Demetrashvili Z, Kerkadze V, Pipia I, Topchishvili G
[Comparative evaluate of methods of placement of polypropylene meshes in alloplastic of incisional hernias.] [English Abstract, Journal Article]
Georgian Med News 2009 Oct; (175):7-9.
Treatment results in 107 patients with incisional hernias were analyzed. All patients undergoing abdominal wall grafting with use of cellular polypropylene implant. Patients were divided into 2 groups. 57 patients operated according alloplastic method sublay formed the first group, 50 patients operated by method onlay formed the second group. Frequency of local wound postoperative complications and hernia relapses were taken into account for comparative evaluation of surgical treatment results. Hernia relapses investigated in 51 patients from the first group and in 44 patients from the second group. Basing on the authors' data method sublay are accompanied by local wound complications (infiltration, suppuration, seroma, haematoma) in 12,3% of observations, method onlay - in 28% (x(2)=4,17, p=0,04). In the first group hernia relapse developed in 1 patient (2%), in the second group - in 3 patients (6,8%) (x(2)=1,43, p=0,23). Authors consider that treating median incisional hernias by using diverse alloplastic methods preference should be given to sublay method.
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