Stoma closure reinforcement with biological mesh and incisional hernia

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Stomal Closure: Strategies to Prevent Incisional Hernia

Incisional hernias following ostomy reversal occur frequently. Incisional hernias at the site of a previous stoma closure can cause significant morbidity, impaired quality of life, lead to life-threatening hernia incarceration or strangulation and result in a significant financial burden on health care systems Despite this, the evidence base on the subject is limited. Many recognised risk facto...

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Intraperitoneal Mesh Repair for Incisional Hernia

Seventy-three patients who had incisional hernia repair at two hospitals, a government and a private, from 2000 to 2005 were reviewed. Fifty-nine (80.8%) patients were females and 52 (71.2%) patients were Saudi. Five (6.8%) patients had minor complications. Twenty-four (32.9%) patients had polypropylene mesh while 49 (67.1%) patients had vypro mesh, both types where fixed intraperitoneally usin...

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Suture versus mesh repair for incisional hernia.

OBJECTIVE To compare suture with mesh repair, for incisional hernia in terms of early and late outcomes. METHODS We reviewed the records of all the patients who presented with primary or recurrent incisional hernia in the Department of General Surgery, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia, from January 2000 to December 2004. We divided patients, who underwent repair, in 2 g...

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Prevention of a Parastomal Hernia by Biological Mesh Reinforcement

INTRODUCTION In the field of hernia prevention, the prophylactic mesh-reinforcement of stoma-sites is one of the most controversially discussed issues. The incidence of parastomal hernias in the literature reported to be up to 48.1% after end colostomy and up to 30.8% after loop of colostomy, but still remains uncertain due to diagnostic variety of clinical or radiological methods, heterogeneou...

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A double blind randomized controlled trial comparing primary suture closure with mesh augmented closure to reduce incisional hernia incidence

BACKGROUND Incisional hernia is the most frequently seen long term complication after laparotomy causing much morbidity and even mortality. The overall incidence remains 11-20%, despite studies attempting to optimize closing techniques. Two patient groups, patients with abdominal aortic aneurysm and obese patients, have a risk for incisional hernia after laparotomy of more than 30%. These patie...

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ژورنال

عنوان ژورنال: The Lancet

سال: 2020

ISSN: 0140-6736

DOI: 10.1016/s0140-6736(19)32958-7