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Cardiff repair of incisional hernia: a university hospital experience
1Department of Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Insights
The Cardiff repair technique for incisional hernias shows low complication rates and no recurrences after a mean follow-up of 52 months. This simple surgical method is cost-effective for small to medium defects.
Area of Science:
- Surgical innovation
- Hernia repair techniques
- Gastrointestinal surgery
Background:
- Incisional hernias are a common complication following abdominal surgery.
- Effective and cost-efficient repair methods are crucial for patient outcomes.
Purpose of the Study:
- To analyze the outcomes of the "Cardiff" (far and near) repair technique for incisional hernias.
- To evaluate the efficacy and safety of this specific surgical approach.
Main Methods:
- A prospective study was conducted involving 50 patients with incisional hernias.
- The "Cardiff" repair involved interrupted far-and-near sutures with polypropylene mesh for peritoneal closure.
Main Results:
- Postoperative complications occurred in 6 patients, including wound infection, flap necrosis, and wound sinus.
- No recurrences were observed during a mean follow-up period of 52 months.
Conclusions:
- The "Cardiff" repair is a simple, cost-effective surgical technique with low morbidity.
- This method is recommended for the repair of small and medium-sized incisional hernias.
Objective:
To analyse our results of the "Cardiff' (far and near) repair in incisional hernias.
Design:
Prospective study.
Setting:
University hospital, Varanasi, India.
Subjects:
50 patients who presented with incisional hernias between January 1990 and December 1994.
Intervention:
Interrupted far-and-near sutures inserted after excision of the sac. The contents were pushed into the abdomen and the peritoneum sutured with non-absorbable polypropylene (prolene).
Main Outcome Measures:
Early and late morbidity. Six patients developed postoperative complications (wound infection, n=3; flap necrosis, n=2; and wound sinus, n=1). No patient has been lost to follow up and there have been no signs of recurrence after a mean follow up of 52 months.
Conclusion:
The meticulous application of this simple surgical technique has low morbidity and is cost effective. We recommend it for small and medium size defects.