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The use of polypropylene mesh in midline incision closure following gastric by-pass surgery reduces the risk of postoperative hernia.

AbstractBACKGROUND:
Incisional hernia is a common problem following Roux-en-Y gastric bypass for morbid obesity.
PATIENTS AND MATERIALS:
We report the preliminary results of nonrandomized prophylactic use of polypropylene mesh in a group of 60 consecutive patients. The patients with highest body mass index, and/or history of abdominal hernias and profound liver damage had abdominal wall reinforced with mesh during an operation. A year later the wound was assessed in all patients.
RESULTS:
In standard wound closure group (n=48) incisional hernia was found in 9 cases (20%). None of the patients with inserted mesh (n=12) developed hernia. The length of hospital stay in mesh group was similar to that in the nonmesh group and shorter than in patients with hernia occurrence. Mesh insertion was complicated with wound discharge in three patients.
CONCLUSIONS:
In our opinion prophylactic use of polypropylene mesh in bariatric patients is highly effective in postoperative hernia prevention.
AuthorsJanusz Strzelczyk, Leszek Czupryniak, Jerzy Loba, Janusz Wasiak
JournalLangenbeck's archives of surgery (Langenbecks Arch Surg) Vol. 387 Issue 7-8 Pg. 294-7 (Nov 2002) ISSN: 1435-2443 [Print] Germany
PMID12447555 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Polypropylenes
Topics
  • Adolescent
  • Adult
  • Anastomosis, Roux-en-Y (adverse effects)
  • Body Mass Index
  • Female
  • Gastric Bypass (adverse effects)
  • Hernia (etiology, prevention & control)
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Obesity (surgery)
  • Outcome Assessment, Health Care
  • Polypropylenes (therapeutic use)
  • Postoperative Complications
  • Risk Factors
  • Surgical Mesh

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