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  • 1
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Prosthesis ; Mesh repair
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 63 medium and large incisional hernias were repaired by the Rives method. A multifilament polypropylene mesh was used in all cases. The mesh was fixed to the abdominal aponeurosis with interrupted non-absorbable polypropylene stitches. There was no mortality. The recurrence rate was 1,5% (1 patient) after a median follow-up of 30 months although a high incidence of postoperative pain (17%) in the Spiegelian area was found during the first year. Based on these results we propose this technique for the repair of incisional hernias perhaps also with the use of long-lasting absorbable sutures or a biological glue. These procedures enhance attachment of the mesh to the abdominal wall and thus relieve pain in the lateral abdominal region.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Appendectomy ; Mesh repair
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Appendectomy is a very frequent cause of incisional hernia. In this paper the rate of recurrence after the hernia repair by simple suture and mesh repair was studied. 17 lateral incisional hernias secondary to appendectomy were repaired over a 9 year period. Prosthetic repair was carried out in 9 cases and primary closure in the remaining 8 cases. All the patients were followed over a period that ranged from 1 to 8 years (mean 5.6 years). There was one recurrence, though 2 patients (11.7%) with mesh repair complained about abdominal pain during the first postoperative year. The study concludes that both techniques can be successfully implemented if the correct indications based on the extent of the defect and the clinical characteristics of the patient are respected.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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