[Ramirez abdominoplasty for large incisional hernia: personal experience]
Giuseppe Giordano1, Mario Pio Germano, Roberto Rendine
1Cattedra di Chirurgia Generale a Indirizzo Oncologico Università degli Studi di Foggia.
Summary
This study highlights the effectiveness of synthetic polypropylene meshes in treating incisional hernias. An interdisciplinary approach and techniques like Ramirez abdominoplasty are crucial for successful surgical outcomes.
Area of Science:
- General Surgery
- Surgical Technology
Context:
- Incisional hernias pose a significant surgical challenge.
- Traditional reabsorbable prostheses have shown limitations in long-term strength.
- A multidisciplinary approach is essential for managing complex hernia cases.
Purpose:
- To report the surgical experience with incisional hernias using synthetic prostheses.
- To evaluate the Ramirez abdominoplasty technique for large incisional hernias.
- To compare outcomes with the Rives technique.
Summary:
- Twenty-two patients with incisional hernias were treated surgically.
- Synthetic polypropylene meshes were utilized, replacing less reliable reabsorbable materials.
- Ramirez abdominoplasty was employed for larger hernias, involving meticulous tissue separation and mesh application.
Impact:
- Demonstrates the improved reliability of synthetic meshes in hernia repair.
- Underscores the necessity of a collaborative healthcare team in managing incisional hernias.
- Provides comparative data on surgical outcomes for incisional hernia treatment.


