MANAGEMENT OF LARGE INCISIONAL HERNIAS WITH MULTIPLE PROLENE MESH SUTURES : OUR EXPERIENCE

Maj Gen C K Jakhmola; Brig Surajit Basu; SM

Volume : X, Issue : I, January - 2020

MANAGEMENT OF LARGE INCISIONAL HERNIAS WITH MULTIPLE PROLENE MESH SUTURES : OUR EXPERIENCE

Maj Gen C K Jakhmola, Brig Surajit Basu, Sm

Abstract :

Management of Large incisional hernias ( LIH ) measuring more than 10 cm in diameter or surface area of more than 100cm² is very challenging because of the varied presentation at the time of admission like presence of skin necrosis , features of obstruction and strangulation, enterocutaneous fistulae, immobility etc. and propensity for myriads of post operative complications .18 patients with Large incisional hernias i.e. 12 females and 6 males with age varying between 23 and 65 years were treated in a tertiary service hospital with a new modality of incisional hernia repair by using Multiple Prolene Mesh Sutures either alone or with reinforcement by low profile polypropylene with e PTFE prosthesis . All patients were followed up for a period of 12 months. The result were extremely satisfying with significant reduction in post operative complictions like infection, pain , mesh extrusion and recurrance and much reduction in Hospital stay.