[Reconstruction of incisional median hernia with retromuscular mesh and hernial sac].
BACKGROUND
one of the most frequent complications of a laparotomy is the development of an incisional hernia. Proper surgical technique can somewhat reduce the incidence, but it still remains a common sequel. Application of prolene mesh for the reconstruction of the abdominal wall with tension-free methods has excellent results.


METHODS
between 2001-2005, 50 abdominal wall reconstructions were performed using prolene mesh in sublay position including the peritoneal sac of the incisional hernia.


RESULTS
postoperative complication was found in one case only, namely a haematoma was formed in the rectus sheat possibly due to an injury of a branch of the inferior epigastric artery. The haematoma was managed non-operatively by suction drainage. No postoperative respiratory problems were detected; all we noticed was minimal abdominal pain. Patients were mobilized shortly after the surgery.


CONCLUSIONS
application of prolene mesh in sublay position including the hernia sac is an effective alternative procedure for preventing postoperative complications, when large incisional hernias are repaired in median laparotomy scars.
Bara
Tivadar
T
Marosvásárhelyi Orvosi és Gyógyszerészeti Egyetem, II. Sz. Sebészeti Klinika. BaraTivadar@yahoo.com
Bancu
Serban
S
György-Fazakas
István
I
Azamfirei
Leonard
L
Daniela
Podeanu
P
Bara
Tivadar
T
D000328:Adult; D000368:Aged; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
D011126:Polypropylenes