CLINICAL STUDY OF ABDOMINAL INCISIONAL HERNIA
| Autor: | Yoshihisa Saida, Jiro Nagao, Saori Hara, Yoshinobu Sumiyama |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
medicine.medical_specialty
Wound dehiscence business.industry Incisional hernia General surgery Closure operation Fascia Primary disease medicine.disease Surgery Clinical study stomatognathic diseases surgical procedures operative medicine.anatomical_structure Female patient medicine Hernia business |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 57:533-537 |
| ISSN: | 0386-9776 |
| DOI: | 10.3919/ringe1963.57.533 |
| Popis: | Seventy surgical cases of ventral incisional hernia performed in our department during the past 15 years were examined regarding background factor, primary disease for the previous operation, location of hernia, subjective symptoms lapse of time before onset of symptoms, and operation procedure. In addition preoperative complications (cure prolonging factor) and postoperative course were studied in 24 cases which were previously operated on at the department. Incisional hernia tended to be frequent in female patients after receiving emergency operations for benign conditions. Most cases occurred within one year after the previous surgery. An important determinant of the hernia was preoperative complications at the previous operation, which occurred in 75.0% of the cases. A relationship between hernia and postoperative complications of the previous operation such as wound infection and wound dehiscence was also suggested. Simple layer-to-layer closure operation had a hernia recurrence rate of 10%. Artificial fascia prosthetic operation, with a recurrence rate of 3.0%, is considered a useful surgical treatment method for large hernias and recurring cases. |
| Databáze: | OpenAIRE |
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