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

Strzelczyk, Janusz; Czupryniak, Leszek; Loba, Jerzy; Wasiak, J

doi:10.1007/s00423-002-0325-7

Cited by 59 publications

(37 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The general incidence cited in the literature is 10-15%. Numerous studies have focused on the incidence in general [1][2][3][4][5][6] as well as on the most diverse risk groups [7][8][9][10][11][12]. Which patients constitute risk groups is still a topic that gives rise to controversial discussion.…”

Section: Introductionmentioning

confidence: 99%

Primary mesh augmentation with fibrin glue for abdominal wall closure—investigations on a biomechanical model

Schug-Paß

Lippert

Köckerling

2009

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Primary mesh augmentation with fibrin glue for abdominal wall closure—investigations on a biomechanical model

Schug-Paß

Lippert

Köckerling

2009

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…A number of different closure techniques have been described to prevent this complication, and several causative factors have been proposed for their development, including incision location and orientation (vertical, midline or transverse), age, degree of obesity, sex, wound infections and the use of corticoids. [1][2][3][4][5] Interestingly, abdominal wall tension or length of incision was not considered as a factor in any of the above references. It is generally agreed that one of the advantages of laparoscopy over the open approach to bariatric surgery is a lower incidence of incisional hernias.…”

Section: Introductionmentioning

confidence: 99%

Reducing the Incidence of Incisional Hernias following Open Gastric Bypass Surgery

2007

View full text Add to dashboard Cite

A reduction in incision size, the avoidance of the periumbilical region and the use of nonabsorbable sutures has significantly reduced the incidence of incisional hernias and acute fascial disruptions with our form of open RYGBP. These findings are consistent with LaPlace's law regarding wall tension and vessel radius. In addition, we found smaller incisions to be associated with fewer infections and seromas and less postoperative discomfort. A reduction in incision size has not been associated with an increase in morbidity or mortality or changes in the operative time.

show abstract

“…Strzelczyk and colleagues 30 have proposed the addition of polypropylene mesh to standard closure techniques for RYGB as a prophylaxis against postoperative hernia formation based on 0% hernia rate after its use in a nonrandomized study. This technique has not demonstrated wide appeal because of concerns with mesh infection when placed during a clean contaminated case.…”

Section: Resultsmentioning

confidence: 99%

Surgery for Obesity: A Review of the Current State of the Art and Future Directions

McNatt

Longhi

Goldman

et al. 2007

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

The number of patients undergoing surgery for the treatment of obesity, and the proportion of the health care budget dedicated to this health problem, is growing exponentially. There are several competing surgical approaches for the management of morbid obesity. We review the literature relating to four of these: gastric bypass, biliopancreatic diversion, gastric banding, and gastric pacing. Our review finds that while enhancing the malabsorptive activity of these procedures may induce an incremental increase in excess body weight loss, the proportion of patients who fail to lose more than 50% of their excess body weight is similar no matter how radical is the surgery performed. There is little guidance from the literature as to appropriate patient selection for the varying procedures, and anonymously reported registries have yet to show that patients who undergo bariatric surgery have enhanced longevity. To date, the bariatric surgical community has not conducted adequately powered randomized prospective trials to elucidate key elements of the surgical procedure such as optimal bypass length, to determine whether mixed operations are superior to those that offer intake restriction only, and to define what constitutes success after bariatric surgery. As a public health measure, bariatric surgery in the United States is being pursued in an irrational manner, being concentrated in areas where there are fewer morbidly obese patients, and used disproportionately among the population of white obese females.

show abstract

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

Abstract: In our opinion prophylactic use of polypropylene mesh in bariatric patients is highly effective in postoperative hernia prevention.

Cited by 59 publications

References 15 publications

Primary mesh augmentation with fibrin glue for abdominal wall closure—investigations on a biomechanical model

Primary mesh augmentation with fibrin glue for abdominal wall closure—investigations on a biomechanical model

Reducing the Incidence of Incisional Hernias following Open Gastric Bypass Surgery

Surgery for Obesity: A Review of the Current State of the Art and Future Directions

Contact Info

Product

Resources

About