Double mesh technique (mesh plug and onlay) in repair of lumbar incisional hernia: a novel technique

Faculty Medicine Year: 2018
Type of Publication: ZU Hosted Pages:
Authors:
Journal: The Egyptian Journal of Surgery The Egyptian Journal of Surgery Volume:
Keywords : Double mesh technique (mesh plug , onlay)    
Abstract:
Background Patients having lumbar incisional hernia are presented with a mass in the suprailiac region posteriorly at the site of the previous operation and might be associated with occurrence of pain. Repairing such types of hernias is difficult, and it has high rates of recurrence after operation. There is a plethora of surgical techniques that have been described in performing the lumbar incisional hernia open repair, and it is difficult to detect the best technique of management, and no surgical procedure has been proved to be better than the others. The aim of this study was to provide a novel, efficient, simple and safe technique in the repair of lumbar incisional hernia and then to evaluate the short-term outcome of applying such technique to solve the recurrence problem. Patients and methods In our study, we have included 20 cases having lumbar incisional hernia and were divided into two groups: group 1 contained 10 cases that were managed by doublemesh technique and group 2 contained 10 cases that were managed by single mesh. Results We found that putting two meshes is better than a single mesh in the management of lumbar incisional hernia regarding decreasing incidence of postoperative complications (P=0.028) and decreasing incidence of postoperative recurrence (P=0.020). Conclusion Our double-mesh technique in the management of lumbar incisional hernia is a novel technique, with no intra-abdominal injuries or collections and provides better results without recurrence.
   
     
 
       

Author Related Publications

  • Loay Mohammed Hadi Osman, "Panel of Villin, Pro-Ex-C, Estrogen Receptor and Progesterone Receptor Expressions Could Help in Differentiation Between Endocervical and Endometrioid Adenocarcinoma", Turkish journal of pathology, 2017 More
  • Loay Mohammed Hadi Osman, "Immunohistochemical expressions of SQSTM1/p62, Beclin-1, and SOX4 in infiltrating duct carcinoma of the breast", Egyptian Journal of Pathology, 2016 More
  • Loay Mohammed Hadi Osman, "Invasive primary papillary carcinoma in a thyroglossal duct cyst: A case report and review of the literature", Elsevier, 2018 More
  • Loay Mohammed Hadi Osman, "The Expression of FOXE-1 and STIP-1 in Papillary Thyroid Carcinoma and Their Relationship with Patient Prognosis", Iran J Pathol.2018, 2018 More
  • Loay Mohammed Hadi Osman, "SPOP, ZEB-1 and E-cadherin expression in clear cell renal cellcarcinoma (cc-RCC): Clinicopathological and prognostic significance", Elsevier, 2018 More

Department Related Publications

  • Ahmed Alsayed Ahmed Lashen, "السديلة المروحية المعدلة لتكميل الشفة السفلى بعد استئصال الاورام السرطانية", لايوجد, 1900 More
  • Ahmed Alsayed Ahmed Lashen, "اعادة تكوين الثدى بواسطة التمديد الخارجى الانسجة وحقن الدهن الذاتى", لايوجد, 1900 More
  • Ahmed Mosaad Ibrahiem Nagieb, "استئصال عصب السمبثاوي بطريقة الكي عن طريق المنظار الجراحي لعلاج حالات زيادة افراز العرق باليدين", لايوجد, 1900 More
  • Osama Hassan Ghareeb Ibrahiem, "استعمال منظار تكوين القنوات المرارية البنكرياسية والتنظير الجراحى للبطن معا فى علاج الحويصلة المرارية والقنوات المرارية على مرحلة واحد", لايوجد, 1900 More
  • Osama Hassan Ghareeb Ibrahiem, "دراسة دقة الاشعة المقطعية الحلزونية مع حقن صبغة بالقولون فى تشخيص التهاب الزائدة الدورية المتوقع فى الاطفال", لايوجد, 1900 More
Tweet