Prosthetic repair of incisional hernia in kidney transplant patients. A technique with onlay polypropylene mesh

被引：31

作者：

Birolini C. ^{[1
]}

Mazzucchi E. ^{[1
]}

Utiyama E.M. ^{[1
]}

Nahas W. ^{[1
]}

Rodrigues A.J. Jr. ^{[1
]}

Arap S. ^{[1
]}

Birolini D. ^{[1
]}

机构：

[1] Department of Surgery, Hosp. das Clin. da Fac. de Medicina, Universidade de São Paulo, 255 São Paulo, Rua Dr. Eneas Carvalho de Aguiar

来源：

Hernia | 2001年 / 5卷 / 1期

关键词：

Incisional hernia; Kidney transplant; Polypropylene mesh;

D O I：

10.1007/BF01576162

中图分类号：

学科分类号：

摘要：

The employment of synthetic mesh for incisional hernia repair in kidney-transplanted patients is rarely reported in the present literature. Many authors believe that mesh employment in such conditions is not safe due to fear of mesh related complications. From 1965 through 1999, a total of 1685 kidney transplants were performed at our Kidney Transplant Unit and 19 patients developed eventrations in the kidney transplant incision, an incidence of 1.1%. From September 1996 eight of these patients had prosthetic repair of the abdominal wall with onlay polypropylene mesh. All patients were under immunosuppressive therapy with prednisone, ciclosporine and azathioprine. Mean age was 48.8 years, mean body mass index was 22.5 and mean number of previous abdominal operations was 2.5. A large polypropylene mesh (Marlex® mesh) was fixed over the aponeurosis after primary closure of the aponeurotic borders, as an onlay graft. There was neither morbidity nor mortality associated to the surgical procedure. No recurrences or long-term complications associated with mesh employment were verified after a follow-up ranging from one year to three years. We concluded that prosthetic repair of incisional hernia in transplanted patients can be performed routinely.

引用

页码：31 / 35

页数：4

共 50 条

[41]

Sugerman H.J., Kellum J.M. Jr., Reines H.D., Demaria E.J., Newsome H.H., Lowry J.W., Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh, Am J Surg, 171, pp. 80-84, (1996)

[42]

Temudom T., Siadati M., Sarr M.G., Repair of complex giant or recurrent ventral hernias by using tension-free intraparietal prosthetic mesh [Stoppa technique]: Lessons learned from our inicial experience [fifty patients], Surgery, 120, pp. 738-744, (1996)

[43]

Thomas III W.O., Parry S.W., Rodning C.B., Ventral/incisional abdominal herniorrhaphy by fascial partition/release, Plast Reconstr Surg, 91, pp. 1080-1086, (1993)

[44]

Trupka A.W., Schweiberer L., Hallfeldt K., Waldner H., Management of large abdominal wall hernias with foreign implant materials [Goretex patch], Zentralbl Chir, 122, pp. 879-884, (1997)

[45]

Usher F.C., A new technique for repairing large abdominal wall defects, Arch Surg, 82, pp. 108-115, (1961)

[46]

Usher F.C., Allen J.E., Crosthwait R.W., Cogan J.E., Polypropylene monofilament. A new, biologically inert suture for closing contaminated wounds, JAMA, 179, (1962)

[47]

Vestweber K.H., Lepique F., Haaf F., Horatz M., Rink A., Results of recurrent abdominal wall hernia repair using polypropylene mesh, Zentralbl Chir, 122, pp. 885-888, (1997)

[48]

Voyles C.R., Richardson J.D., Bland K.I., Tobin G.R., Flint L.M., Polk H.C. Jr., Emergency abdominal wall reconstruction with polypropylene mesh: Short-term benefits versus long-term complications, Ann Surg, 194, pp. 219-223, (1981)

[49]

Waldrep D.J., Shabot M.M., Hiatt J.R., Mature fibrous cyst formation after Marlex mesh ventral herniorrhaphy: A newly described pathologic entity, Am Surg, 59, pp. 716-718, (1993)

[50]

White R.A., The effect of porosity and biomaterial on the healing and long-term mechanical properties of vascular prostheses, ASAIO J, 11, pp. 95-100, (1988)

← 1 2 3 4 5 →