dc.contributor.author | Privett, BJ | |
dc.contributor.author | Ghusn, M | |
dc.date.accessioned | 2018-04-04T00:28:59Z | |
dc.date.available | 2018-04-04T00:28:59Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 1265-4906 | |
dc.identifier.doi | 10.1007/s10029-016-1470-1 | |
dc.identifier.uri | http://hdl.handle.net/10072/142418 | |
dc.description.abstract | Introduction:
There are a group of patients in which umbilical or epigastric hernias co-exist with rectus divarication. These patients have weak abdominal musculature and are likely to pose a higher risk of recurrence following umbilical hernia repair. We would like to describe a technique for open repair of small (<4 cm) midline hernias in patients with co-existing rectus divarication using self-adhesive synthetic mesh. The use of a self-adhesive mesh avoids the need for suture fixation of the mesh in the superior portion of the abdomen, allowing for a smaller skin incision.
Results:
In 173 patients, preperitoneal self-fixating mesh has been used for the repair of midline hernias <4 cm in diameter. In 58 of these patients, the mesh was extended superiorly to reinforce a concurrent divarication.
Discussion:
The described technique offers a simple option for open repair of small midline hernias in patients with co-existing rectus divarication, to decrease the risk of upper midline recurrence in an at-risk patient group. This initial case series is able to demonstrate a suitably low rate of recurrence and complications. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Springer | |
dc.relation.ispartofpagefrom | 527 | |
dc.relation.ispartofpageto | 530 | |
dc.relation.ispartofissue | 4 | |
dc.relation.ispartofjournal | Hernia | |
dc.relation.ispartofvolume | 20 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Clinical sciences not elsewhere classified | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 320299 | |
dc.title | Proposed technique for open repair of a small umbilical hernia and rectus divarication with self-gripping mesh | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.faculty | Griffith Health, School of Medicine | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Privett, Benjamin J. | |