Management of Large Midline Incisional Hernia, Double Mesh Modification of Chevrel’s Technique Versus OnLay Mesh Hernioplasty, A Comparative Study.

[摘要] Large mid line incisional hernia is a challenging surgical issue, skin flap necrosis, corsage feeling andchronic postoperative pain together with hernia recurrence are the most common complications of mid lineincisional hernia surgery, we offered a double mesh modification of Chevrel technique for repair of mid lineincisional hernia, our objective here is to test the efficacy and safety of this modification in comparison to theconventional on-lay mesh hernioplasty. In this study we compared two groups of patients with large midlineincisional hernia, group A (22 patients) underwent double mesh modification of Chevrel technique and group B (21patients) underwent on lay mesh hernioplasty, preoperative, operative and follow up data were collected andproperly analyzed to draw the conclusion of the study.All patients completed the deemed procedures successfullyand the follow up time, we reported non-significant differences regarding demographic data and intraoperativedata, regarding the follow up data we detected statistically significant differences in favor of group A regardingdrainage time, incidence of skin flap necrosis, chronic postoperative pain and corsage feeling. Double meshmodification of Chevrel technique is effective as on lay mesh hernioplasty in large midline incisional hernia withlower complications rate.

[学科分类] 工程和技术（综合）

[关键词] Incisional hernia;double mesh modification;chevrel