[The surgery of laparoceles. The postoperative complications].
The use of prosthetic meshes in incisional hernias repairs is now very attractive, particularly for wide fascial defects; nevertheless the presence of a foreign body and placement technique may be responsible for complications sometimes leading to failure. To evaluate technical problems and complications in incisional hernia surgery the authors reviewed their 5 year experience in 70 patients; 39 mesh repairs and 31 direct sutures of the abdominal wall were performed. Local complications (fistulas, wound hematoma or infections) were more frequent in the former group; PTFE meshes showed a lower resistance to infections, particularly in diabetics, and in three patients partial or total removal was mandatory. Prosthetic meshes showed a marked reduction of recurrences in incisional hernia surgery, but their use leads to more local complications than direct repair; the authors believe that mesh placement must be evaluated for every single patient and not used as a routine procedure.
Garavello
A
A
Divisione di Chirurgia Generale, Azienda Ospedaliera S. Filippo Neri, Roma.
Tuccimei
U
U
Sadighi
A
A
Belardi
A
A
Remedi
M
M
Antonellis
D
D
D004630:Emergencies; D005260:Female; D006555:Hernia, Ventral / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011091:Polyesters; D011095:Polyethylenes; D011098:Polyglactin 910; D011126:Polypropylenes; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000453:epidemiology*; D012307:Risk Factors; D013526:Surgical Mesh
C016674:Plastipore; D011091:Polyesters; D011095:Polyethylenes; D011126:Polypropylenes; D011098:Polyglactin 910; D011138:Polytetrafluoroethylene