Giant incisional hernia in the ederly patient. A Rapid and simple surgical technique

Research output: Other contribution

Abstract

ObjectivesThe aim is to obtain a) a safe procedure to repair the large abdominal defect and reinforce the fragile zones around; b) a simple and rapid technique to reduce the operation time.Materials And MethodsRetrospective review of medical records of 72 elderly patients in whom intraperitoneal mesh placement was used between January 1988 and June 2005.ResultsNo intraoperative complication occurred. In the postoperative stage 7 seromas, 4 haematomas, 2 infections occurred, all solved with conservative treatment.ConclusionThe incidence of incisional hernia (IH) vary between 1% and 15 %, with increasing risk of recurrence in relation to the age of patients, wound infection, obesity and to the closure technique. Primary closure is preferred even if it is impossible to apply it in all patients because of an important relapse rate, from 30% to 50% as reported by several studies, for IH repaired without prothesis. Various techniques have been proposed to repair IH, using a prosthetic material. Here we describe a rapid and simple method of intraperitoneal mesh placement in elderly with large IH. This surgical procedure allows to obtain several advantages over other technique, including minimal dissection of subcutaneous tissues from fascial and muscular structures.
Original languageEnglish
Publication statusPublished - 2007

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Seroma
Recurrence
Subcutaneous Tissue
Intraoperative Complications
Wound Infection
Hematoma
Medical Records
Dissection
Obesity
Incisional Hernia
Incidence
Infection
Conservative Treatment

Cite this

@misc{5ac453e567614b9a949da0e95d3120e7,
title = "Giant incisional hernia in the ederly patient. A Rapid and simple surgical technique",
abstract = "ObjectivesThe aim is to obtain a) a safe procedure to repair the large abdominal defect and reinforce the fragile zones around; b) a simple and rapid technique to reduce the operation time.Materials And MethodsRetrospective review of medical records of 72 elderly patients in whom intraperitoneal mesh placement was used between January 1988 and June 2005.ResultsNo intraoperative complication occurred. In the postoperative stage 7 seromas, 4 haematomas, 2 infections occurred, all solved with conservative treatment.ConclusionThe incidence of incisional hernia (IH) vary between 1{\%} and 15 {\%}, with increasing risk of recurrence in relation to the age of patients, wound infection, obesity and to the closure technique. Primary closure is preferred even if it is impossible to apply it in all patients because of an important relapse rate, from 30{\%} to 50{\%} as reported by several studies, for IH repaired without prothesis. Various techniques have been proposed to repair IH, using a prosthetic material. Here we describe a rapid and simple method of intraperitoneal mesh placement in elderly with large IH. This surgical procedure allows to obtain several advantages over other technique, including minimal dissection of subcutaneous tissues from fascial and muscular structures.",
keywords = "Giant incisional hernia, eldery patients",
author = "Maurizio Romano and {Lo Monte}, {Attilio Ignazio} and Gioviale, {Maria Concetta} and Giuseppe Buscemi and Giorgio Romano and Francesco Moscato",
year = "2007",
language = "English",
type = "Other",

}

TY - GEN

T1 - Giant incisional hernia in the ederly patient. A Rapid and simple surgical technique

AU - Romano, Maurizio

AU - Lo Monte, Attilio Ignazio

AU - Gioviale, Maria Concetta

AU - Buscemi, Giuseppe

AU - Romano, Giorgio

AU - Moscato, Francesco

PY - 2007

Y1 - 2007

N2 - ObjectivesThe aim is to obtain a) a safe procedure to repair the large abdominal defect and reinforce the fragile zones around; b) a simple and rapid technique to reduce the operation time.Materials And MethodsRetrospective review of medical records of 72 elderly patients in whom intraperitoneal mesh placement was used between January 1988 and June 2005.ResultsNo intraoperative complication occurred. In the postoperative stage 7 seromas, 4 haematomas, 2 infections occurred, all solved with conservative treatment.ConclusionThe incidence of incisional hernia (IH) vary between 1% and 15 %, with increasing risk of recurrence in relation to the age of patients, wound infection, obesity and to the closure technique. Primary closure is preferred even if it is impossible to apply it in all patients because of an important relapse rate, from 30% to 50% as reported by several studies, for IH repaired without prothesis. Various techniques have been proposed to repair IH, using a prosthetic material. Here we describe a rapid and simple method of intraperitoneal mesh placement in elderly with large IH. This surgical procedure allows to obtain several advantages over other technique, including minimal dissection of subcutaneous tissues from fascial and muscular structures.

AB - ObjectivesThe aim is to obtain a) a safe procedure to repair the large abdominal defect and reinforce the fragile zones around; b) a simple and rapid technique to reduce the operation time.Materials And MethodsRetrospective review of medical records of 72 elderly patients in whom intraperitoneal mesh placement was used between January 1988 and June 2005.ResultsNo intraoperative complication occurred. In the postoperative stage 7 seromas, 4 haematomas, 2 infections occurred, all solved with conservative treatment.ConclusionThe incidence of incisional hernia (IH) vary between 1% and 15 %, with increasing risk of recurrence in relation to the age of patients, wound infection, obesity and to the closure technique. Primary closure is preferred even if it is impossible to apply it in all patients because of an important relapse rate, from 30% to 50% as reported by several studies, for IH repaired without prothesis. Various techniques have been proposed to repair IH, using a prosthetic material. Here we describe a rapid and simple method of intraperitoneal mesh placement in elderly with large IH. This surgical procedure allows to obtain several advantages over other technique, including minimal dissection of subcutaneous tissues from fascial and muscular structures.

KW - Giant incisional hernia

KW - eldery patients

UR - http://hdl.handle.net/10447/45949

M3 - Other contribution

ER -