Synthetic Mesh Used in Open Incisional Hernia Repair Following Initial Abdominal Surgery

Anatomically, the abdominal anterolateral wall has several week points prone to herniation. Moreover, after surgical interventions, an increased intra-abdominal pressure may lead to extravasation of the abdominal content through the operated site, protruding under the skin and leading to an incision...

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Published in2021 International Conference on e-Health and Bioengineering (EHB) pp. 1 - 4
Main Authors Statescu, Gabriel, Moraru, Marius Constantin, Munteanu, Dragos, Crauciuc, Dragos Valentin, Tarniceriu, Claudia Cristina, Chiran, Dragos Andrei, Stan, Cristinel Ionel, Nedelcu, Alin Horatiu
Format Conference Proceeding
LanguageEnglish
Published IEEE 18.11.2021
Subjects
Biomedical engineering
biosynthetic
hernia
Hospitals
incisional
Maintenance engineering
repair
Skin
sublay-mesh
Surgery
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Summary:Anatomically, the abdominal anterolateral wall has several week points prone to herniation. Moreover, after surgical interventions, an increased intra-abdominal pressure may lead to extravasation of the abdominal content through the operated site, protruding under the skin and leading to an incisional hernia. We have analyzed retrospectively 203 abdominal incisional hernia repairs that the first author operated at "Dr. Iacob Czihac" Military Emergency Clinical Hospital, Iasi, Romania, between 2008 and 2018. Open surgical repair was done with sublay non-absorbable polypropylene mash, and the placement depended on the hernia particularities: perioblilical retromuscular (53 cases), median subombilical properitoneal (84 cases), median intraperitoneal (2 cases with gigantic hernias), and lateral retromuscular (64 cases). Associated health problems of patients were addressed properly by surgical and anesthetic teams. No complications that needed surgical re-intervention after mesh placement were encountered. At less than 1 year, 5 patients, and between 1 and 3 years, other 3 more patients, required reintervention.
ISSN:2575-5145
DOI:10.1109/EHB52898.2021.9657543