Retrorectus polyester mesh repair for midline ventral hernias.
Hernia
; 13(6): 597-603, 2009 Dec.
Article
em En
| MEDLINE
| ID: mdl-19590817
ABSTRACT
PURPOSE:
To evaluate the effectiveness of the retrorectus mesh repair for midline ventral hernias.METHODS:
A retrospective review of all consecutive patients having a retrorectus mesh repair by a single surgeon in a standardized fashion from 1991 to 2005. All procedures used polyester (Mersilene) mesh with at least 5-cm overlap beyond the repair in all directions.RESULTS:
Ninety patients were identified, 56% of which were female. Major postoperative complications occurred in 23 (26%) patients, including nine (10%) patients requiring reoperative treatment due to skin flap necrosis, wound infection, hematoma, or fascial dehiscence. Partial mesh excision was required in four patients. The hernia recurrence rate was 7% at a mean of 53 months.CONCLUSION:
The retrorectus repair with polyester mesh is an effective and durable repair for midline ventral hernias. The disadvantage of this repair is the large number of wound complications.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Operatórios
/
Telas Cirúrgicas
/
Hérnia Ventral
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Hernia
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos