| Popis: |
Incisional hernias develop in 2 to 13% of laparotomy incisions, necessitating approximately 90000 ventral hernia repairs per year [1-3]. Although a common general surgical problem, a »best« method for repair has yet to be identified as evidenced by documented recurrence rates of 25 to 52% with primary repair [1, 4, 5]. The advent of prosthetic materials for mesh repair has decreased this recurrence rate to a still significant 12.5-19% [6-8]. Unfortunately, the standard operation for open ventral hernia repair generally requires a midline incision with significant soft tissue dissection in tissues that are already of poor quality, raising of flaps, and drain placement. Consequently, there is an increased opportunity for postoperative complications at the surgical wound and at the level of the prosthesis, including exposure and infection of the mesh, fistula formation, and other problems. |
