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

Archives of Surgery (Impact Factor: 4.3). 02/1962; 84:73-9.
Source: PubMed
  • [Show abstract] [Hide abstract]
    ABSTRACT: We report herein our results of routinely performing tension-free repair for midline incisional hernias larger than 3 cm using a woven polypropylene graft between January 1990 and December 1995. Included in this study were 45 patients, 34 (73.1%) of whom had previously undergone a primary repair which had failed. The follow-up period ranged from 3 to 56 months with a mean of 36 months. Only one patient (2.2%) suffered a recurrence of the hernia. Although three (6.6%) developed a wound infection, one (2.2%) developed a wound sinus, and two (4.4%) developed wound seroma, none of these complications required removal of the graft. The findings of this study led us to conclude that Prolene grafts could be used as routine prosthetic material in the repair of incisional hernias. Moreover, during the follow-up period we observed that the modifications we made in the operative technique had a significantly positive effect on the outcome of the patients.
    Surgery Today 01/1998; 28(1):59-63. · 1.21 Impact Factor
  • [Show abstract] [Hide abstract]
    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; · 1.21 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Fifty incisional hernias were managed by excision of all scar tissue and approproximation of the abdominal wall using continuous doubled nylon inserted with a generous suture length: wound length ratio. There were no major recurrences and only 4 minor ones. The method is theoretically sound and should be more widely used.
    British Journal of Surgery 06/1980; 67(5):335-6. · 5.21 Impact Factor