Hernia : the journal of hernias and abdominal wall surgery
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Randomized Controlled Trial Comparative Study Clinical Trial
Primary closure of laparotomies with high risk of incisional hernia using prosthetic material: analysis of usefulness.
Incisional hernia continues to be a serious postoperative complication in abdominal surgery. We present a prospective randomised study to evaluate the usefulness of placement of a supra-aponeurotic polypropylene mesh in the primary closure of laparotomies with a high risk of incisional hernia. ⋯ No incisional hernia was detected in the group in which closure was made using the mesh (P=0.02). Use of prosthetic material (polypropylene mesh) in the primary closure of laparotomies with a high risk of incisional hernia is useful for reduction of the rate of incisional hernias.
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The traditional approach to pediatric inguinal pathologies has been the suprapubic transverse inguinal incision. Alternative incisions for better cosmetic results may be considered. ⋯ All children ended with excellent cosmetic and functional results. There were no complications or morbidity apart from a recurrence of an inguinal hernia in a 7 year-old boy. In addition to the series of girls reported earlier, this novel surgical incision has further been employed in boys with excellent results.