Hernia : the journal of hernias and abdominal wall surgery · 2004
Surgical treatment of large incisional hernias with an intraperitoneal Parietex Composite mesh: our preliminary experience on 26 cases.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ammaturo C, Bassi G
Аннотация
BACKGROUND: The authors analyse the results of a prospective study on the use of a new type of composite mesh, Parietex Composite (PC) (Sofradim, France), positioned intraperitoneally in incisional hernias.
METHODS: Twenty-six patients (9 men, 17 women), aged 51 on average (range 33-79), were treated with this mesh. Twenty-four patients underwent open surgery. Indications were: ventral hernias that were big, on the border, multirecurrent, or larger than 10 cm with important associated pathologies. Only two patients with small hernias were treated laparoscopically.
RESULTS: The average follow-up of our survey was 15 months (range 6-24). All patients underwent ultrasound scans of the abdomen before surgery and 6 months after the operation, according to the Sigel technique, in order to detect the presence of visceral adhesions to the mesh. In 23 patients (88%), the bowel's motions, both spontaneous and induced, were in a normal range. We had neither intestinal occlusions nor fistulae. No deaths occurred. Postoperative complications were minor: two seromas (8%), one hematoma (4%), two parietal suppurations (8%). No mesh was removed. Only one recurrence occurred (4%).
CONCLUSIONS: Our preliminary experience with PC is so positive that this mesh is currently the one of choice in our department when an intraperitoneal implant is required.
METHODS: Twenty-six patients (9 men, 17 women), aged 51 on average (range 33-79), were treated with this mesh. Twenty-four patients underwent open surgery. Indications were: ventral hernias that were big, on the border, multirecurrent, or larger than 10 cm with important associated pathologies. Only two patients with small hernias were treated laparoscopically.
RESULTS: The average follow-up of our survey was 15 months (range 6-24). All patients underwent ultrasound scans of the abdomen before surgery and 6 months after the operation, according to the Sigel technique, in order to detect the presence of visceral adhesions to the mesh. In 23 patients (88%), the bowel's motions, both spontaneous and induced, were in a normal range. We had neither intestinal occlusions nor fistulae. No deaths occurred. Postoperative complications were minor: two seromas (8%), one hematoma (4%), two parietal suppurations (8%). No mesh was removed. Only one recurrence occurred (4%).
CONCLUSIONS: Our preliminary experience with PC is so positive that this mesh is currently the one of choice in our department when an intraperitoneal implant is required.