Repair of Incisional Hernia
Keywords:Incisional hernia, prosthetic mesh, introduction.
Incarceration (in 6-15% cases) and strangulation (in 2% cases). We have conducted a retrospective study from 1994-2000 in PAF Hospital, Sargodha. Sixty patients (23M, 37F) were treated. Patients were available for follow UI). The small hernias were repaired with Mayo technique using non absorbable (proline)’suture. Medium and large size hernias were repaired with proline mesh. Size of the hernia was subjectively assessed by asking the patient to contract the abdominal muscles while sitting and standing and feeling the hiatus. If the margins of defect will come together there is very opportunity that repair with non-absorbable suture will succeed. If the defect is large and diffuse and if on examination the margins of defect can not be brought together it is best to replace the hiatus with a synthetic mesh3.
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