title: Surgical treatment of subcostal incisional hernia with polypropylene mesh - analysis of late results.
abstract: OBJECTIVE
  To evaluate the results of subcostal incisional hernia repair using polypropylene mesh, the technical aspects of musculo-aponeurotic reconstruction, routine fixation of supra-aponeurotic mesh and follow-up for five years.
  
  
  METHODS
  We conducted a retrospective study that assessed 24 patients undergoing subcostal incisional hernia repair with use of polypropylene mesh; 15 patients (62.5%) were female; ages ranged from 33 to 82, and 79.1% had comorbidities.
  
  
  RESULTS
  Early complications: three cases (12.5%) of wound infection, three cases (12.5%) of seroma, one case (4.1%) of hematoma; and one case (4.1%) of wound dehiscence. Late complications occurred in one case (4.1%) of hernia recurrence attributed to technical failure in the fixation of the mesh and in one case (4.1%) of chronic pain. There were no cases of exposure or rejection of the mesh.
  
  
  CONCLUSIONS
  The subcostal incisional hernia, though not very relevant, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene mesh, with less complexity and lower rates of complications and recurrences.
authors.affiliation: Department of Surgery, Faculty of Medical Sciences, State University of Campinas, Campinas, SP, BRAZIL.
authors.forename: Marco Antonio de Oliveira
authors.initials: MA
authors.lastname: Peres
authors.affiliation: Department of Surgery, Faculty of Medical Sciences, State University of Campinas, Campinas, SP, BRAZIL.
authors.forename: Herberti Rosique
authors.initials: HR
authors.lastname: Aguiar
authors.affiliation: Department of Surgery, Faculty of Medical Sciences, State University of Campinas, Campinas, SP, BRAZIL.
authors.forename: Nelson Adami
authors.initials: NA
authors.lastname: Andreollo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D000069290:Incisional Hernia / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D012189:Retrospective Studies; D012272:Ribs; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes