Modified Sandwich Technique Mesh Implantation in Repair of Incisional Hernia
Background Many patients suffer from incisional hernia all over the world. Although various surgical techniques have been introduced in recent decades, the occurrence of this problem still remains as a challenge facing surgeons. Objectives To compare the modified sandwich technique (MST) to on-...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2013-06-01
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| Series: | Iranian Journal of Colorectal Research |
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| Online Access: | https://colorectalresearch.sums.ac.ir/article_45437_06eaff19e7df8bee986ed527faf5106e.pdf |
| _version_ | 1818917333744222208 |
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| author | Seyed Hossein Hosseini Seyed Vahid Hosseini Leila Ghahramani Abbas Rezaianzadeh Ali Reza Safarpour Salar Rahimikazerooni |
| author_facet | Seyed Hossein Hosseini Seyed Vahid Hosseini Leila Ghahramani Abbas Rezaianzadeh Ali Reza Safarpour Salar Rahimikazerooni |
| author_sort | Seyed Hossein Hosseini |
| collection | DOAJ |
| description | Background Many patients suffer from incisional hernia all over the world. Although various surgical techniques have been introduced in recent decades, the occurrence of this problem still remains as a challenge facing surgeons. Objectives To compare the modified sandwich technique (MST) to on-lay mesh repair technique (OMR) in the repair of huge incisional hernias. Patients and Methods In a randomized control clinical trial during 2004–2008 in Shiraz, Southern Iran, 90 patients with huge incisional hernias were randomly approached by two repair techniques namely MST and OMR. In MST group, polypropylene mesh was fixed in each side of fascia with nylon 2-0 and the wound closure was done with nylon loop 1 , while In OMR technique, the fascia was released 5 cm in each side and polypropylene mesh was fixed with nylon 2-0. The wound closure was identical to MST group. Results The mean age of patients in MST group was 49.3 years with a standard deviation (SD) of 11.8 years and 48 years with SD of 13.6 in OMR group. Recurrences occurred primarily during the first two postoperative years in both groups. Total recurrence rate following MST procedure was 2.2%, compared to 18.2% for OMR (P = 0.01). Mean of hospitalization was 3.4 days in MST group and 4 days in OMR (P = 0.6). The percentage of female patients was 69.6% in MST group and 77.3% in OMR. Mean operation time was 2.3 hours in MST comparing to 2.1 hours in OMR (P = 0.7). Conclusions Our results showed that in the repair of incisional hernias, MST led to a lower recurrence rate and fewer major complications in comparison to OMR. |
| first_indexed | 2024-12-20T00:32:24Z |
| format | Article |
| id | doaj.art-15b3948c28574228baa97af9ba6febf4 |
| institution | Directory Open Access Journal |
| issn | 2783-2430 |
| language | English |
| last_indexed | 2024-12-20T00:32:24Z |
| publishDate | 2013-06-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Colorectal Research |
| spelling | doaj.art-15b3948c28574228baa97af9ba6febf42022-12-21T19:59:54ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302013-06-01110010.17795/acr-1148145437Modified Sandwich Technique Mesh Implantation in Repair of Incisional HerniaSeyed Hossein Hosseini0Seyed Vahid Hosseini1Leila Ghahramani2Abbas Rezaianzadeh3Ali Reza Safarpour4Salar RahimikazerooniMedical Student, Shiraz University of Medical Sciences, Shiraz, IR IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR IranDepartment of Epidemiology, Research Center for Health Sciences, Shiraz, IR IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR IranBackground Many patients suffer from incisional hernia all over the world. Although various surgical techniques have been introduced in recent decades, the occurrence of this problem still remains as a challenge facing surgeons. Objectives To compare the modified sandwich technique (MST) to on-lay mesh repair technique (OMR) in the repair of huge incisional hernias. Patients and Methods In a randomized control clinical trial during 2004–2008 in Shiraz, Southern Iran, 90 patients with huge incisional hernias were randomly approached by two repair techniques namely MST and OMR. In MST group, polypropylene mesh was fixed in each side of fascia with nylon 2-0 and the wound closure was done with nylon loop 1 , while In OMR technique, the fascia was released 5 cm in each side and polypropylene mesh was fixed with nylon 2-0. The wound closure was identical to MST group. Results The mean age of patients in MST group was 49.3 years with a standard deviation (SD) of 11.8 years and 48 years with SD of 13.6 in OMR group. Recurrences occurred primarily during the first two postoperative years in both groups. Total recurrence rate following MST procedure was 2.2%, compared to 18.2% for OMR (P = 0.01). Mean of hospitalization was 3.4 days in MST group and 4 days in OMR (P = 0.6). The percentage of female patients was 69.6% in MST group and 77.3% in OMR. Mean operation time was 2.3 hours in MST comparing to 2.1 hours in OMR (P = 0.7). Conclusions Our results showed that in the repair of incisional hernias, MST led to a lower recurrence rate and fewer major complications in comparison to OMR.https://colorectalresearch.sums.ac.ir/article_45437_06eaff19e7df8bee986ed527faf5106e.pdfincisional herniamodified sandwich techniquerecurrence |
| spellingShingle | Seyed Hossein Hosseini Seyed Vahid Hosseini Leila Ghahramani Abbas Rezaianzadeh Ali Reza Safarpour Salar Rahimikazerooni Modified Sandwich Technique Mesh Implantation in Repair of Incisional Hernia Iranian Journal of Colorectal Research incisional hernia modified sandwich technique recurrence |
| title | Modified Sandwich Technique Mesh Implantation in Repair of Incisional Hernia |
| title_full | Modified Sandwich Technique Mesh Implantation in Repair of Incisional Hernia |
| title_fullStr | Modified Sandwich Technique Mesh Implantation in Repair of Incisional Hernia |
| title_full_unstemmed | Modified Sandwich Technique Mesh Implantation in Repair of Incisional Hernia |
| title_short | Modified Sandwich Technique Mesh Implantation in Repair of Incisional Hernia |
| title_sort | modified sandwich technique mesh implantation in repair of incisional hernia |
| topic | incisional hernia modified sandwich technique recurrence |
| url | https://colorectalresearch.sums.ac.ir/article_45437_06eaff19e7df8bee986ed527faf5106e.pdf |
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