[Pneumoperitoneum and Mersilene mesh in the treatment of giant abdominal wall hernias].
Fourteen patients with giant abdominal hernias were treated at our institution from 1985-1989. In all cases the hernial orifice was at least 20 x 20 cm, and the hernia had at least a size of a child's head. In 11 cases a progressive preoperative pneumoperitoneum of 10-14 liters over 14-21 days was performed. This procedure was initially done in hospital and then on an outpatient basis. In 13 patients the hernia was repaired using a retromuscular/preperitoneal Mersilen-mesh fixed subcutaneously. In one patient the hernia could be repaired with a Mayo type repair after preparation with a pneumoperitoneum. Postoperative problems were minimal, and no recurrence has so far been observed after a follow-up period of 5 to 44 months. By the combination of preoperative pneumoperitoneum and a retromuscular Mersilen-mesh even giant abdominal hernias in polymorbid patients can be repaired.
Luder
P J
PJ
Klinik für Viszerale und Transplantationschirurgie, Inselspital Bern.
Haller
B G
BG
Gertsch
P
P
Blumgart
L H
LH
Lerut
J P
JP
D000009:Abdominal Muscles / Q000601:surgery; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010795:Phthalic Acids; D011027:Pneumoperitoneum / Q000601:surgery*; D011092:Polyethylene Glycols; D011093:Polyethylene Terephthalates; D013526:Surgical Mesh; D013536:Suture Techniques
D010795:Phthalic Acids; D011093:Polyethylene Terephthalates; C025539:Lavsan; D011092:Polyethylene Glycols
Pneumoperitoneum und Mersilennetz in der Behandlung riesiger Bauchwandhernien.