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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Chevrel technique for midline incisional hernia: still an effective procedure
1Dipartimento Chirurgico Materno-Infantile e di Scienze dell'Immagine, Chirurgia Generale A, Ospedale San Giovanni di Dio, University of Cagliari, Via Ospedale n 46, 09124 Cagliari, Sardinia, Italy. sergiolicheri@tiscali.it
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|November 1, 2007
Summary
The Chevrel repair is a safe and effective surgical technique for incisional abdominal hernias, demonstrating low complication and recurrence rates. This method is reliable, even in patients with high septic risk.
Area of Science:
- General Surgery
- Abdominal Wall Reconstruction
- Hernia Repair
Background:
- Prosthetic mesh is widely used for incisional abdominal hernia repair globally.
- Optimal prosthesis placement remains a subject of debate among surgeons.
- This study analyzes the premusculo-aponeurotic repair technique and its outcomes.
Purpose of the Study:
- To analyze the operative steps of the premusculo-aponeurotic repair (Chevrel repair).
- To present the clinical experience and results of the Chevrel repair for midline incisional hernias.
Main Methods:
- A retrospective analysis of 64 patients (52 women, 12 men; mean age 64) undergoing Chevrel repair between 1996-2006.
- Patients classified by Chevrel and Rath criteria; 19 emergency, 45 elective procedures.
- Common comorbidities included cardiopathy, obesity, and COPD; frequent associated procedures were cholecystectomy and dermolipectomy. Prosthetic materials: polypropylene, polyester, or combined.
Main Results:
- Mortality rate was 1.6%.
- Parietal complications (seroma, skin necrosis, superficial infection) occurred in 26.5% of patients; no deep infections or intra-abdominal issues.
- Mean hospital stay was 10 days. Two recurrences observed; no chronic pain or late infections.
Conclusions:
- The Chevrel technique is a safe and effective method for incisional hernia repair.
- The procedure is technically straightforward and reliable, even in contaminated fields or high septic risk scenarios.
