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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Hernia 1 (1997), S. 9-14 
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Fibrin glues ; Mesh repair ; Prosthesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The purpose of this work is to report on the results of a series of 110 operations for incisional hernia treated either by primary suture or by a plasty reinforced with a prosthesis placed anterior to the rectus sheath, and fixed by a new method involving a spray of fibrin glue. The composition and properties of the two fibrin glues presently available commercially in France are analysed, together with the procedures undertaken to prevent viral contamination. Several techniques of suture and hernioplasty have been used in this series, prostheses were all placed anterior to the myo-fascial layer. The arguments in favor of the choice of technique are put forward, as well as details of the surgical procedure. There was no mortality in this series. Minor complications were seen in 10% of cases. There was no significant difference between the two types of glue employed. Analysis of the results favors the routine use of suction drainage and a volume of glue of 2 ml. The use of a prosthesis fixed with fibrin glue reduces the definitive recurrence rate to 0.97%, against 9.02% for techniques using a prosthesis only and 18.3% for techniques without a prosthesis, in an overall series of 389 operations.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Hernia 4 (2000), S. 7-11 
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Abdominal wall ; Classification ; Statistics ; Recurrence rate
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Incisional hernias of the abdominal wall assume many clinical forms in terms of their site and size, the quality of the tissues of the abdominal wall and the number of previous recurrences, among many other factors. Any serious prospective and possibly comparative scientific study dealing with the results of treatment must begin by defining the type of incisional hernia studied. Hence, it seemed necessary to employ a classification allowing a study or comparison of homogeneous groups. The aim of this work was to propose a simple classification of predictive value, based on a statistical study of the relations between four parameters, i.e. the site of the incisional hernia, the width of the hernial orifice, the number of previous recurrences, and the results of treatment. A retrospective study dealing with a series of 435 abdominal incisional hernias was done to this end.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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