Die offene intraperitoneale Netzplastik zur Versorgung ventraler Bauchdeckendefekte - erste Ergebnisse bei der Implantation eines mit ePTFE beschichteten Polypropylenenetzes

Autor:	H. Gerngroß, N. Huschitt, E. Lotspeich, R. Schmidt, M. Feller
Rok vydání:	2006
Předmět:	medicine.medical_specialty Incisional hernia business.industry medicine.medical_treatment Adhesion (medicine) Healthy tissue Hernia repair medicine.disease Surgery Polypropylene mesh Surgical removal medicine Intraabdominal pressure Tissue sparing business
Zdroj:	Zentralblatt für Chirurgie. 131:57-61
ISSN:	1438-9592 0044-409X
DOI:	10.1055/s-2006-921411
Popis:	BACKGROUND Large incisional hernias are mainly repaired today by tension free implantations of prosthetic meshes using various placement methods. The advantages of the intraperitoneal open technique (IPOM) using a polypropylene mesh that is coated with ePTFE on the side facing the intestine, are described. METHODS AND RESULTS 62 patients underwent an incisional hernia operation with the intraperitoneal positioning of a prosthetic mesh. The follow-up examinations after a range of 16.1 months showed a hernial recurrence rate of 6.4 %. A part of the resulting mesh infections (11.2 %) healed without surgical removal of the mesh. Clinical complications due to adhesion formation were not observed. CONCLUSION The tissue sparing intraabdominal positioning technique simplifies the necessary overlap using healthy tissue as a prerequisite for a sufficient hernia repair exploiting the intraabdominal pressure.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::5d83afa22a43a64ec7464ebc3db9528e https://doi.org/10.1055/s-2006-921411 Zobrazit plný text záznamu