bowel loops. Of the two patients a polyester mesh coated with polyethylene-glycol-glycerol-oxidized bovine atelocollagen was applied in the former whereas a polypropylene monofilament mesh coated with a layer of silicone in the latter. Those biomaterials coating the visceral surface of the meshes prevent them from adherence to the bowel loops. What is more, inflammatory response to the foreign body with following adhesion formation and as a result either bowel obstruction or enterocutaneous fistulas can be reduced. The postoperative course was uneventful in both patients in spite of the operations being performed in the contaminated field.
Publisher
Year
Volume
81
Issue
11
Pages
550-553
Physical description
Dates
published
1 - 11 - 2009
online
24 - 12 - 2009
References
  • Mudge M, Hughes LE: Incisional hernia: a 10-year prospective study of incidence and attitudes. Br J Surg 1985; 72: 70-71.
  • Korenkov M, Paul A, Sauerland S: Classification and surgical treatment of incisional hernia. Results of an experts meeting. Langenbecks Arch Surg 2001; 386: 65-68.
  • Burger J, Luijendijk RW, Hop WC et al.: Longterm follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 2004; 240: 578-83.
  • Bendavid R: Composite mesh in the intraperitoneal position. Hernia 1997; 1: 5-8.
  • Matthews BD, Pratt BL, Pollinger HS et al.: Assessment of adhesions formation to intra-abdominal polypropylene mesh and polytetrafluoroethylene mesh. J Surg Res 2003; 114: 126-29.
  • Matthews BD, Gamal M, Carbonell AM et al.: Evaluation of adhesion formation and host tissue response to intra-abdominal polytetrafluoroethylene mesh and compsite prosthetic mesh. J Surg Res 2005; 123: 227-34.
  • Geisler DJ, Reilly JC, Vaughan SG et al.: Safety and outcome of use of nonabsorbable mesh for repair of fascial defects in the presence of open bowel. Dis Colon Rectum 2003; 46: 1118-23.
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-009-0089-7
Identifiers
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.