Mesh sutured repairs of abdominal wall defects

摘要: A new closure technique is introduced, which uses strips of macroporous polypropylene mesh as a suture for abdominal wall defects due to failures standard sutures and difficulties with planar meshes. Methods Strips 2 cm width were passed through the tied simple interrupted sutures. The surgical outcomes are presented. Results One hundred seven patients underwent sutured closure. Seventy-six had preoperative hernias, mean hernia by CT scan those scans was 9.1 cm. Forty-nine fields clean-contaminated, contaminated, or dirty. Five infections within first 30 days. Only one knot removed an office procedure. Mean follow-up at 234 days revealed 4 recurrent hernias. Conclusions Mesh repairs reliably appose tissue under tension using concepts force distribution resistance pull-through. reduces amount foreign material required in comparison sheet meshes, avoids shortcomings monofilament closures seem be tolerant bacterial contamination low recurrence rates have replaced our routine use sheets bioprosthetic grafts.