Repair of Ventral Hernia by Pre-Peritoneal and Pre- Posterior Rectus Sheath Insertion of Prolene MeshAshraf A Helmy, Gamal Ahmed Makhlouf* and Ragai Sobhi Hanna
Faculty of Medicine, Assiut University, Egypt
- *Corresponding Author:
- Gamal Ahmed Makhlouf, MD
Assistant Professor of General Surgery
Faculty of Medicine Assiut University
Assiut 71515, Egypt
Fax: +20 88-2354130
E-mail: [email protected]
Received Date: April 26, 2017; Accepted Date: May 24, 2017; Published Date: May 31, 2017
Citation: Helmy AA, Makhlouf GA, Hanna RS (2017) Repair of Ventral Hernia by Pre-Peritoneal and Pre- Posterior Rectus Sheath Insertion of Prolene Mesh. Surgery Curr Res 7: 296. doi: 10.4172/2161-1076.1000296
Copyright: © 2017 Helmy AA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Early treatment of hernia is very important to reduce the risk of obstruction and or strangulation. Ventral hernias include umbilical, epigastric, and incisional hernias and represent 10-15% of all primary hernias. Conventionally, theses hernias are treated by suture repair with a substantial rate of recurrence and this increase the demand for a better technique of repair. There is no exact protocol or consensus on how the repair should be carried out. Aim of work: To present a new surgical technique for ventral hernia repair with least recurrence rate. Material and methods: This study was performed at a tertiary hospital and included 100 patients with uncomplicated ventral hernias and fit for surgery. Partial pre-peritoneal and partial subrectal insertion of prolene mesh was the new surgical technique done. Results: The study included 58 females and 42 males. The mean BMI was 28.6. The mean defect size was 30.3 cm (range 9-64). The mean operative time was 47.5 minutes (range 35- 62). The mean hospital stay was 2 days (range 2-4). Postoperative complications including wound infection (3 cases), seroma (7 cases) and hematoma (2 cases). Recurrence occurred in one case after 1 year. The efficacy rate was 98.75%. Conclusions: Pre-peritoneal and pre- posterior rectus sheath insertion of prolene mesh is a new surgical technique for ventral hernia repair with high efficacy and low recurrence rate.