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Central rupture and bulging of low-weight polypropylene mesh following recurrent incisional sublay hernioplasty

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Abstract

A recurrent incisional hernia resulting from the rupture of low-weight polypropylene mesh is rarely reported in the literature. Three patients with recurrent incisional hernia due to low-weight polypropylene mesh central rupture were operated 5, 7 and 13 months after initial sublay hernioplasty. The posterior myofascial layer was fully reconstructed in all patients during the hernioplasty, whereas the anterior myofascial layer was only partially reconstructed. The recurrent hernia was managed using heavy-weight polypropylene mesh; in two patients, a new sublay hernioplasty was performed and in one patient an “open preperitoneal flat mesh technique” was performed under local anaesthesia as a day case procedure. If closing of the anterior myofascial layer cannot be ensured during the incisional hernioplasty, the use of low-weight polypropylene meshes should be avoided; preference should be given to the heavy-weight polypropylene meshes.

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Acknowledgments

The authors would like to thank Mrs. Dragana Krneta for drawing schemes of intra-operative photos.

Conflict of interest

MZ declares no conflict of interest. DG declares no conflict of interest. ADS declares no conflict of interest. IP declares no conflict of interest. MP declares no conflict of interest. MM declares no conflict of interest.

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Authors and Affiliations

  1. First Surgical Clinic, Clinical Centre of Serbia, Koste Todorovica 6, 11 000, Belgrade, Serbia

    M. Žuvela, D. Galun, A. Djurić-Stefanović, I. Palibrk, M. Petrović & M. Milićević

  2. Medical School, University of Belgrade, Belgrade, Serbia

    M. Žuvela, D. Galun, A. Djurić-Stefanović, I. Palibrk, M. Petrović & M. Milićević

Authors
  1. M. Žuvela
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  2. D. Galun
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  3. A. Djurić-Stefanović
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  4. I. Palibrk
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  5. M. Petrović
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  6. M. Milićević
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Corresponding author

Correspondence to D. Galun.

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Žuvela, M., Galun, D., Djurić-Stefanović, A. et al. Central rupture and bulging of low-weight polypropylene mesh following recurrent incisional sublay hernioplasty. Hernia 18, 135–140 (2014). https://doi.org/10.1007/s10029-013-1197-1

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  • DOI: https://doi.org/10.1007/s10029-013-1197-1

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