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Giant incisional hernias closed with polypropylene mesh.
Scandinavian Journal of Plastic and Reconstructive Surgery
|January 1, 1986
Summary
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.