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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:
Loay Mohammed Hadi Osman
Staff Zu Site
Abstract In Staff Site
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
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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
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Loay Mohammed Hadi Osman, "Invasive primary papillary carcinoma in a thyroglossal duct cyst: A case report and review of the literature", Elsevier, 2018
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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
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Loay Mohammed Hadi Osman, "SPOP, ZEB-1 and E-cadherin expression in clear cell renal cellcarcinoma (cc-RCC): Clinicopathological and prognostic significance", Elsevier, 2018
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Department Related Publications
Fady Mehaney Habib Salamh, "Mesh or not in the repair of complicated umbilical hernia in cirrhotic patients with decompensated liver cell failure", Wolters Kluwer - Medknow, 2018
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Mohamed Ibrahim Ahmed Mansour, "Outcomes of side-to-end versus end-to-end colorectal anastomosis in non-emergent sigmoid and rectal cancers: randomized controlled clinical trial", pISSN 2287-9714 eISSN 2287-9722 www.coloproctol.org, 2022
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Mohamed Ibrahim Ahmed Mansour, "Post-Cholecystectomy Gallbladder Remnant and Cystic Duct Stump Stone: Surgical Pitfalls, Causes of Occurrence and Completion Cholecystectomy (Open versus Laparoscopic) as a Safe Surgical Option of Treatment: Short and Long Term Outcome. Randomized Controlled Clinical Trial", Department of surgery, Zagazig University hospitals, 2021
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Mohamed Mahmoud Mokhtar, "laparoscopy versus laparotomy in evaluation of penetrating abdominal injuries.", internatinal journal of advanced research, 2018
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Mohamed Mahmoud Mokhtar, "Comparison Of Onlay Versus Sublay Mesh Repair For Management of Paraumbilical Hernia", Zagazig University Medical Journal, 2020
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