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- Title
Preperitoneal mesh repair of incisional hernias: A seven-year retrospective study.
- Authors
Bhat, Mahabhaleshwar G.; Somasundaram, Santosh K.
- Abstract
Background: Incisional hernia is a common surgical condition with a reported incidence of 2–11% following all laparotomies. Results of repair have been disappointing. Aim: To evaluate our technique of preperitoneal mesh repair of incisional hernias. Materials and Methods: A seven-year retrospective study was done from January 1994 to December 2000 using a computerized database. Follow-up was initiated by a postal questionnaire on a response card. Our repair was evaluated by clinical examination, response card and telephone. Results were documented and statistically analyzed. Results: In our series of 105 patients, clinical details of 95 (90.5%) patients were available. Females (90.5%, n = 90) outnumbered males (9.5%, n = 10) and the highest incidence was in the 5th decade of life in females and the 6th decade of life in males (P = 0.028). Gynecological operations accounted for 68.4% (n =65) of the index operations, with lower midline incisions resulting in 63% (n = 60) of the incisional hernias. The polypropylene mesh placed preperitoneally varied from 15 x 7.5 cm to 30 x 20 cm. Sixtyfive patients (62%) attended our follow-up, ranging from 14 months to eight years. Method of follow-up in outpatients department (OPD): 44.6% (n = 29), postal: 40% (n = 26), telephone: 15.3% (n = 10). No recurrence was noted in the follow-up group. Conclusions: Based on our analyses, we believe that preperitoneal mesh repair is the ideal operation for incisional hernias. There are however, very few publications covering this technique of repair.
- Subjects
INDIA; HERNIA surgery; ABDOMINAL surgery; LAPAROSCOPIC surgery; PERITONEAL access; CLINICAL trials; OPERATIVE surgery; SURGICAL complications; LAPAROSTOMY
- Publication
Indian Journal of Surgery, 2007, Vol 69, Issue 3, p95
- ISSN
0972-2068
- Publication type
Article