Preliminary results about a novel technique of mesh positioning in the abdominal wall hernia repair
Licari, L.; Salamone, G.; Campanella, S.; Sabatino, C.; Ciolino, G.; Parinisi, Z.; Carfì, F.; De Marco, P.; Gulotta, G.
Il Giornale di Chirurgia 39(4): 223-226
2018
ISSN/ISBN: 0391-9005 PMID: 30039789 Document Number: 695788
The surgical techniques described to approach the incisional hernia repair are various and there is not consensus about which of them to use. The Intra-Peritoneal Onlay Technique (IPOM) with classic mesh positioning is burdened by high post-operative complication rate. The study shows the preliminary results of a novel technique of open IPOM mesh positioning with "percutaneous" approach. From January 2010 to December 2016 patients with abdominal wall incisional hernia that underwent surgical operation via open mesh technique for abdominal wall hernia repair at the "Policlinico Paolo Giaccone" at Palermo University Hospital were identified and the data collected were retrospectively reviewed; patients' medical and surgical records were collected from charts and the surgical registries. One hundred thirty-five patients with open IPOM percutaneous mesh positioning were selected. The observational study proposed showed that the technique described for the abdominal wall incisional hernia repair seems to be hopeful in order to set a post-operative course not burdened by elevated rate of post-operative complications, estimated to be near 37% vs 13% reported by our series.