[Surgical treatment of postoperative eventration with a prosthetic grid. 62 cases].
The treatment of post-operative eventration with major loss of parietal substance often justifies the use of prosthetic material. 62 post-operative patients from a series of 345 benefited from such a procedure. In the majority of cases they were patients who had undergone multiple surgery and also one or many attempts to cure the eventration (55%). The eventrations were of large volume and complex and one or more operative risk factors were present (81%). A Mersilene grid, implanted retromuscularly in all but one case, was the prosthetic material used in 96% of cases. Operative mortality in this series was zero, but unfortunately post-operative hematomas occurred in 27% of cases and one half of these became infected. Recurrent eventration (11%) was seen in all but one case where post-operative infection occurred. In five out of six cases under these circumstances this became apparent during the first post-operative year. The authors stress the fundamental importance of peri-operative care during such interventions; the quality of post-operative results depends, to a large extent, on this care and on the respect of the peroperative technical principles defined by the authors.
Cubertafond
P
P
Sava
P
P
Gainant
A
A
Ugazzi
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D019736:Prostheses and Implants; D013526:Surgical Mesh
Cure chirurgicale des éventrations post-opératoires par plaque prothétique. 62 observations.