title: [Ramirez abdominoplasty for large incisional hernia: personal experience].
abstract: The Authors report their experience with the surgical treatment of incisional hernias over the period from July 2000 to June 2004 in the Division of General Surgery of the Department of Surgical Sciences of the University of Foggia where 22 patients were operated on. Nine of them had an incisional hernia of considerable size, while in the other 13 patients the hernia was less voluminous. The authors emphasise the essential role of synthetic prostheses (polypropylene) which now replace and supersede the reabsorbable ones which have fallen into disuse due to the lack of guarantees regarding their strength over lengthy periods. An interdisciplinary approach is now mandatory for a pathology which requires the contribution of many different healthcare operatives such as cardiologists, respiratory physiopathologists, physiokinesitherapists, endocrinologists and resuscitators who all share in the work of the surgeon who represents the last link in the chain and has the technical task of resolving the basic pathology. The technique adopted for the larger incisional hernias was a Ramirez abdominoplasty, the first step of which consists in a very meticulous separation of the different structures of the abdominal wall followed by synthesis of the different anatomical layers with the application of polypropylene meshes. Our results in terms of intra- and postoperative mortality, complicating diseases and hospitalisation are compared with those reported in other studies using the Rives technique.
authors.affiliation: Cattedra di Chirurgia Generale a Indirizzo Oncologico Università degli Studi di Foggia.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Giordano
authors.forename: Mario Pio
authors.initials: MP
authors.lastname: Germano
authors.forename: Roberto
authors.initials: R
authors.lastname: Rendine
authors.forename: Maria Maddalena
authors.initials: MM
authors.lastname: Bax
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Fruscio
authors.forename: Paola
authors.initials: P
authors.lastname: Milillo
authors.forename: Michele
authors.initials: M
authors.lastname: Fabrizio
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Ricco
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000379:methods