Repair of incisional hernias was compared with four different techniques in 55 patients to determine the best method of repair with least chance of recurrence. The maximum incidence of incisional hernia was seen in 30-39 years age group and was most frequently seen after gynaecological surgery (37 cases). Forty eight (88%) patients were operated in emergency by trainee surgeons. Most hernias oc...

Because of a possible delayed wound healing, critical colonization and infection of wounds present a problem for surgeons, particularly in patients with compromised immune system or in case where the wound is heavy contaminated or poorly perfused. Molndal technique of wound dressing has proven to be effective in prevention of infection. In our study we wanted to describe the benefits of the app...

OBJECTIVE Cerebrospinal fluid leakage remains a significant cause of morbidity following posterior fossa surgery, and its treatment remains a difficult problem. The aim of the study was to propose a treatment algorithm for its management. METHODS A retrospective, single-center study was conducted on 147 patients who underwent elective posterior fossa surgery for a variety of diseases . Patien...

BACKGROUND Leptin is a potent direct angiogenic factor that stimulates endothelial cell migration and activation in vitro, as well as angiogenesis in vivo. In addition, leptin seems to play an important role in clinical angiogenesis by promoting the development of new blood vessels. OBJECTIVE To determine the effect of exogenously administered leptin on incisional wound healing in an experime...

Background: An incisional hernia is a bulge or protrusion that occurs near or directly along a prior abdominal surgical incision. Various surgical techniques including Open tissue repair, double breasting, darning, open and laparoscopic meshplasty have been used to repair the incisional hernias. In this era, we have selected topic ‘Pre-peritoneal versus on-lay meshplasty in incisional hernia re...

OBJECTIVES To determine the incidence of incisional hernia in patients subjected to colorectal cancer surgery. To analyse the individual risk factors and to determine which patients would benefit more from the use of prophylactic measures. PATIENTS AND METHODS A retrospective study was performed on the demographic and surgical data, as well as the complications, risk factors and outcomes of a...

The incidence of wound dehiscence and incisional hernia after two methods of abdominal wound closure (layered closure with retention sutures and single-layer "mass closure") was studied in a randomised prospective clinical trial in a consecutive series of 200 patients. Dehiscence occurred in 1% of patients and herniation in 4-7%; the incidence of these complications was similar with both method...

BACKGROUND Incisional hernia is the most frequently seen long term complication after laparotomy causing much morbidity and even mortality. The overall incidence remains 11-20%, despite studies attempting to optimize closing techniques. Two patient groups, patients with abdominal aortic aneurysm and obese patients, have a risk for incisional hernia after laparotomy of more than 30%. These patie...

BACKGROUND Ventral incisional hernias are more commonly associated with comorbid diseases when compared to other hernia types. We investigate the hypothesis that unfavourable local factors related to comorbid diseases may lead to incisional hernia development. MATERIALS AND METHODS The characteristics of incisional hernia (71 patients), primary ventral hernia (114 patients)and groin hernia gr...

objective: to consider incisional endometrioma (ie) as a differential diagnosis of abdominal disorders and to recommend different treatments as preventive measures. incisional endometrioma (ie), as a rare condition, usually develops in surgical scar of cesarean section or hysterectomy. materials and methods: we performed a retrospective review of 12 cases at department of surgery, shahrekord un...