Cardiff repair of incisional hernia: a university hospital experience.

OBJECTIVE

To analyse our results of the "Cardiff' (far and near) repair in incisional hernias.

DESIGN

Prospective study.

SETTING

University hospital, Varanasi, India.

SUBJECTS: 50 patients who presented with incisional hernias between January 1990 and December 1994.

INTERVENTION: Interrupted far-and-near sutures inserted after excision of the sac. The contents were pushed into the abdomen and the peritoneum sutured with non-absorbable polypropylene (prolene).

MAIN OUTCOME MEASURES: Early and late morbidity. Six patients developed postoperative complications (wound infection, n=3; flap necrosis, n=2; and wound sinus, n=1). No patient has been lost to follow up and there have been no signs of recurrence after a mean follow up of 52 months.

CONCLUSION

The meticulous application of this simple surgical technique has low morbidity and is cost effective. We recommend it for small and medium size defects.