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Incisional hernia repair: a mechanical approach.

T P Jenkins

    The British Journal of Surgery
    |May 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    This study on incisional hernia repair found that excising scar tissue and approximating the abdominal wall with continuous doubled nylon resulted in very few recurrences. This effective surgical technique for incisional hernias should be more widely adopted.

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    Area of Science:

    • Abdominal surgery
    • Surgical techniques
    • Hernia repair

    Background:

    • Incisional hernias are common complications following abdominal surgery.
    • Recurrence after surgical repair remains a significant challenge.

    Purpose of the Study:

    • To evaluate a specific surgical technique for managing incisional hernias.
    • To assess the recurrence rates associated with this method.

    Main Methods:

    • Fifty patients with incisional hernias underwent surgical repair.
    • The procedure involved complete excision of scar tissue.
    • Abdominal wall approximation was achieved using continuous doubled nylon with a generous suture length to wound length ratio.

    Main Results:

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  • No major recurrences of incisional hernias were observed in the study cohort.
  • Only four minor recurrences were reported among the fifty patients.
  • The surgical method demonstrated a high success rate in preventing hernia recurrence.

    • Conclusions:

    • The described technique for incisional hernia repair is theoretically sound and effective.
    • This method shows promise for wider adoption in clinical practice due to its low recurrence rates.