Intraperitoneal Polypropylene Mesh Repair for Incisional Hernia

Short Communication

English

Wagih M Ghnnam, Hosam Ghazy, Nashaat Noaman

Department of General Surgery, Mansoura Faculty of Medicine, Mansoura University, Egypt

JMJ 2009,Vol.9, No.1: 61-64

Abstract

The objective of this study was to evaluate our experience with intraperitoneal mesh repair of incisional hernia Background: Incisional hernia repair with intraperitoneal placement of mesh has the disadvantage of adhesions, bowel obstruction, and erosion into bowel with enterocutaneous fistula formation. Methods: 29 patients with incisional hernia were treated with intraperitoneal prolene mesh repair. Results: Median follow-up was 30 months. Hernias were below the umbilicus in 19 patients (65.5%), above the umbilicus in 9 (31%) patients and one case (3.4%) was a lumbar incisional hernia. Mean operative time was 117±26.5 minutes (90-180 minutes), there was no mortality; two patients had postoperative seroma, two patients had wound infection solved with conservative treatment. There were no recurrences in the observed patients. Conclusions: Open intraperitoneal mesh repair is a safe and effective way of treating of incisional hernia with a lower morbidity and recurrence rate.

Keywords: Incisional hernia, Open repair, Intraperitoneal, Mesh.

Link/DOI: http://www.jmj.org.ly/PDF/Spring2009/61.pdf