RESUMO
Difficult abdominal wall hernias are often prone to recur after correction. We present a small series of eight cases requiring a more comprehensive approach to the abdominal wall repair. Repair involved exposing the abdominal wall from xiphoid to pubis and correcting superiorly, inferiorly and laterally if necessary. Prosthetic prolene mesh was used in three patients. Abdominal wall repair was followed by abdominal dermolipectomy which enhances the repair and improves the aesthetic appearance. Four patients had repair after more than one recurrence, two after one recurrence and two presented for primary repair (AU)
Assuntos
Humanos , Hérnia Ventral/cirurgiaRESUMO
Recurrence-free repair of midline vntral abdominal wall hernia continues to elude surgeons, despite the abundance of described techniques. Based on the observation that spontaneous herniation through the rectus abdominis muscles is unknown, a new technique of repair was devised. The rectus muscles and their sheaths on either side of the hernial drfect are directly brought together to obliterate the hernia, the intervening linea alba and intact hernia sac being 'keeled' into the abdominal cavity. Using this technique, 85 consecutive midline abdominal hernias were repaired over an 11-year period. Follow-up was from 18 months to 12 years; there was one recurrence. The rectus repair is recommended as an effective method of dealing with ventral midline abdominal wall hernia (AU)
Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Idoso , Masculino , Feminino , Músculos Abdominais/cirurgia , Hérnia Ventral/cirurgia , Recidiva , Técnicas de SuturaRESUMO
Recurrence-free repair of midline ventral abdominal wall hernia continues to elude surgeons, despite the abundance of described techniques. Based on the observation that spontaneous herniation through the rectus abdominis muscles is unknown, a new technique of repair was devised. The rectus muscles and their sheaths on either side of the hernial defect are directly brought together to blliterate the hernia, the intervening linea alba and intact hernia sac being 'keeled' into the abdominal cavity. Using this technique, 85 consecutive midline abdominal hernias were repaired over an 11-year period. Follow-up was from 18 months to 12 years; there was one recurrence. The rectus repair is recommended as an effective method of dealing with ventral midline abdominal wall hernia (AU)
