Open Onlay Mesh Repair for Abdominal Incisional Hernia
Abstract
Abstract Background: The incisional hernias still continue to be a serious problem and challenge for surgeons.Objective: To see the relative effectiveness of open Onlay mesh repair for incisional hernia in terms of clinical outcome, quality of life and rate of recurrence.Patients and methods: The study conducted at Al- Yermouk Teaching Hospital, Baghdad. Between April2006 - July 2009 out of fifty four patients operated upon for incisional hernia by open Onlay mesh graft type of repair. There were 19females and 35 males, with a mean age of 50. The clinical, surgical, and follow-up data were analyzed.Results: Mean operating time was 130 min, with an average hospital stay of 8 days. There was no mortality. Postoperative complications occurred in 33.25% of the patients. Most common complications were surgical site infection (SSI) 11.11%, recurrence of 9.25% and seroma 7.4%, respiratory complications 5.5%, DVT 1.85% were found after follow-up of 12- 18 months.Conclusion: The incisional hernia recurrence, morbidity & complications are significantly low in onlay mesh repair.Key words: Incisional hernia, open onlay repair, complications.
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