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Hernia
Published in: Hernia 1/2013

01-02-2013 | Original Article

Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias: a seven years study

Authors: S. S. Bessa, A. H. Abdel-Razek

Published in: Hernia | Issue 1/2013

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Abstract

Purpose

The aim of this prospective study was to present a 7-year experience with the use of prosthetic mesh repair in the management of the acutely incarcerated and/or strangulated ventral hernias.

Methods

Patients with acutely incarcerated and/or strangulated ventral hernias were treated by emergency repair of the hernia using an onlay Prolene mesh. The presence of non-viable intestine necessitating resection-anastomosis of the bowel was not considered a contraindication to the use of mesh.

Results

The present study included 80 patients. Their age ranged from 25 to 86 years with a mean of 56.1 ± 13.2 years. The hernia was para-umbilical in 71 patients (88.75 %), epigastric in 6 patients (7.5 %) and incisional in 3 patients (3.75 %). Eighteen patients (22.5 %) had recurrent hernias. Resection-anastomosis of non-viable small intestine was performed in 18 patients (22.5 %). There were 2 perioperative mortalities (2.5 %). Complications were encountered in 17 patients (21.3 %) and included wound sepsis in 9 patients (11.25 %), seroma formation in 5 patients (6.25 %), chest infection in 4 patients (5 %), deep vein thrombosis in 1 patient (1.25 %) and mesh infection in another patient (1.25 %). Follow-up duration ranged from 12 to 84 months with a mean of 49.9 ± 19.9 months. Only one recurrence was encountered throughout the study period.

Conclusions

The use of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias is safe. The presence of non-viable intestine cannot be regarded as a contraindication for prosthetic repair.
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Metadata
Title
Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias: a seven years study
Authors
S. S. Bessa
A. H. Abdel-Razek
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-012-0938-x

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ACKNOWLEDGEMENT TO REFEREES

Acknowledgement to referees 2012

Comment

Venous aneurysms of saphena magna: is this really a rare disease?

Letter to the Editor

Comparison of mesh-plug and Lichtenstein for inguinal hernia repair: a meta-analysis of randomized controlled trials. Li J, Ji Z, Li Y. Hernia 2012 Jul 28. doi: 10.1007/s10029-012-0974-6