Hernia recurrence after laparotomy: how to close an incised light-weight mesh?

A rising number of patients require relaparotomy after implantation of mesh materials for incisional hernia (IH) repair. No published recommendation concerning how to close the incision in a surgical mesh exists. We describe a central IH recurrence through a partly absorbable mesh positioned in the retromuscular plane 16 months after laparotomy due to a small bowel ileus.

Intravascular volume depletion in a 24-hour porcine model of intra-abdominal hypertension.

Background: The purpose of the study was to examine hemodynamic parameters and intravascular volume in a porcine model in the presence of intra-abdominal hypertension (IAH) lasting for 24 hours.

Methods: Twelve pigs (52.5 +/- 4.

Evaluation of two novel methods for the direct and continuous measurement of the intra-abdominal pressure in a porcine model.

Objective: Intravesical bladder pressure (IVP) measurement is considered to be the gold standard for the assessment of intra-abdominal pressure (IAP). However, this method is indirect, discontinuous, and potentially infectious and relies on a physiological bladder function. This study evaluated two novel methods for direct, continuous IAP measurement.