Berg AA

Blomstedt B

Burger JW

Chute R

Donataccio M

Gianchandani R

Halm JA

Herberti Rosique Aguiar

Hughes K

Israelsson LA

Khambaty F

Lima JM

Marco Antonio de Oliveira Peres

Moreno-Egea A

Nelson Adami Andreollo

Peres MAO

Piardi T

Piazzese E

Ros A

Utrabo CAL

Revista do Colégio Brasileiro de Cirurgiões

OBJECTIVE: To evaluate the results of subcostal incisional hernia repair using polypropylene mesh, the technical aspects of musculo-aponeurotic reconstruction, routine fixation of supra-aponeurotic mesh and follow-up for five years.METHODS: We conducted a retrospective study that assessed 24 patients undergoing subcostal incisional hernia repair with use of polypropylene mesh; 15 patients (62.5%) were female; ages ranged from 33 to 82, and 79.1% had comorbidities.RESULTS: Early complications: three cases (12.5%) of wound infection, three cases (12.5%) of seroma, one case (4.1%) of hematoma; and one case (4.1%) of wound dehiscence. Late complications occurred in one case (4.1%) of hernia recurrence attributed to technical failure in the fixation of the mesh and in one case (4.1%) of chronic pain. There were no cases of exposure or rejection of the mesh.CONCLUSION: The subcostal incisional hernia, though not very relevant, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene mesh, with less complexity and lower rates of complications and recurrences.</jats:p

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Surgical treatment of subcostal incisional hernia with polypropylene mesh - analysis of late results

http://www.scielo.br/pdf/rcbc/v41n2/0100-6991-rcbc-41-02-00082.pdf

Surgical treatment of subcostal incisional hernia with polypropylene mesh - analysis of late results

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