Aim: Surgical management of giant ventral hernias is a surgical challenge due to limited abdominal cavity. This study evaluates our experience in the management of massive ventral hernias using polypropylene mesh. Methods: From January 2005 and September 2006, we operated on 30 patients with giant ventral hernias by using polypropylene mesh. The mesh was separated from the viscera by a small part of the hernial sac and the greater omentum. Results: The age ranged from 39 and 64 years. Seventeen had post-operative incisional and 13 had para-umbilical hernias. The vertical and horizontal diameters of defects ranged from 10-to 22 cm. Mean body mass index was 33. Follow up ranged from 6-18 months. No patient required ventilation after operation. Recurrent seroma, which responded to repeated aspiration, was experienced in 3 patients. Minor wound infection was observed in 4 patients. Small hernia recurrence occurred in one patient. Conclusion: The use of polypropylene and host tissue barrier is relatively simple, safe, and reliable surgical solution to the problem of giant ventral hernia.
Ammar, S. (2008). MANAGEMENT OF GIANT VENTRAL HERNIA BY POLYPROPYLENE MESH AND HOST TISSUE BARRIER. The Egyptian Journal of Surgery, 27(1), 31-35. doi: 10.21608/ejsur.2008.371604
MLA
Samir Ammar. "MANAGEMENT OF GIANT VENTRAL HERNIA BY POLYPROPYLENE MESH AND HOST TISSUE BARRIER", The Egyptian Journal of Surgery, 27, 1, 2008, 31-35. doi: 10.21608/ejsur.2008.371604
HARVARD
Ammar, S. (2008). 'MANAGEMENT OF GIANT VENTRAL HERNIA BY POLYPROPYLENE MESH AND HOST TISSUE BARRIER', The Egyptian Journal of Surgery, 27(1), pp. 31-35. doi: 10.21608/ejsur.2008.371604
VANCOUVER
Ammar, S. MANAGEMENT OF GIANT VENTRAL HERNIA BY POLYPROPYLENE MESH AND HOST TISSUE BARRIER. The Egyptian Journal of Surgery, 2008; 27(1): 31-35. doi: 10.21608/ejsur.2008.371604