Incisional hernias following abdominal operations are a common complication. Mesh is frequently employed to repair these hernias. Given the popularity of minimally invasive surgery utilizing polypropylene mesh for incisional hernia repair, related complications such postoperative hematoma and seroma, foreign body reaction, organ injury, infection, mesh rejection, and fistula are being noted. Me...

BACKGROUND The therapeutic problems of giant incisional hernias of the abdominal wall are often difficult to resolve. The technique of repair must make up for the loss of abdominal wall substance and reestablish the interplay of the abdominal musculature. The use of prosthetic materials complies with these 2 imperatives. HYPOTHESIS The results of surgical treatment of postoperative incisional...

The patient is a 54-year-old woman with a history of obesity (BMI=50.40). In 2012, she underwent surgery for incarcerated umbilical hernia, which did not require intestinal resection. She currently presented a midline laparotomy incisional hernia, which had caused several hospitalizations due to intestinal obstruction that had resolved with conservative measures. Abdominal CT revealed a giant i...

OBJECTIVE The authors report their experience with a new prosthetic technique for the repair of incisional hernia defects smaller than 3 cm. METHODS From January 1995 to September 2002, 16 operations for small incisional hernias have been performed. Local anaesthesia was used in 12 out of 16 patients (75%). The repair was achieved by insertion of a polypropylene plug sutured to the margins of...

BACKGROUND Inflammation and nociceptive sensitization are hallmarks of tissue surrounding surgical incisions. Recent studies demonstrate that several cytokines may participate in the enhancement of nociception near these wounds. Since opioids like morphine interact with neutrophils and other immunocytes, it is possible that morphine exerts some of its antinociceptive action after surgical incis...

BACKGROUND CONTEXT Minimal access surgery is becoming more popular for spinal fusion because of a lower theoretical risk of complications and shorter postoperative recovery period, compared with the traditional open approach. The lateral approach uses retroperitoneal transpsoas access to the vertebra, obviating the need for an approach surgeon and minimizing muscular disruption, thus allowing a...

OBJECTIVE The objective of this study was to determine the best treatment of incisional hernia, taking into account recurrence, complications, discomfort, cosmetic result, and patient satisfaction. BACKGROUND Long-term results of incisional hernia repair are lacking. Retrospective studies and the midterm results of this study indicate that mesh repair is superior to suture repair. However, ma...