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[Hernias in scars]

M Schnorrer1, M Petrasovic, J Belácek

  • 1Chirurgická klinika IVZ, Dérerova nemocnica, Bratislava, Slovenská republika.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|August 29, 1998
PubMed
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Hernia repair using the Mayo plastic operation without synthetic nets resulted in a 44% relapse rate. This highlights the need for improved surgical techniques to reduce incisional hernia recurrence.

Area of Science:

  • Abdominal Surgery
  • Hernia Repair
  • Surgical Outcomes

Context:

  • Evaluation of Mayo plastic operation for incisional hernia repair between 1992-1996.
  • High recurrence rates observed in patients operated without synthetic mesh.
  • Literature review confirms 30-50% relapse rates for scar hernias without mesh use.

Purpose:

  • To assess the efficacy of the Mayo plastic operation for incisional hernia repair.
  • To determine the recurrence rate of hernias in scars treated with the Mayo plastic operation.
  • To evaluate the impact of synthetic mesh use on hernia recurrence.

Summary:

  • A study of patients operated for incisional hernias between 1992-1996 showed a 44% re-operation or relapse rate.
  • These findings align with existing literature indicating high recurrence rates (30-50%) when synthetic nets are not employed.

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  • Consequently, the authors adopted synthetic nets for hernia repair plastic operations starting in November 1997.

    • Impact:

    • Demonstrates the significant benefit of incorporating synthetic mesh in hernia repair to decrease recurrence.
    • Provides evidence supporting the routine use of synthetic materials in preventing incisional hernia.
    • Informs surgical practice regarding the management of hernias in scars, emphasizing mesh use for better outcomes.