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Professor Doctor Hossam El-Fol

Shoelace darn repair versus mesh repair hernioplasty in treating midline abdominal incisional hernia

Published

Samir Kohla, Hossam El-Fol, Ahmed El-Gammal, Ayman Al-Ebiary

Journal
Menoufia Medical Journal
Publisher
Menoufia University
Volume
29
Issue
3
Pages
575

Abstract

Objective

The objective of this study was to compare the efficiency and safety between the use of shoelace darn repair and the use of mesh repair in the management of midline abdominal incisional hernia. 

Background

Midline abdominal incisional hernia is a complication caused by surgical wounds after different surgical procedures. Management of midline abdominal incisional hernia is performed through different surgical approaches. 

Patients and methods

This was a 1-year, prospective, randomized study including 40 patients with midline abdominal incisional hernia. The patients were divided into two equal groups-group I (20 patients) repaired by shoelace darn repair and group II (20 patients) repaired using a polypropylene mesh. Both groups were evaluated for incidence of infection, hematoma formation, seroma formation, and recurrence for 12 months. 

Results

Wound hematoma was found in one patient (5 …