Late results of mesh wound closure after elective open aortic aneurysm repair.
BACKGROUND
Incisional hernia is a common late complication after abdominal aortic aneurysm (AAA) repair. We examined the outcome after prophylactic placement of a pre-peritoneal polypropylene mesh during abdominal closure in consecutive patients having elective AAA repair.


METHODS
At least 30 months after surgery, 28 patients underwent clinical and ultrasound examination of their surgical wound for incisional hernias. Only one patient had a hernia in the original surgical scar. No patients had late mesh-related wound problems.


CONCLUSIONS
Pre-peritoneal polypropylene mesh placement is a simple, safe and effective method to decrease the incidence of incisional hernia after AAA repair.
O'Hare
J L
JL
Gloucestershire Royal Hospital, Gloucestershire, UK.
Ward
J
J
Earnshaw
J J
JJ
D017544:Aortic Aneurysm, Abdominal / Q000503:physiopathology / Q000601:surgery*; D017558:Elective Surgical Procedures / Q000009:adverse effects; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D006801:Humans; D011126:Polypropylenes; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D014945:Wound Healing
D011126:Polypropylenes