We retrospectively studied the clinical manifestation, diagnosis, treatment, and therapeutic effect in 25 cases of incisional parapubic hernia. We believe that it is necessary for patients with recurrent hernia to undergo CT detection; the mesh patch should be adequately large, and must be doubly fixed before and after the pubic bone. Sublay and intraperitoneal onlay mesh technique both can obtain good therapeutic effects for incisional parapubic hernia.
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Treatment for incisional parapubic hernia: an experience of 25 cases.
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December 2010
Department of General Surgery, First Affiliated Hospital, General Hospital of PLA, Beijing, China.
We retrospectively studied the clinical manifestation, diagnosis, treatment, and therapeutic effect in 25 cases of incisional parapubic hernia. We believe that it is necessary for patients with recurrent hernia to undergo CT detection; the mesh patch should be adequately large, and must be doubly fixed before and after the pubic bone. Sublay and intraperitoneal onlay mesh technique both can obtain good therapeutic effects for incisional parapubic hernia.
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Department of Surgery, University of Rome Tor Vergata, Viale Oxford, 81, 00133 Rome, Italy.
According to the current literature parapubic hernia is regarded as a relatively rare pathology. The causative defect is usually related to pelvic surgery, traumatism, or bone malformation. Surgical treatment is difficult, because aponeurotic tissue on which to anchor a mesh on the caudal aspect of the defect is missing.
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August 2006
Unidad de Pared Abdominal, Servicio de Cirugía General, Hospital Universitario J.M. Morales Meseguer, Murcia, España.
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