Incisional herniorrhaphy with intraperitoneal composite mesh: a report of 95 cases.

摘要: Incisional herniorrhaphy remains a formidable challenge to the general surgeon. Recurrence rates after primary repair are reported between 31-54 per cent while tension-free repairs with prosthetic mesh have lowered this rate 10 cent. Repairs composite (polypropylene/ePTFE) been gaining in popularity due ease of placement intraperitoneal location. This paper reviews our experience at teaching community hospital. A retrospective chart review was performed which evaluated all patients undergoing abdominal incisional hernia over 4(1/2)-year period. The data were analyzed for mortality, recurrence, infection, subsequent bowel obstruction, and fistula formation. Two hundred twenty-one herniorrhaphies identified resident database 95 repaired Composix (Bard Surgical, Cranston, RI) position. There two (2%) recurrences eight (8%) infections. Fistulization small from exposed polypropylene occurred one patient. no obstructions. One postoperative death secondary pulmonary embolus. Mesh removal required infected cases, there high incidence (63%) methicillin-resistant Staphylococcus aureus (MRSA). Our findings parallel low recurrence following repair. We higher than expected infection particularly MRSA. Although highly successful regard resulting morbidity needs be further evaluated.