Incisional hernia treatment with polypropylene graft: results of 10 years.
OBJECTIVE
To report herein our results of tension-free repair of large incisional hernia with polypropylene mesh using a modification of the method that was described by Usher.


METHODS
Two hundred ninety-one patients who were operated on between January 1994 and December 2004 were studied. Two hundred thirty-two patients were female (79.7%), and 59 were male (20.3%). The average follow-up period was 55 months. The patients were evaluated for infection, recurrences, hematoma and seroma formation, sinuses and enterocutaneous fistula formation.


RESULTS
Infection was observed in eight patients (2.7%). Graft removal due to infection was encountered only in two patients (0.6%). Recurrence was observed in six patients (2.1%). Two patients (0.6%) developed hematoma while another two developed seroma. No patient developed enterocutaneous fistula.


CONCLUSIONS
By using our modified technique we can decrease the expected complications after tension-free repair of large incisional hernias.
Mahmoud Uslu
H Y
HY
Department of General Surgery, Ufuk University Medical School, Ankara, Turkey. edamahmoud@yahoo.com
Erkek
A B
AB
Cakmak
A
A
Sozener
U
U
Soylu
L
L
Turkcapar
A G
AG
Kuterdem
E
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials / Q000627:therapeutic use*; D005260:Female; D046449:Hernia, Abdominal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes / Q000627:therapeutic use*; D012189:Retrospective Studies; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome
D001672:Biocompatible Materials; D011126:Polypropylenes