title: Ventral hernia--darning with prolene: a cost-effective management.
abstract: Fifty-three cases of ventral hernia admitted between 15th July, 1993 and 31st December, 2001 in the IPGME&R, Kolkata is being presented with analysis of causes, method of repair and complications. The study was intended to find a simple, universal cost-effective repair of the deformity. Most cases can be repaired with a method of closure consisting of plication of the inner layer and 2 to 3 layered darning in the outer layer with '0' prolene. The main factor appears to be a tensionless closure and avoidance of postoperative infection and stress like cough and constipation. While in the west, use of prolene mesh has become a routine, the authors feel that darning is not only less expensive but reduces the amount of foreign body introduced.
authors.affiliation: Department of Plastic Surgery, Institute of Postgraduate Medical Education and Research, Kolkata 700020.
authors.forename: Sasanka Sekhar
authors.initials: SS
authors.lastname: Chatterjee
authors.forename: B K
authors.initials: BK
authors.lastname: Majumdar
authors.forename: Arindam
authors.initials: A
authors.lastname: Sarkar
authors.forename: Sandip
authors.initials: S
authors.lastname: Bose
mesh_terms: D000369:Aged, 80 and over; D015331:Cohort Studies; D003362:Cost-Benefit Analysis; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011126:Polypropylenes / Q000191:economics / Q000627:therapeutic use*; D012189:Retrospective Studies; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes