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Hernia
Published in: Hernia 6/2010

01-12-2010 | Original Article

Prosthetic incisional hernioplasty: clinical experience with 354 cases

Authors: A. Abdollahi, G. H. Maddah, B. M. Mehrabi, A. Jangjoo, M. N. Forghani, N. Sharbaf

Published in: Hernia | Issue 6/2010

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Abstract

Background

The use of prosthetic materials has become the standard of care in the management of incisional hernias because of its association with a low rate of recurrence. In this paper, the results of the treatment of incisional hernias is reported.

Methods

Over a 15-year period, 354 open abdominal wall incisional hernia repairs were performed using the Rives–Stoppa, onlay and inlay techniques. The prosthetic materials used were polypropylene and Mersilene mesh. Using a questionnaire, the individual characteristics, type of operation (technique), type of prosthesis, complications and surgical outcome were recorded and analysed by SPSS software.

Results

A total of 354 patients underwent prosthetic incisional hernioplasty, comprising 265 women and 89 men, with a mean age of 52.1 years, using three techniques that included Rives–Stoppa (312), onlay (33) and underlay (9). The majority of complications included seroma (10), infection (8), intestinal fistula (2), mesh removal (2) and respiratory complication (4). Eighty percent of the patients used abdominal belts after the surgical procedure. Recurrent hernias were observed in four patients with a mean of 98 months follow up. All patients received pre-operative intravenous antibiotics and were discharged with oral antibiotics.

Conclusion

In this series, the prosthetic incisional hernioplasty approaches, especially the Rives–Stoppa method, yielded excellent long-term results, with minimal morbidity in patients and large primary or recurrent incisional repair.
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Metadata
Title
Prosthetic incisional hernioplasty: clinical experience with 354 cases
Authors
A. Abdollahi
G. H. Maddah
B. M. Mehrabi
A. Jangjoo
M. N. Forghani
N. Sharbaf
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
Hernia / Issue 6/2010
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-010-0685-9

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