title: Incisional hernia treatment with polypropylene graft: results of 10 years.
abstract: 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.
authors.affiliation: Department of General Surgery, Ufuk University Medical School, Ankara, Turkey. edamahmoud@yahoo.com
authors.forename: H Y
authors.initials: HY
authors.lastname: Mahmoud Uslu
authors.forename: A B
authors.initials: AB
authors.lastname: Erkek
authors.forename: A
authors.initials: A
authors.lastname: Cakmak
authors.forename: U
authors.initials: U
authors.lastname: Sozener
authors.forename: L
authors.initials: L
authors.lastname: Soylu
authors.forename: A G
authors.initials: AG
authors.lastname: Turkcapar
authors.forename: E
authors.initials: E
authors.lastname: Kuterdem
mesh_terms: 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
chemical_list: D001672:Biocompatible Materials; D011126:Polypropylenes