MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS

MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS Ali Abdul-Aziz Al-Shawi MB,ChB, FICMS, CABS, Department of Surgery, College of Medicine, Chancellor Missan University, Missan, IRAQ. Abstract This study aimed to evaluate modified shoelace darn repair. An abdominal incisional h...

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Main Author: Ali Abdul-Aziz Al-Shawi
Format: Article
Language:English
Published: university of basrah 2017-06-01
Series:Basrah Journal of Surgery
Subjects:
Online Access:https://bjsrg.uobasrah.edu.iq/article_132412_6eb4d96dfb36bda73b7a01c2237768b6.pdf
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author Ali Abdul-Aziz Al-Shawi
author_facet Ali Abdul-Aziz Al-Shawi
author_sort Ali Abdul-Aziz Al-Shawi
collection DOAJ
description MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS Ali Abdul-Aziz Al-Shawi MB,ChB, FICMS, CABS, Department of Surgery, College of Medicine, Chancellor Missan University, Missan, IRAQ. Abstract This study aimed to evaluate modified shoelace darn repair. An abdominal incisional hernia represent defect in the musculo-fascial layers of the abdominal wall. It considers one of the commonest hernia in middle aged women. surgical site wound infection is the most common causative factor and there are different method of surgical repair. This prospective study was conducted on 127 patients of incisional hernia who were managed by modified shoelace darn procedure, they had reinforce the repair by onlay mesh to bridge the defect in anterior rectus sheath. The highest proportion of patients aged 41-50 years (37% with a mean of 43.6 years). Regarding distribution of gender, the pattern was similar in both sexes. Most of the patients were overweight (76.4%). Further 14.9% were obese and only 7.9% were normal, 29.9% developed some kind of complication. The recurrence rate was 1.6%. In conclusion, modified shoelace darn repair is simple, safe, extra-peritoneal with less tissue damage and it seems a good surgical technique for management of large ventral incisional hernia.
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spelling doaj.art-72ec822a757040668458f46560a7e97e2022-12-22T02:29:05Zenguniversity of basrahBasrah Journal of Surgery1683-35892409-501X2017-06-01231141710.33762/bsurg.2017.132412132412MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIASAli Abdul-Aziz Al-ShawiMODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS Ali Abdul-Aziz Al-Shawi MB,ChB, FICMS, CABS, Department of Surgery, College of Medicine, Chancellor Missan University, Missan, IRAQ. Abstract This study aimed to evaluate modified shoelace darn repair. An abdominal incisional hernia represent defect in the musculo-fascial layers of the abdominal wall. It considers one of the commonest hernia in middle aged women. surgical site wound infection is the most common causative factor and there are different method of surgical repair. This prospective study was conducted on 127 patients of incisional hernia who were managed by modified shoelace darn procedure, they had reinforce the repair by onlay mesh to bridge the defect in anterior rectus sheath. The highest proportion of patients aged 41-50 years (37% with a mean of 43.6 years). Regarding distribution of gender, the pattern was similar in both sexes. Most of the patients were overweight (76.4%). Further 14.9% were obese and only 7.9% were normal, 29.9% developed some kind of complication. The recurrence rate was 1.6%. In conclusion, modified shoelace darn repair is simple, safe, extra-peritoneal with less tissue damage and it seems a good surgical technique for management of large ventral incisional hernia.https://bjsrg.uobasrah.edu.iq/article_132412_6eb4d96dfb36bda73b7a01c2237768b6.pdfmodified shoelaceabdominalincisional hernias
spellingShingle Ali Abdul-Aziz Al-Shawi
MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS
Basrah Journal of Surgery
modified shoelace
abdominal
incisional hernias
title MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS
title_full MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS
title_fullStr MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS
title_full_unstemmed MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS
title_short MODIFIED SHOELACE REPAIR OF LARGE ABDOMINAL INCISIONAL HERNIAS
title_sort modified shoelace repair of large abdominal incisional hernias
topic modified shoelace
abdominal
incisional hernias
url https://bjsrg.uobasrah.edu.iq/article_132412_6eb4d96dfb36bda73b7a01c2237768b6.pdf
work_keys_str_mv AT aliabdulazizalshawi modifiedshoelacerepairoflargeabdominalincisionalhernias