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INTERNATIONAL JOURNAL OF CREATIVE RESEARCH THOUGHTS - IJCRT (IJCRT.ORG)
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CHAVREL TECHNIQUE PREFASCIAL MESHPLASTY FOR INCISIONAL HERNIAS
Authors
Dr. Bhavana Chowdary. M,Dr. Srinivasan. D,Dr. Sreeramulu P N,Dr. Krishna Prasad. K,Dr. Sajay Reddy T
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Keywords
Chevrels technique, ventral hernia, onlay repair, mesh
Abstract
Abstract
Background: The objective of the study was to reassess the efficacy of the open onlay technique for repair of incision hernia, utilizing the modern adjuncts of components separation and fibrin sealant to reduce the principal complications of seroma and recurrence. Incisional hernia was defined as <10 cm transverse diameter.
Methods: A retrospective audit was applied to 116 patients undergoing open onlay incisional hernia repair during a 2-year period at a single institution. Information was collected concerning operative details, postoperative complications, and recurrence. Clinical review at a median 15.2 months postoperatively was followed in OPD with structured questionnaire to assess quality of life. All patients with pain or suspected recurrence were recalled for examination.
Results: Fascial closure required components separation in 21 (18.1%) patients when tension-free fascia reconstruction was not possible, and fibrin sealant was applied in 22 (18.9%) in whom extensive skin flaps were dissected beyond the semilunar line. Postoperatively, there were 11 (9.5%) seromas and 2 (1.7%) deep wound infections. At 15.2 months� follow-up there were 4 (3.4%) recurrences.
Conclusions Open onlay mesh repair for ventral hernia is a versatile operation applicable to all quadrants of the abdominal wall and gives excellent results when used in association with components separation and fibrin sealant.
IJCRT's Publication Details
Unique Identification Number - IJCRT2010471
Paper ID - 199645
Author type - Indian Author
Page Number(s) - 3569-3575
Pubished in - Volume 8 | Issue 10 | October 2020
DOI (Digital Object Identifier) - http://doi.one/10.1729/Journal.25109
No Of Downloads - 1329
Author Country - India, 563101, Kolar, Kolar, 563101, Medical Science
Publisher Name - IJPUBLICATION | www.ijcrt.org | ISSN : 2320-2882
E-ISSN Number - 2320-2882
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Dr. Bhavana Chowdary. M,Dr. Srinivasan. D,Dr. Sreeramulu P N,Dr. Krishna Prasad. K,Dr. Sajay Reddy T, "CHAVREL TECHNIQUE PREFASCIAL MESHPLASTY FOR INCISIONAL HERNIAS", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.8, Issue 10, pp.3569-3575, October 2020, Available at :http://www.ijcrt.org/papers/IJCRT2010471.pdf
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