Tension-free open mesh repair of ventral hernias--Stoppa's technique.
Tension-free prosthetic mesh repair of giant, complex, or recurrent ventral hernias in the form of a modified Stoppa technique has been used in 60 cases. Complication rate has been comparable with other such studies. In obese patients with a pendulous anterior abdominal wall, limited panniculectomy was carried out while repairing the hernia through a low transverse abdominal incision. None of the patients required a progressive preoperative pneumoperitoneum. The incidence of wound infection was 5%. One patient had a wound hematoma that required evacuation; minor wound complications occurred in 11% cases. The hospital stay ranged from 1 to 6 weeks (mean, 10.3 days). One case required readmission for resuturing of the wound. None of the cases required removal of the mesh. There was no recurrence at follow-up (mean, 26 months) in 80% of the cases. This technique is an excellent but somewhat tedious procedure.
Sidhu
B S
BS
Department of Surgery Unit II, Govt. Medical College and Guru Nanak Dev Hospital, Amristar, Punjab, India. drbssidhu@rediffmail.com
Sharma
R K
RK
D000328:Adult; D000368:Aged; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh; D013530:Surgical Wound Infection; D013536:Suture Techniques; D016896:Treatment Outcome
D011126:Polypropylenes