title: Surgical treatment of large incisional hernias by intraperitoneal insertion of Parietex® composite mesh with an associated aponeurotic graft (280 cases).
abstract: OBJECTIVE
  To evaluate post-operative complications and the recurrence rate after repair of large ventral incisional hernia with an open technique using intraperitoneal composite mesh and an associated aponeurotic overlay.
  
  
  METHODS
  This prospective study included a total of 280 patients who underwent repair of large incisional hernia using Parietex(®) composite mesh.
  
  
  RESULTS
  The post-operative mortality rate was 0.35%. Six patients (2%) developed subcutaneous surgical site infection without infection of the prosthesis. Six other patients (2%) developed a deep-seated infection; in three cases, the mesh had to be removed. Nine patients (3.2%) developed recurrent incisional hernia.
  
  
  CONCLUSIONS
  Large ventral incisional hernias can be effectively treated by the intraperitoneal placement of Parietex(®) composite mesh overlaid by an aponeurotic graft; the incidence of complications in this prospective study was very low.
authors.affiliation: Service de chirurgie viscérale, CHU d'Angers, 4, rue Larrey, 49933 Angers, France. xbriennon@yahoo.fr
authors.forename: X
authors.initials: X
authors.lastname: Briennon
authors.forename: E
authors.initials: E
authors.lastname: Lermite
authors.forename: K
authors.initials: K
authors.lastname: Meunier
authors.forename: E
authors.initials: E
authors.lastname: Desbois
authors.forename: A
authors.initials: A
authors.lastname: Hamy
authors.forename: J-P
authors.initials: JP
authors.lastname: Arnaud
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007813:Laparotomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011446:Prospective Studies; D012008:Recurrence; D013524:Surgical Flaps; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D016896:Treatment Outcome