Are mesh anchoring sutures necessary in ventral hernioplasty? Multicenter study.
作者： P. Witkowski , F. Abbonante , I. Fedorov , Z. Śledziński , V. Pejcic
DOI: 10.1007/S10029-007-0260-1
关键词:
摘要: Background Avoiding mesh Wxation to the surrounding tissue in ventral hernioplasty would simplify operation, decrease time of procedure, and risk suture-related complications. Methods Four hospitals included 111 patients according common protocol for prospective clinical evaluation sutureless hernioplasty. Surgical technique involves placement polypropylene with Xatshape memory either retromuscular or preperitoneal space without suture anchoring. Results Local complication rate was low (12.6%, 14 patients), postoperative pain measured visual analogue scale minimal (mean 4, range 1–8). Three recurrences (3%) were recorded. Mild scar discomfort, which did not require treatment nor limit physical activity, recorded 28 (25%), 18 (17%), 11 (14%) at 6-month, 1- 2-year follow-up, respectively. Conclusions study suggest that sublay is safe eVective abdominal hernia, especially small medium defects.
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