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Giant incisional hernias closed with polypropylene mesh
Abstract:
Giant incisional hernias are treated in many different ways involving risks and various degrees of mutilation. We prefer the use of polypropylene mesh (PPM) which is manufactured as Prolene or Marlex mesh. It is easy to handle, has great tensile strength and produces minimum tissue reaction. These qualities make PPM a good substitute for abdominal fascia and the procedure becomes simpler and less extensive than with the use of dermal grafts, flap transfers or other methods. This series consists of twenty-four patients. The results were good in 20 patients (85%). Recurrence of the hernia occurred in two patients (7.5%) and weakness of the abdominal muscles in two others.
Insights
Polypropylene mesh (PPM) offers a simpler, less extensive surgical option for giant incisional hernias compared to traditional methods. This approach demonstrated an 85% success rate in a study of 24 patients.
Area of Science:
- Abdominal surgery
- Surgical materials science
Background:
- Giant incisional hernias present complex treatment challenges.
- Current treatments involve risks and significant tissue manipulation.
- Alternative methods like dermal grafts and flap transfers are often extensive.
Purpose of the Study:
- To evaluate the efficacy of polypropylene mesh (PPM) in treating giant incisional hernias.
- To compare PPM with other surgical techniques for hernia repair.
- To assess the outcomes and complication rates associated with PPM use.
Main Methods:
- Retrospective case series of 24 patients undergoing giant incisional hernia repair.
- Utilized polypropylene mesh (PPM), known for Prolene or Marlex brands.
- PPM was chosen for its handling, tensile strength, and minimal tissue reaction.
Main Results:
- Successful hernia repair in 20 out of 24 patients (85% success rate).
- Low recurrence rate of 7.5% (2 patients).
- Abdominal muscle weakness observed in 2 patients (7.5%).
Conclusions:
- Polypropylene mesh (PPM) provides a viable and effective substitute for abdominal fascia in hernia repair.
- PPM facilitates a simpler and less extensive surgical procedure.
- The use of PPM in this series yielded favorable outcomes with manageable complications.