T-line Hernia Mesh Repairs of Large Umbilical Hernias: Technique and Short-term Outcomes.
| Autor: | Naga HI; From the Department of Surgery, Duke University Hospital, Durham, N.C., Emovon E; From the Department of Surgery, Duke University Hospital, Durham, N.C., Kim JK; From the Department of Surgery, Duke University Hospital, Durham, N.C., Hernandez JA; From the Department of Surgery, Duke University Hospital, Durham, N.C., Yoo JS; From the Department of Surgery, Duke University Hospital, Durham, N.C. |
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| Jazyk: | angličtina |
| Zdroj: | Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2024 Mar 20; Vol. 12 (3), pp. e5668. Date of Electronic Publication: 2024 Mar 20 (Print Publication: 2024). |
| DOI: | 10.1097/GOX.0000000000005668 |
| Abstrakt: | Background: The T-line hernia mesh is a synthetic, polypropylene mesh specifically designed to prevent anchor point failure by evenly distributing tension through mesh suture extensions. This case series illustrates the first clinical application of the T-line mesh for umbilical hernia repair (UHR). Methods: This study is a retrospective, consecutive cases series of all adult patients presenting to a single surgeon with symptomatic umbilical hernia requiring surgical repair using the T-line hernia mesh. Patient demographics, surgical details, and 30-day postoperative complications were collected. Descriptive statistics were computed in Microsoft Excel (Redmond, Va.). Results: Three patients presented for UHR. All three patients were obese with mean body mass index of 37.5 ± 6.6. Two patients were former smokers, and two had presented after hernia recurrence. The average defect size was 80.1 cm 2 ± 94.0 cm 2 . Two patients had UHR with onlay mesh placement, whereas one had a transversus abdominus release followed by retrorectus mesh placement. The average mesh size was 192.3 cm 2 ± 82.5 cm 2 . All three cases were classified as clean. There were no intraoperative complications. No patients experienced 30-day postoperative complications or recurrence. Conclusions: We present a case series of three patients presenting with large, symptomatic umbilical hernias who underwent UHR with T-line hernia mesh reinforcement without short term complications or hernia recurrence at last follow-up. Competing Interests: Dr. Jin Yoo is a paid medical consultant for Deep Blue Medical Advances. All the other authors have no financial interest to declare in relation to the content of this article. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.) |
| Databáze: | MEDLINE |
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