THE  USE  OF  PROSTHETIC  MESH  IN  BIG  VENTRAL  POSTOPERATIVE  HERNIA  REPAIR

H. AL-Hajbiker, Haytham

	THE USE OF PROSTHETIC MESH IN BIG VENTRAL POSTOPERATIVE HERNIA REPAIR
AL-TAQANI
Article 1, Volume 21, Issue 3, 2008, Pages 70-73
Author
Haytham H. AL-Hajbiker
Abstract
Big abdominal postoperative hernia remains a challenge for surgeons as it usually needs tension on margins of the abdominal wall defect during closure ; besides , factors that predispose to the development of incisional hernia are relative contraindications to repair. In this study the prosthetic mesh was used to evaluate the benefits of its use in such difficult cases. Thirteen selected patients with big ventral postoperative hernia were underwent herniorrhaphy by onlay prosthetic mesh repair , from March 1996 till January 2003. The criteria for selection were inability to close the abdominal wall defect without tension, and the patients were followed up for at least one year after the operation. After the operation there was marked improvement in respiration , abdominal movement and the shape of the abdomen , especially in standing position . All these patients were followed up for at least one year after the operation , and no recurrence was found, with exception of one patient (7.69 %) who had recurrence after eight months from the operation . It was found that the use of prosthetic mesh in repair , gave good results , that coincids with the other reported results (recurrence less than 10 % ), and the main reason for low recurrence rate is the " tension – free '' repair .

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