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

• Authors: Jacek Hermann , Andrzej Ratajczak , Wiktor Meissner
• 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.

Keywords

EN

incisional hernia repair; composite mesh

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2009
• Volume: 81
• Issue: 11
• Pages: 550-553

Dates

published

1 - 11 - 2009

online

24 - 12 - 2009

Contributors

author

Jacek Hermann

• Department of General, Gastroenterological and Endocrinological Surgery, Medical University in Poznań

author

Andrzej Ratajczak

• Department of General, Gastroenterological and Endocrinological Surgery, Medical University in Poznań

author

Wiktor Meissner

• Department of General, Gastroenterological and Endocrinological Surgery, Medical University in Poznań

References

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• 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.
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• 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.

Identifiers

DOI

10.2478/v10035-009-0089-7