Repair of Complicated Multiple Incisional Hernia on One Patient: Erlangen InlayOnlay Mesh Repair Combined with Extended Spider-Suture Technique
Repair of Complicated Multiple Incisional Hernia on One Patient: Erlangen InlayOnlay Mesh Repair Combined with Extended Spider-Suture Technique
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Resit DemirMedical Care Center, MVZ PD Dr. Demir & Colleagues, Nürnberg, Germany
A B S T R A C T
Purpose: Surgical treatment of large ventral hernia after laparotomy is a challenge for surgeons. It becomes even more complicated if there is more than one hernia on the abdominal wall and patients have additional risk factors such as BMI> 30, severe CAD or lung problems. In the following work I would like to introduce you two patients who had exactly these constellations and who could be operated successfully by combining two surgical techniques. Methods: Two high-risk patients, first had a large median and one para median and the second had a median and in the left upper abdomen an incisional hernia. The median hernia was closed in both patients with a mesh according to the Erlangen-Inlay-Onlay Mesh Repair (EIOM) procedure. The lateral incisional hernias were closed with the so-called Extended Spider-Suture Technique (ESST). The patients were then followed up for two years. Results: Both patients were very satisfied after two years and would recommend the operation to others. The clinical and sonographic examination of the two patients showed no evidence of hernia recurrence. Conclusion: The combination of both surgical techniques EIOM and ESST showed that all types of abdominal wall hernias can be treated safely even in high-risk patients.
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Case ReportPublication history
Received: Fri 16, Oct 2020Accepted: Wed 28, Oct 2020
Published: Wed 04, Nov 2020
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© 2023 Resit Demir. 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. Hosting by Science Repository.DOI: 10.31487/j.SCR.2020.11.04