Revisiting the Anterior Rectus Sheath Repair for Incisional Hernia: A 10-Year Experience
| Autor: | Erica I. Hodgman, Mark J. Watson |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Incisional hernia Wound Breakdown 030230 surgery 03 medical and health sciences 0302 clinical medicine Postoperative Complications Surgical Wound Dehiscence medicine Humans Incisional Hernia Hernia Abdominal Muscles Retrospective Studies business.industry Vascular surgery Middle Aged Surgical Mesh medicine.disease Surgery Cardiac surgery Seroma Cardiothoracic surgery 030220 oncology & carcinogenesis Female business Abdominal surgery |
| Zdroj: | World journal of surgery. 41(3) |
| ISSN: | 1432-2323 |
| Popis: | Surgeons continue to seek an incisional hernia repair technique which minimizes cost and morbidity while maximizing durability. We present a single surgeon’s experience with a technique described by N.L. Browse and J.P. Chevrel in 1979. The Chevrel/Browse repair consists of a bilateral anterior rectus sheath release, hernia sac imbrication, bilateral rectus complex medialization, and repair reinforcement with an anterior prosthetic mesh. Data were collected on all patients who underwent herniorrhaphy between April 2003 and April 2013. A total of 123 patients underwent repair. These had undergone an average of 2.6 prior abdominal operations and 0.7 prior hernia repairs; the average defect size was 64.77 ± 86.79 cm2. Twelve patients had lateral components release in addition to release of the anterior rectus sheath to achieve midline re-approximation with minimal tension. Synthetic mesh was used in 81 % of repairs and biologic mesh in 19 %. The most common complications were seroma formation (21 %) and incisional skin breakdown (30 %); no deaths occurred. The overall recurrence rate was 5.1 %, and 7 % for the group which had follow-up greater than 36 months. Use of biologic mesh increased the rate of seroma formation compared with synthetic mesh (50 vs. 14 %, p |
| Databáze: | OpenAIRE |
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