Abdominal wall compliance after Marlex® mesh implantation for incisional hernia repair

被引:0
作者
M. Müller
U. Klinge
J. Conze
V. Schumpelick
机构
[1] University Clinic,Department of Surgery
关键词
Incisional hernia; Marlex mesh; Abdominal wall compliance;
D O I
10.1007/BF01250024
中图分类号
学科分类号
摘要
In view of the poor results of suturing techniques, incisional hernias are often best repaired with biomaterials. Their use brings the recurrence rate to below 10%, but patients sometimes complain of discomfort and restricted abdominal mobility. We report our experience with 41 patients after implantation of a Marlex®-mesh in a preperitoneal, retromuscular position (mean follow-up period 16.7 months). The effect of implanted meshes on abdominal wall mobility was measured noninvasively with the aid of three dimensional stereography and compared with a non-operated healthy control group (n = 21). The commonest early postoperative complication was seroma in 32% of cases, usually relieved by aspiration. Infection and hematoma were less frequent at 4.9% and 12.2% respectively. Three patients developed a recurrent hernia. During follow-up 7.3% experienced pain during heavy activities, 29.3% during daily activities and 4.9% at rest. Three dimensional stereography showed a highly significant (p < 0.001) decrease in abdominal wall mobility following mesh implantation, compared to a non-operated control group. Improved composition of the mesh material involving a smaller proportion of polypropylene and greater elasticity, should be considered for the future, in order to reduce patient discomfort.
引用
收藏
页码:113 / 117
页数:4
相关论文
共 47 条
  • [1] Amid PK(1997)Classification of biomaterials and their related complications in abdominal wall hernia surgery Hernia 1 15-21
  • [2] Amid PK(1996)Retromuscular alloplasty of large scar hernias: a simple staple attachment technique Chir 67 648-652
  • [3] Lichtenstein IL(1996)Long-term results of giant prosthetic reinforcement of the visceral sac for complex recurrent inguinal hernia Br J Surg 83 203-206
  • [4] Beets GL(1998)Application of three dimensional stereography to assess abdominal wall mobility Hernia 2 11-14
  • [5] vanGeldere D(1996)Changes in abdominal wall mechanics after mesh implantation. Experimental changes in mesh stability Langenbecks Arch Chir 381 323-32
  • [6] Baeten CGMI(1997)Morphologic correlation of functional abdominal wall mechanics after mesh implantation Langenbecks Arch Chir 382 87-94
  • [7] Go PMNYH(1996)Preperitoneal prosthesis implantation in surgical management of recurrent inguinal hernia Chir 67 394-402
  • [8] Klinge U(1997)Retrorectus prothetic mesh repair of midline abdominal hernia Am J Surg 173 445-449
  • [9] Müller M(1991)Massive incisional hernia: abdominal wall replacement with Marlex mesh Br J Surg 78 10-15
  • [10] Brücker C(1996)Preperitoneal mesh-plasty in incisional hernia repair. A comparative retrospective study of 272 operated incisional hernias Chir 67 1028-1035