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December 1, 2006World Journal of Surgery174 citations

Intraperitoneal Polypropylene Mesh Hernia Repair Complicates Subsequent Abdominal Surgery

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JHJens A. HalmLWLiesbeth L. de WallESEwout W. Steyerberg

Key Points

  • To assess the impact of intraperitoneal polypropylene mesh placement during incisional hernia repair on complications during subsequent abdominal operations.
  • Evaluated outcomes in patients undergoing re-laparotomy after incisional hernia repair with polypropylene mesh.
  • Assessed the association between anatomical mesh positioning and surgical complication rates.
  • Intraperitoneal positioning of polypropylene mesh resulted in higher rates of preoperative and postoperative complications during subsequent re-laparotomy.
  • Intraperitoneal placement of polypropylene mesh should be avoided during incisional hernia repair whenever feasible.

Abstract

Re-laparotomy after PIHR with polypropylene meshes are associated with more preoperative and postoperative complications when the mesh is placed intraperitoneally. Therefore 0intraperitoneal positioning of polypropylene mesh at incisional hernia repair should be avoided if possible.

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Cite This Study

Halm et al. (2006) studied this question.

synapsesocial.com/papers/69d7ebe33b601d7be3ae34b9https://doi.org/10.1007/s00268-006-0317-9
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia2004 · 1,624 citations
  2. 2[Intra-abdominal adhesions and foreign-body granulomas following earlier laparotomy].1994 · 7 citations
  3. 3Incisional hernia after midline laparotomy: a prospective study.1996 · 147 citations
  4. 4Incisional hernia: A 10 year prospective study of incidence and attitudes1985 · 1,041 citations
  5. 5Intestinal obstruction from adhesions--how big is the problem?1990 · 961 citations