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Complications of the Suture Repair of Incisional Hernia

  • R. C. Read
Conference paper

Abstract

Historically, suture repair of incisional herniation has been beset by complications. These have included hematoma, seroma, sepsis, evisceration, dehiscence, and recurrence. Whereas evisceration and dehiscence have been all but eliminated by the introduction of figure-of-eight permanent sutures [1] and their facilitation by continuous, single-layer mass suturing, the incidence of recurrence remains too high.

Keywords

Aortic Aneurysm Incisional Hernia Abdominal Aortic Aneurysm Ventral Hernia Rectus Sheath 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Jones, T. E.,Newell, E. T., Brubacker, R. E.: The use of alloy steel wire in the closure of abdominal wounds. S.G.O., 1941; 72:1056.Google Scholar
  2. 2.
    Andrews, Edmund and Bissell, Arthur D.: Direct Hernia: A Record of Surgical Failures. 8.G.O., 1934; 58:753–761.Google Scholar
  3. 3.
    Pollock, A.V., Greenall, M. J., Evans, Mary: Singe-layer mass closure of major laparotomies by continuous suturing. J R 5 Med, 1979; 72:889.Google Scholar
  4. 4.
    Lamont, P. M. and Ellis, H.: Incisional hernia in re-opened abdominal incisions: An overlooked risk factor. Br. J. Surg., 1988; 75:374.PubMedCrossRefGoogle Scholar
  5. 5.
    Krukowski, Z. H. and Matheson, N.A.: Buttonhole incisional Hernias: A late complication of abdominal wound closure with continuous non-absorbable sutures. Br. J. Surg., 1987; 74:824–825.PubMedCrossRefGoogle Scholar
  6. 6.
    Read, R. C. and Yoder, Gordon: Recent Trends in the Management of incisional Herniation. Archives Surg, 1989; 124:485–488.Google Scholar
  7. 7.
    Ellis, H., Grajraj, H., George, C. D.: Incisional hernias: When de they occur. Br. J. Surg., 1983; 70:290–1.PubMedCrossRefGoogle Scholar
  8. 8.
    Read, Raymond C.: Metabolic factors contributing to herniation. Presented at the 1st Scientific Meeting of the American Hernia Society, Miami Beach, Florida, February 6–8, 1998; the Suvretta Symposium, St. Moritz, Switzerland, March 8–14, 1998; Submitted for publication to the journal “Hernia”.Google Scholar
  9. 9.
    Stevick, C. A., Long, J. B., Jamasbi, B. and Nash, Martha: Ventral hernias following aortic reconstruction, The American Surgeon, 1988; 51:287.Google Scholar
  10. 10.
    Hall, Kevin A., Peters, Brian, Smyth, Stephen H., et al.: Abdominal wall hernias in patients with abdominal aortic aneurysma versus aortoiliac occlusive disease. Am. J. of Surg., 1995; 170:572.CrossRefGoogle Scholar
  11. 11.
    Holland, A. J., et al: Incisional hernias are more common in aneurysma arterial disease. Eur. J. Vasc. Endovasc. Surg 1996; 12:196–200.PubMedCrossRefGoogle Scholar
  12. 12.
    Tilson, M.D., Seashore, M.R.: Human genetics of the abdominal aortic aneurysm. 8.G.O. 1984:158:129–32.Google Scholar
  13. 13.
    Tilson, M.D., Davis, G.: Deficiencies of copper and a compound with ion-exchange characteristics of pyridinoline in 5 km from patients with abdominal aortic aneurysms. Surg., 1983; 94:134–41.Google Scholar
  14. 14.
    Lee, P.C., Howard, J.M.: Fat necrosis. Surg Gynecol Obstet 1979; 148:786–789.Google Scholar
  15. 15.
    Pans, A., Pierard, G. E., Albert, A., et al: Adult groin hernias: new insight into their biomechanical characteristics. Dur J of Clin Invest, 1997; 27:14.Google Scholar
  16. 16.
    Pans, A. and Pierard, G. E.: lmmunohistochemical study of the rectus sheath and transversalis fascia in adult groin hernias. Presented at the 1 Annual Scientific Meeting of the American Hernia Society, Miami Beach, Florida: Feb., 1998.Google Scholar
  17. 17.
    Brown, S.L., Buckstrom, B., Busuttil, R. W.: A new serum proteolytic enzyme in aneurysm pathogenesis. J. Vasc. Surg., 1985; 2:393499.Google Scholar
  18. 18.
    Scott, J. Stephen: Causes of groin hernia recurrence following open repair. Presented at the 1 Annual Scientific Meeting of the American Hernia Society, Miami Beach, Florida: Feb., 1998.Google Scholar
  19. 19.
    Welt, J. 1, Crowley, K. A., Landman, S. L., et al: Increased neutrophil elastase activity In cigarette smokers. Ann Intern Med 1987; 197:680482.Google Scholar
  20. 20.
    Deak, Susan B., Ricotta, John J., Mariana, Thomas J., et al: Abnormalities in the Biosynthesis of Type III Procollagen in Cultured 8 km Fibroblasts from Two Patients with Multiple Aneurysms. Matrix Vol. 12, Gustav Fischer Verlag: Stuttgart 1992; 92–100.Google Scholar
  21. 21.
    Mayo, W. J.: An Operation for the radical cure of umbilical hernia. Ann. Surg., 1901;34:276–280.PubMedCrossRefGoogle Scholar
  22. 22.
    Luijendijk, R. W., Lemmen, M. H., Hop, W. C., et al: Incisional hernia recurrence following vertical Mayo repair (vest over pants) for primary hernias of the midline. World J of Surg 1997; 21:62–66.CrossRefGoogle Scholar
  23. 23.
    Usher, F. C.: The repair of incisional and inguinal hernias. S.G.O., 1970; 131:525.Google Scholar
  24. 24.
    Usher, F. C., Cogan, J. E. and Lowry, T. 1.: A new technique for the repair of inguinal and incisional hernias. A.M.A. Arch. Surg., 1960; 81:847454.Google Scholar
  25. 25.
    George, C. D. and Ellis, H.: The results of incisional hernia repair: A twelve year review. Ann. R. Coll. Surg. Engl., 1986; July 68(4):185–7.PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1999

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  • R. C. Read

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