| Autor: |
M, Gavioli, A, Rosi, I, Piccagli, A, Zenezini Chiozzi, D, Bernardelli, M G, Lazzaretti, C, Castellani Tarabini, P L, Serafini, M, Romani |
| Jazyk: |
francouzština |
| Rok vydání: |
1996 |
| Předmět: |
|
| Zdroj: |
Journal de chirurgie. 133(7) |
| ISSN: |
0021-7697 |
| Popis: |
Use of prostheses in emergency surgery is a controversial issue due to the risk of infection. We report our experience with a series of 31 strangled hernias treated in emergency situations with a polypropylene (n = 29) or a vinyl (n = 2) sheath placed in a pre-peritoneal or retro-muscular position. There were three small bowel resections and 13 resections of the omentum for necrosis. There were no cases of infectious complications during the post-operative period. There were no recurrent hernias during the follow-up. The absence of any supplementary morbidity after emergency prosthesis is in agreement with the data in the literature. These results suggest that a prosthesis can be proposed for strangled hernias when the weakness of the parietal wall would compromise a conventional procedure. Excluded are cases with severe infection, including peritonitis by gangrenous perforation of an incarcerated loop and associated colonic resections. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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