Abstract
Objective
The objective of this study was to summarize the clinical experiences in repairing abdominal incisional hernia with prosthetic materials.
Methods
Eighty-three patients with ventral hernia were analyzed retrospectively.
Results
Two patients developed pulmonary infection, one developed adhesive ileus, and five developed wound infection. All wounds healed completely during follow-up. Seventy-three (88%) patients were free of pain, and ten patients (12%) felt pain in the operated area within the last month; only one patient required pain-relieving drugs. Twenty-nine patients (35%) felt discomfort, such as stiffness. Four cases experienced postoperative recurrence.
Conclusions
Incisional herniorrhaphy with prosthetic materials is safe and effective but has a high discomfort rate. Open giant incisional hernia or recurrent incisional hernia should be performed by trained surgeons. Placing mesh in a suitable position and using a patch with minimal reaction and enough tensile strength may improve the prognosis. Further studies are necessary utilizing light polypropylene mesh.
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Han, J.G., Ma, S.Z., Song, J.K. et al. Operative treatment of ventral hernia using prosthetic materials. Hernia 11, 419–423 (2007). https://doi.org/10.1007/s10029-007-0248-x
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DOI: https://doi.org/10.1007/s10029-007-0248-x