title: Polypropylene mesh repair of incisional hernia after kidney transplantation: single-center experience and review of the literature.
abstract: BACKGROUND
  Incisional hernia after kidney transplantation increases patient morbidity and impacts quality of life. Reports of hernia mesh repair after kidney transplantation are rare; thus, the benefit of mesh hernioplasty in transplanted patients is assumed. However, it is also assumed that transplant patients are susceptible to incisional and mesh infections.
  
  
  METHODS
  Between January 1, 2005 and December 31, 2010, we performed 1067 kidney transplantations. Twenty-eight patients developed incisional hernias (2.6%), and mesh repair was performed in 20 of them (8 women, 12 men; median age 59.5 years, range 43 to 68 years). We retrospectively studied this latter group. We also reviewed the literature regarding the results of this treatment.
  
  
  RESULTS
  Postoperative mortality was zero, but postoperative wound bleeding led to surgical revision in 1 patient. Wound infection did not occur. During the follow-up period we observed 4 hernia recurrences (20%).
  
  
  CONCLUSIONS
  In conclusion, our retrospective study and review of the literature confirmed the safety and low incidence (1.1% to 3.8%) of mesh hernia repair in chronic immunosuppressed patients after renal transplantation, which has a minimal risk of wound infection and no higher risk of hernia recurrence than in non-transplant patients.
authors.affiliation: Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic. vargas@centrum.cz
authors.forename: Martin
authors.initials: M
authors.lastname: Varga
authors.forename: Ivan
authors.initials: I
authors.lastname: Matia
authors.forename: Milos
authors.initials: M
authors.lastname: Kucera
authors.forename: Martin
authors.initials: M
authors.lastname: Oliverius
authors.forename: Milos
authors.initials: M
authors.lastname: Adamec
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology* / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes