REPAIR OF THE INCISIONAL HERNIA WITH POLYPROPYLENE MESH
Ramazan ERYILMAZ, Mustafa ŞAHİN, Adem AKÇAKAYA, Gürhan BAŞ, Orhan ALİMOĞLU
Vakıf Gureba Eğitim Hastanesi 1. Cerrahi Kliniği, İSTANBUL
The incidence of incisional hernia is 2-11% after abdominal surgery. Since the recurrence rate following primary repair of incisional hernia is 30-50%, synthetic materials are widely used in repair. In our study, early and late results of 99 patients with incisional hernia who underwent surgery with polypropylene mesh repair were evaluated. There were 23 male, 76 female and median age was 55.3 (24-82) years. In 97 patients, extraperitoneal only mesh was used, and in 2 cases laparoscopic underlay mesh was performed. Follow-up was 4-96 months, the rates of recurrence infection, seroma and displacement of the mesh were 2%, 8%, 3% and 1% respectively. Total morbidity was 14% and no mortality was seen. Because of its strenght, inertness, resistance to infections, and lower recurrence rate, repair with polypropylene mesh which was used in our study is suggested in repair of incisional hernias.
Keywords: POLYPROPYLENE, MESH, INCISIONAL HERNIA