Woven Dacron and woven Teflon prostheses. Use for small artery replacement.

Archives of Surgery (Impact Factor: 4.1). 02/1962; 84:73-9.
Source: PubMed
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    ABSTRACT: Massive ventral hernias are difficult to repair, especially with multiple recurrences. Numerous methods of repair have been described with an overall recurrence rate up to 33% after first repair and 44% after second repair, mostly occurring within 3 years of the repair. This is a prospective study on 41 patients who underwent surgery between January 2000 and August 2004 for recurrent large ventral hernias. Patients were randomized into two groups: group A included 22 patients, who were subjected to suture repair with an onlay polypropylene mesh, and group B, which included 19 patients, who were subjected to a tailored double mesh (Vicryl + polypropylene) intraperitoneal repair. Superficial wound infection occurred in two patients (4.8%), one in each group. By a median follow up of 30 months, seroma formation or hernia recurrence was not found in group B in comparison to seven and six cases, respectively, in group A (p < or = 0.000). There was no intraabdominal complication in the cases subjected to double mesh intraperitoneal repair due to the protective effect of the inner Vicryl layer, which is characterized by its low reactivity. A double mesh intraperitoneal repair (ADMIR) is successful for the repair of recurrent large ventral hernias as it is applicable to all sites of ventral hernias. The mesh is mostly hidden within the abdomen with relatively affordable pain allowing for early mobilization, the complication rate is low and so far no recurrence was reported. A long-term follow up with a larger number of cases is advisable in order to determine the long-term success of this kind of repair.
    Hernia 12/2005; 9(4):310-5. · 1.69 Impact Factor
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    ABSTRACT: PURPOSE: The purpose of this study was to compare the outcomes following the posterior or anterior approach of Kugel repair for the surgical treatment of inguinal hernias. METHODS: Patients with inguinal hernias who were treated using the original posterior approach (P group, n: 1262) and the anterior approach (A group, n: 1119) in China between 2003 and 2008 were evaluated retrospectively. The operation time, hospital stay, postoperative complications and recurrence after surgery were assessed and compared statistically in both groups. RESULTS: The age, gender, types of hernia, operation time, hospital stay and the follow-up were comparable in the two groups. The operation time was 44.16 ± 12.66 min in the P group and 49.45 ± 14.34 min in the A group (P > 0.05). There were no significant differences in the incidence of hematoma, seroma and urinary retention, but the rate of incisional infection and severe pain in the A group were significantly lower than that in the P group (P < 0.05). The rate of recurrence differed significantly between the two groups with eleven in the P group (0.87 %) and one in the A group (0.09 %) (P < 0.05). CONCLUSION: The lower rate of incisional infection, severe pain after surgery and much lower recurrence show the superiority of the anterior approach in comparison to the posterior approach for a Kugel repair of inguinal hernias.
    Surgery Today 07/2012; · 0.96 Impact Factor
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    ABSTRACT: Study was conducted to evaluate the feasibility and benefits of inguinal hernia repair with prolene hernia system (PHS) mesh under local anaesthesia as a day surgery procedure in a multinational society of United Arab Emirates. One hundred and seventy-eight inguinal hernias in 172 consecutive adults of whom 154 (89.5%) fitted the criteria of inclusion in the day-case surgery settings were operated upon including one early recurrence. Conversion from local to general anaesthesia was required in five (2.8%) patients. The mean operation time was 65 min, including the anaesthesia injection. The mean hospital stay was 2.1 days for all patients and 1.01 days for those who fitted in the ambulatory surgery program. Inguinal hernia repair using the PHS technique under local anaesthesia could be mastered by many of the surgeons in our hospital with minimal morbidity and short hospital stay with a potential to lessen recurrence.
    Hernia 04/2006; 10(1):2-6. · 1.69 Impact Factor