TENSION FREE ONLAY VENTRAL HERNIA REPAIR BY POLYPROPYLENE MESH- A NEWER APPROACH
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 46
Abstract
BACKGROUND Ventral Hernia repair remains one of the most commonly performed surgical procedure. Operations for ventral hernia were notorious, because of high failure rate. With continued improvement of the materials and operative procedure, there is decrease in morbidity and overall recurrence rate. MATERIALS AND METHODS 66 patients of ventral hernia of different size were included in the study during the study period from November 2011 - October 2016. The patients were examined clinically and the diagnosis of ventral hernia was confirmed by ultrasonography. Then after proper preoperative evaluation and preparation, the onlay polypropylene mesh repair was done over mobilised anterior rectus sheath sutured in midline. Then, the patients were followed postoperatively for complications up to 5 years. RESULTS In most of the cases, there was no postoperative complication and no mortality. Only 5 patients have minimal wound infections, which were managed by conservative treatment successfully. One patient had residual pain till the 2nd week, which was subsided by oral analgesics. During this 5 years of study period, followup with 6 months interval there was no report of residual pain or recurrence. CONCLUSION We had utilised a method of tension-free onlay polypropylene mesh repair over the mobilised anterior rectus sheath sutured in the midline over the hernia defect. It is very easy to perform even by a general surgeon. The procedure is safe without any morbidity, mortality and recurrence.
Authors and Affiliations
Jayanta Kumar Biswal, Malaya Krishna Nayak, Dharbind Kumar Jha, Bikash Chandra Pal, Itishree Das
Keywords
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- EP ID EP217364
- DOI 10.14260/Jemds/2017/774
- Views 146
- Downloads 0
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