In repair of incisional hernias the authors use Dacron tulle material for less than peritoneal sac reinforcement prosthesis greater than (PSRP)--a method which prevents recurrences whether or not the abdominal wall is badly damaged. A biological glue (n-butyl-cyanoacrylate monomer) in many cases avoids direct or indirect suture of the patch). In practice, there are two types of PSRP. In one type, the gap in the abdominal wall is small and can be sutured, and the peritoneal Dacron tulle patch is a mere adjunct to parietal synthesis. In the other type, the medial, lateral or peripheral eventration is extensive or recurrent, and parietal synthesis is impossible. A piece of Dacron tulle of very large size is then inserted without any glue or transfixing sutures to help solve mechanical and pathophysiological problems.
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[Repair of inguinal hernias without tension and without suture using a large dacron mesh prosthesis and by pre-peritoneal approach. A method of reference for selective indication].
Ann Chir
April 1997
Clinique Chirurgicale, Hôpital Nord, Amiens.
This original and now classical method was the first tensionless and sutureless repair of groin hernias proposed almost 30 years ago. Its authors recall its principles, technique and results. The discussion justifies the choice of the particular prosthetic material, demythifies the sepsis risk which is balanced by the recurrence risk, the potentially raising problems related to retroparictal sclerosis at reoperation on the bladder or external iliac vessels, and defines the indications and contraindications of the procedure.
View Article and Find Full Text PDF[Treatment of inguinal hernias. Value of the insertion of an unsplit dacron mesh with parietalization of the cord elements by inguinal approach. Apropos of 1017 cases].
Ann Chir
April 1997
Service de Chirurgie Générale et Digestive, Hôpital Broussais, Paris.
The authors describe an original technique for repair of groin hernia, using a large sheet of Dacron mesh placed by the inguinal route. Among 1613 procedures for hernia repair, this technique was used for 1017 repairs in 971 patients with a mean age of 63 years. The mortality rate was 0.
View Article and Find Full Text PDF[Repair of hernia by a prosthetic dacron plug. Experience with 600 cases].
Chirurgie
February 1994
Institut Arnault Tzanck, Saint-Laurent-du-Var.
In some cases of inguinal hernia and of recurrence, the hernial gap can be selectively filled with a plug made of tull or dacron. In our opinion, the merit of this technique is that it limits incisions, detachments and structures of muscular and aponeurotic structures. Thus the operation is particularly non-traumatic and well tolerated by patients, who are discharged after 30 to 40 minutes and can often resume work on the very same day.
View Article and Find Full Text PDFThe authors report a series of 128 inguinal hernias operated by a mid line extra peritoneal incision with using Dacron Tulle material, and with a 3 years minimal follow up. The spetical risk in this series is about 0.78 percent.
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