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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2012 April;25(2):87-90
Omental interpositioned mesh herniaplasty in incision hernia
Murat C. 1, Tevfik K. 1, Huseyin Y. 2, Ahmet T. 1, Adil K. 1
1 Selcuk University, Department of General Surgery, Meram Medical Faculty, Selcuk, Turkey;
2 Selcuk University, Department of General Surgery, Selcuklu Medical Faculty, Selcuk, Turkey
Aım. Our purpose is to present an alternative approach, omental interposition mesh hernioplasty, and our experience on the technique.
Methods. After laparotomy, adhesions are opened by keeping hernia sac. From the defected side of the hernia continuous polyglactin (Vicryl, Ethicon) suture was performed towards omentum parietal peritonea. The part of the omentum that will be carried to defect area can change according to the localization of the hernia. Then, polypropylene mesh is fixed to form outside of omentum using single loose sutures. In the fixation tacker can be used instead of suture. If possible, protected hernia sac and autogenetic tissues are pulled over mesh.
Results. The mean age of 33 patients, 8 men and 25 women, that have omental interpositioned mesh herniaplasty in our clinic was 55. Seven of the patients had more than one operation. The most frequent reason was umblical hernia socks. The fascia defects were among 6-20 cm. During the follow up two of the patients had infection and three had recurrence. Recurrences were seen in patients with continuous mesh sutures. During the next treatment the fascia sutures were changed into single ones.
Conclusıon. Omental interpositioned mesh herniaplasty is a cheap and easy method for hernia incision. We are in the opinion that this technique can be an alternative approach to special mesh applications in large hernia incision repairs.