title: Osseous and chondral fixation of polypropylene mesh.
abstract: Fixation of polypropylene (Marlex) mesh in the epigastrium and at the iliac crest can be ineffective because of insufficient local fascia; however, two techniques have been described to obtain firm and durable attachment of polypropylene grafts at these sites. Perichondral slips at the costal margin permit very satisfactory attachment with excellent long-term results. Stainless steel wire fixation of the mesh to the iliac crest has satisfied the need for osseous fixation in that area. Long-term repair of difficult and recurrent hernias has been described in three patients for whom other tactics for abdominal wall repairs were not available.
authors.forename: R C
authors.initials: RC
authors.lastname: Merrell
authors.forename: T
authors.initials: T
authors.lastname: Than-Trong
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery*; D000328:Adult; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D007085:Ilium / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011095:Polyethylenes; D011126:Polypropylenes; D012272:Ribs / Q000601:surgery; D013193:Stainless Steel; D013526:Surgical Mesh
chemical_list: C016674:Plastipore; D011095:Polyethylenes; D011126:Polypropylenes; D013193:Stainless Steel