MANAGEMENT OF LARGE INCISIONAL HERNIAS WITH MULTIPLE PROLENE MESH SUTURES : OUR EXPERIENCE

Maj Gen C K Jakhmola, Brig Surajit Basu, S M

Abstract


Management of Large incisional hernias ( LIH ) measuring more than 10 cm in diameter or surface area of more than
100cm² is very challenging because of the varied presentation at the time of admission like presence of skin necrosis ,
features of obstruction and strangulation, enterocutaneous fistulae, immobility etc. and propensity for myriads of post operative complications .18
patients with Large incisional hernias i.e. 12 females and 6 males with age varying between 23 and 65 years were treated in a tertiary service
hospital with a new modality of incisional hernia repair by using Multiple Prolene Mesh Sutures either alone or with reinforcement by low profile
polypropylene with e PTFE prosthesis . All patients were followed up for a period of 12 months. The result were extremely satisfying with
significant reduction in post operative complictions like infection, pain , mesh extrusion and recurrance and much reduction in Hospital stay.


Keywords


Large Incisional Hernia (LIH) ; Multiple Prolene Mesh Sutures

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