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Simplified technique for incisional hernia repair with mesh prosthesis
G Guzmán-Valdivia1, O Medina, A Martínez
1Department of General Surgery of General Hospital No 1, Gabriel Mancera Mexican Institute of Social Security, Mexico City, Mexico. guzvaldi@yahoo.com
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|September 19, 2003
Summary
A simplified surgical technique for incisional hernia repair using mesh prostheses shows no recurrence after one year. This method reduces operating time and complexity, offering an easier and effective solution for incisional hernias.
Area of Science:
- General Surgery
- Abdominal Wall Reconstruction
Background:
- Incisional hernias are common post-surgical complications.
- Current repair techniques can be complex and time-consuming.
Purpose of the Study:
- To describe and evaluate a simplified technique for incisional hernia repair.
- To assess the efficacy and safety of this novel mesh-based approach.
Main Methods:
- Resection of the previous scar and dissection of the peritoneal sac.
- Peritoneal closure and invagination to create a sac bed for mesh placement.
- Fixation of the mesh prosthesis using a double-line suturing technique with polypropylene sutures.
Main Results:
- Successful repair in 15 patients with no recurrence after one year of follow-up.
- Significant reduction in operating time compared to standard procedures.
- The technique was found to be easier to perform.
Conclusions:
- The simplified mesh repair technique is effective and safe for incisional hernias.
- This method offers advantages in terms of reduced operating time and procedural ease.
- Further comparative studies are warranted to evaluate outcomes against other mesh repair techniques.