Giant Incisional Hernia Repair Using Open Intraperitoneal Dual Mesh

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KORKUT E., AKSUNGUR N., ALTUNDAŞ N., KARA S., PEKSÖZ R., ÖZTÜRK G.

CUREUS, cilt.14, sa.7, ss.1-11, 2022 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 7
  • Basım Tarihi: 2022
  • Doi Numarası: 10.7759/cureus.27126
  • Dergi Adı: CUREUS
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
  • Sayfa Sayıları: ss.1-11
  • Anahtar Kelimeler: open intraperitoneal dual mesh placement, recurrence, open onlay mesh, intraperitoneal dual mesh, ventral hernia, open incisional hernia repair
  • Atatürk Üniversitesi Adresli: Evet

Özet

Abstract

Aim

Giant incisional herniae are larger than 15 cm and are typically treated with an open approach. Our aim was

to highlight the outcomes of treating giant incisional hernia using open intraperitoneal dual mesh.

Methods

Between January 2015 and December 2021, 25 patients with giant incisional hernias, where fascial defects

were 15-30 cm, were evaluated retrospectively. Intraperitoneal dual mesh was used in all patients. The

patients were evaluated in terms of age, gender, body mass index (BMI), previous abdominal surgeries,

defect diameter, anesthesia method, length of hospital stay, drain application, complications, and

recurrence.

Results

Eleven of the patients were male and 14 were female. The mean age was 62±13.5 years (29-82 years). The

average BMI was 32 kg/m2 (20-52 kg/m2). The mean size of the fascial defect was 22±5.5 cm (15-30). The

mean operation time was 90 minutes (70-130 minutes). Six patients had type I and II complications

according to the Clavien-Dindo classification, specifically superficial skin infections, skin erosion,

subcutaneous bleeding, and temporary ileus due to intestinal adhesion. During the average follow-up period

of 36 months (6-70 months), no major complications were observed related to the recurrence and use of

dual mesh.

Conclusion

In the treatment of giant incisional hernia, open intraperitoneal dual mesh application should be kept in

mind as an effective treatment option with low complication and recurrence rates.

Categories: General Surgery

Keywords: open intraperitoneal dual mesh placement, recurrence, open onlay mesh, intraperitoneal dual mesh,

ventral hernia, open incisional hernia repair