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Hernia
Published in: Hernia 1/2011

01-02-2011 | Original Article

Different techniques for mesh application give the same abdominal muscle strength

Authors: M. Johansson, U. Gunnarsson, K. Strigård

Published in: Hernia | Issue 1/2011

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Abstract

Purpose

This study investigates abdominal muscle strength after surgery for giant hernia with the onlay, sublay or intraperitoneal (IPOM) method. Theoretically, placement of the mesh may result in different possibilities regarding function and postoperative physical activity related to abdominal muscle function.

Method

Twenty-four patients operated for large ventral hernias using the onlay, sublay or IPOM technique were evaluated 1 year following surgery for abdominal wall strength using Biodex system 4.

Results

Despite the different surgical techniques used, no differences were observed in abdominal wall strength between the groups.

Conclusion

The postoperative strength of abdominal wall muscles is independent of the method used for reconstruction of large abdominal wall hernia, and the choice of surgical technique should be directed by anatomical circumstances.
Literature
1.
Stoopa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554CrossRef
2.
Leber GE, Garb JL, Alexander AI, Reed WP (1998) Long-term complications associated with prosthetic repair of inscisional hernias. Arch Surg 133:378–382CrossRefPubMed
3.
Klinge U, Klosterhalfen B, Conze J, Limberg W, Obolenski B, Öttinger AP, Schumpelick V (1998) Modified mesh for hernia repair that is adapted to the physiology of the abdominal wall. Eur J Surg 164:951–960CrossRefPubMed
4.
Nieuwenhuizen J, Kleinrensink GJ, Hop WCJ, Jeekel J, Lange JF (2008) Indications for incisional hernia repair: an international questionnaire among hernia surgeons. Hernia 12:223–225CrossRefPubMed
5.
Klinge U, Conze J, Klosterhalfen B, Limberg W, Obolenski B, Öttinger AP, Schumpelick V (1996) Veränderung der bauchwandmechanik nach mesh-implantation. Langenbecks Arch Chir 381:323–332CrossRefPubMed
6.
Gunnarsson U, Johansson M, Strigård K (2010) Biodex system-4 as a tool for assessment of abdominal muscle function. Validity and reliability for healthy volunteers and patients with giant ventral hernia. Abstract, 32nd congress of EHS, Istanbul, Turkey
7.
Ferrando JM, Vidal J, Armengol M, Huguet P, Gil J, Manero JM, Planell JA, Segarra A, Schwartz S, Arbos MA (2001) Early imaging of integration response to polypropylene mesh in abdominal wall by environmental scanning electron microscopy: comparison of two placement techniques and correlation with tensometric studies. World J Surg 25:840–847CrossRefPubMed
8.
Dvir Z (1995) Isokinetics: muscle testing, interpretation and clinical applications. Churchill Livingstone, New York
9.
Kroll SS, Schusterman MA, Reece GP, Miller MJ, Robb G, Evans G (1995) Abdominal wall strength, bulging and hernia after TRAM flap breast reconstruction. Plast Reconstr Surg 96:616–619CrossRefPubMed
10.
Paajanen H, Hermunen H (2004) Long term pain and recurrence after repair of ventral incisional hernias by open mesh: clinical and MRI study. Langenbecks Arch Chir 389:366–370
Metadata
Title
Different techniques for mesh application give the same abdominal muscle strength
Authors
M. Johansson
U. Gunnarsson
K. Strigård
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2011
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-010-0745-1

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