[The use of Plastex-type synthetic mesh in the surgery of abdominal wall defects]

The study analyzes a statistical series of 45 patients suffering from large abdominal wall defects and who were managed by plastic surgery with "Plastex" type synthetic mesh, in the period 1 Jan. 1995-1 Apr. 1998. One of the treatment's basic principles is the preserving of the peritoneal pouch from the hernia sac, which must be fixed on the internal side of the synthetic material that replaces the musculoaponeurotic defect. The authors emphasize the low incidence of complications and the absence of recurrences when they used the "Plastex" type synthetic mesh, very well tolerated by the surrounding tissues. For all these reasons, the authors warmly recommend it for plastic surgery in all incisional hernias, because their coming out shows the poor quality of the local musculoaponeurotic material.