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Ventral hernia repairs: 10-year single-institution review at Thomas Jefferson University Hospital.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Sailes, Frederick C. Walls, Jason Guelig, Daria Mirzabeigi, Mike Long, William D. Crawford, Albert Moore, John Hebron Copit, Steven E. Tuma, Gary A. Fox, James |
| Copyright Year | 2011 |
| Abstract | w s a h s t ostoperative incisional hernias remain a common comlication of abdominal surgery. “Any abdominal wall ap with or without bulge in the area of a postoperative car perceptible or palpable by clinical examination or maging” is an accepted definition of an incisional heria. Recurrent ventral hernias after open suture repair an occur with a reported frequency of 31% to 49%. he adjunctive use of a prosthetic material to the repair ppears to attenuate this rate to 0 to 10%. The recurence rate of incisional hernias increases to 20% after astric bypass or weight loss. Despite the great morbidty associated with incisional hernia, no consensus exists n the best means for treatment. Ramirez and coleagues first described the use of a bilateral, innervated ectus abdominus-internal oblique muscle flap that is ransposed medially to repair the central abdominal all. Subsequent work has since validated the use of this echnique to reduce the incidence of postoperative ernia. Our group first reported on the relative success of the liding rectus abdominus myofascial flap in 1996. The echnique of midline advancement and onlay mesh renforcement is illustrated in Figure 1 and Figure 2, espectively. Recurrence of herniation was found in only 3 of 35 atients, a failure rate of 8.5%. In the current retrospecively review, 3,028 ventral hernia repairs were performed. s illustrated in Figures 1 and 2, the external oblique fascia as released without violating the posterior rectus sheath. nly the midline anterior rectus sheath was reinforced ith the midline onlay. Release of the posterior rectus heath for additional advancement in the underlay or inerposition techniques was not used in this series. Two |
| File Format | PDF HTM / HTML |
| DOI | 10.1016/j.jamcollsurg.2010.08.021 |
| PubMed reference number | 21115373 |
| Journal | Medline |
| Volume Number | 212 |
| Issue Number | 1 |
| Alternate Webpage(s) | http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1041&context=surgeryfp |
| Alternate Webpage(s) | https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1041&context=surgeryfp&httpsredir=1&referer= |
| Alternate Webpage(s) | http://web2.facs.org/cme/pdfs/02_Sailes.pdf |
| Alternate Webpage(s) | https://doi.org/10.1016/j.jamcollsurg.2010.08.021 |
| Journal | Journal of the American College of Surgeons |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
