Late complications of incisional hernias following prosthetic mesh repair.

作者: M. Basoglu , M.I. Yildirgan , I. Yilmaz , A. Balik , F. Celebi

DOI: 10.1080/00015458.2004.11679586

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摘要: Background Incisional hernias still continue to be a serious problem for surgeons. In this study, we aimed investigate the effects of polypropylene mesh and mersilene mesh, which are frequently employed in incisional hernias, as well their application techniques on late complications. Methods Two-hundred-sixty-four open abdominal hernia repairs were performed between 1986--2000, using prosthetic materials: used repair. Mesh was placed onlay, underlay sandwich techniques. Follow-up data obtained from medical records. Results Comparisons made with respect surgical complications such recurrence, enterocutaneous fistula, intestinal obstruction, infections. Enterocutaneous fistulas developed two patients. Recurrence occurred 6.4 per cent. Chronic infection wound sinus formation 5 The causes recurrence included smoking, cellulitis, chronic infection/sinus tract, upper localization, obstruction. Fistula patients no peritoneal prevention, statistically significant (p=0.012). tract high whom used, fistula 2 Conclusion To prevent complications, it is necessary avoid contact bowel.

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