About 1.7% of all abdominal wall hernias are incisional hernias and they have an expected incidence of 2–5% in uncomplicated abdominal operations which rises to 10%–15% in operations complicated by infection. It is estimated that incisional hernias will complicate 9% of all major abdominal operations and 30% of these hernias show thenselves within the rst 30 postoperative months (1, 5). Risk fa...

Postoperative wound dehiscence is a difficult problem for the general surgeon. Often, patients are too sick, or the wound environment is too hostile, to undergo primary repair. When an eventual repair is performed, a variety of methods are available, but most are associated with unacceptably high morbidity rates, specifically high incidences of recurrences and poor cosmetic outcome. We present ...

Objective: To determine if a subcutaneous closed suction drain decreases the incidence of wound complications in patients undergoing emergency surgery for colorectal perforation. Materials and Methods: Data on 47 patients who underwent emergency operations for colorectal perforation were examined retrospectively. The clinical features of these cases with or without the use of the J-VACTM Draina...

Since learning of the video-assisted thoracoscopic techniques in the treatment of thoracic diseases, we have encountered many problems and difficulties because of the limited trocar space and lack of suitable instrumentations. Since March 1992, we have found a simple and easier way to perform this procedure, that is, manipulating through the extended incisional wound without using a trocar. End...

OBJECTIVES The use of negative pressure wound therapy (NPWT) on closed surgical incisions is an emerging technology that may reduce the incidence of complications such as surgical site infections. One of the mechanisms through which incisional NPWT is thought to operate is the reduction of lateral tension across the wound. METHODS Finite element analysis computer modeling and biomechanical te...

reconstruction of breast with transverse rectus abdominis myocutaneous (tram) flap is the standard for reconstruction of breast following mastectomy. in this article, authors report their experience with pedicled tram flap reconstruction of the breast. records for the patients who had undergone breast reconstruction with pedicled tram flap were retrieved. records of outpatient follow-ups were a...

Acute wound healing failure is an important source of morbidity and mortality for surgical patients. Many incisional hernias, gastrointestinal anastomotic leaks, and vascular pseudoaneurysms occur despite patient optimization and standardized surgical technique. Modern surgical experience suggests that biologic and mechanical pathways overlap during "normal" acute wound healing. The cellular an...

OBJECTIVE To report the results of tension-free repair of incisional and ventral hernias by stoppa's sublay technique. METHODS This study included 200 Patients, undergoing sublay mesh repair for incisional and ventral hernias (Para-unbilical, epigastric, right sub costal and lumbar hernias) at Ghulam Muhammad Mahar Medical College and Hira Medical Center Sukkur, during a period of four years ...

In contrast to adult cutaneous wound repair, early gestational fetal cutaneous wounds heal by a process of regeneration, resulting in little or no scarring. Previous studies indicate that down-regulation of HoxB13, a member of the highly conserved family of Hox transcription factors, occurs during fetal scarless wound healing. No down-regulation was noted in adult wounds. Here, we evaluate heal...