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Related Experiment Videos

Massive incisional hernia: abdominal wall replacement with Marlex mesh.

R G Molloy1, K T Moran, R P Waldron

  • 1University Department of Surgery, Regional Hospital, Cork, Ireland.

The British Journal of Surgery
|February 1, 1991
PubMed
Summary

Polypropylene mesh effectively repaired massive incisional hernias in 50 patients, with only 8% recurrence due to fixation issues. Complications were manageable and did not require mesh removal.

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Area of Science:

  • Abdominal surgery
  • Surgical materials science

Background:

  • Massive incisional hernias present complex surgical challenges.
  • Previous repair attempts may have failed, necessitating advanced solutions.

Purpose of the Study:

  • To evaluate the efficacy and safety of Marlex (polypropylene) mesh for abdominal wall reconstruction in massive incisional hernias.
  • To identify potential complications and recurrence factors associated with mesh repair.

Main Methods:

  • Marlex (polypropylene) mesh was utilized for abdominal wall replacement in 50 patients with massive incisional hernias.
  • Follow-up ranged from 6 to 120 months (mean 45 months) to assess outcomes.
  • Complications and hernia recurrence were systematically recorded.

Main Results:

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  • A low recurrence rate of 8% (4 patients) was observed, exclusively linked to partial detachment of peripheral mesh fixation.
  • Complications included wound infection (8%), wound sinus (12%), wound seroma (4%), and wound haematoma (2%).
  • No complications necessitated the removal of the polypropylene mesh.

Conclusions:

  • Marlex (polypropylene) mesh is a viable option for reconstructing abdominal walls in cases of massive incisional hernias.
  • Ensuring adequate peripheral fixation of the mesh is crucial to prevent hernia recurrence.
  • The observed complications are generally manageable and do not typically require mesh explantation.