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Surgical treatment of large incisional hernias by intraperitoneal insertion of Parietex® composite mesh with an associated aponeurotic graft (280 cases)

Abstract :

AIMS OF THE STUDY: To evaluate post-operative complications and the recurrence rate after repair of large ventral incisional hernia with an open technique using intraperitoneal composite mesh and an associated aponeurotic overlay.

PATIENTS AND METHODS: This prospective study included a total of 280 patients who underwent repair of large incisional hernia using Parietex(®) composite mesh.

RESULTS: The post-operative mortality rate was 0.35%. Six patients (2%) developed subcutaneous surgical site infection without infection of the prosthesis. Six other patients (2%) developed a deep-seated infection; in three cases, the mesh had to be removed. Nine patients (3.2%) developed recurrent incisional hernia.

CONCLUSION: Large ventral incisional hernias can be effectively treated by the intraperitoneal placement of Parietex(®) composite mesh overlaid by an aponeurotic graft; the incidence of complications in this prospective study was very low.

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https://hal.univ-angers.fr/hal-03329053
Contributeur : Okina Université d'Angers <>
Soumis le : lundi 30 août 2021 - 15:40:46
Dernière modification le : mardi 31 août 2021 - 03:23:57

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Xavier Briennon, Emilie Lermite, K. Meunier, E Desbois, Antoine Hamy, et al.. Surgical treatment of large incisional hernias by intraperitoneal insertion of Parietex® composite mesh with an associated aponeurotic graft (280 cases). Journal of Visceral Surgery, Elsevier, 2011, 148 (1), pp.54-58. ⟨10.1016/j.jviscsurg.2010.12.007⟩. ⟨hal-03329053⟩

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