title: Fascia lata onlay patch for repairing infected incisional hernias.
abstract: Abdominal incisional hernias represent the most common wound complication after abdominal surgery and infected abdominal incisional hernias are difficult to manage. We describe a simple, safe and effective method of using a free fascia lata patch to repair a large infected incisional hernia. This procedure involves the following steps: incising the skin and subcutaneous tissue and identifying the edges of the hernia defect; incising each anterior rectus sheath and completely suturing the medial edges of the fascia with 0 polypropylene; creating a fascia lata patch; and overlapping the defect in the anterior rectus fascia with the fascia lata patch as an onlay graft to reinforce the fascial closure. Five patients with infected hernias underwent this procedure, and all postoperative outcomes were satisfactory.
authors.affiliation: Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan, yuji-miyamoto@live.jp.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Masayuki
authors.initials: M
authors.lastname: Watanabe
authors.forename: Takatsugu
authors.initials: T
authors.lastname: Ishimoto
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Baba
authors.forename: Shiro
authors.initials: S
authors.lastname: Iwagami
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Sakamoto
authors.forename: Naoya
authors.initials: N
authors.lastname: Yoshida
authors.forename: Shinichi
authors.initials: S
authors.lastname: Masuguchi
authors.forename: Hironobu
authors.initials: H
authors.lastname: Ihn
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
mesh_terms: D000005:Abdomen / Q000601:surgery; D000368:Aged; D062109:Dermatologic Surgical Procedures / Q000379:methods; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D046449:Hernia, Abdominal / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D040521:Subcutaneous Tissue / Q000601:surgery; D013524:Surgical Flaps / Q000637:transplantation*; D013529:Surgical Wound Dehiscence / Q000150:complications*; D013530:Surgical Wound Infection / Q000150:complications*; D013536:Suture Techniques; D013537:Sutures; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes