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Incisional hernioplasty with extraperitoneal onlay polyester mesh
Anastasios Machairas1, Evangelos P Misiakos, Theodore Liakakos
13rd Department of Surgery, University of Athens, Faculty of Medicine, Attikon University Hospital, Athens, Greece.
The American Surgeon
|August 27, 2004
Summary
This study shows that an extraperitoneal tension-free incisional hernia repair using polyester mesh is safe and effective. This technique offers a low recurrence rate for patients with incisional hernias.
Area of Science:
- General Surgery
- Surgical Innovation
Background:
- Recurrent incisional hernias pose a significant challenge for general surgeons.
- High recurrence rates with primary tissue approximation necessitate advanced repair techniques.
- Tension-free procedures using prosthetic materials have been developed to address this issue.
Purpose of the Study:
- To evaluate the outcomes of an extraperitoneal tension-free repair technique for incisional hernias.
- To assess the efficacy and safety of using a polyester mesh (Mersilene) in this procedure.
Main Methods:
- A retrospective analysis of 43 patients undergoing extraperitoneal onlay polyester mesh repair for incisional hernias over 9 years.
- Patient demographics, hernia characteristics, surgical technique, and postoperative outcomes were recorded.
- Follow-up averaged 54.4 months, assessing complications and recurrence rates.
Main Results:
- The study included 43 patients, with a mean age of 68.2 years.
- Immediate postoperative complications occurred in 21% of patients (seroma, wound infection).
- The overall recurrence rate was 9% within the first 9 months, with minimal late complications.
Conclusions:
- The extraperitoneal onlay tension-free repair with polyester mesh is a straightforward and secure method for incisional hernia treatment.
- This technique demonstrates low morbidity and recurrence rates, offering a viable solution for complex hernias.