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Research Articles Supplement 1 · 2018 · pp. 126–133 · Issue page

INCISIONAL HERNIA COMPLICATIONS AFTER USING POLIPROPILEN MESH – CASE REPORT

VL
Vlad BALEANU1
IO
Ion GEORGESCU2
DR
Dragos DAVITOIU3
LA
Laura MANDA4
BO
Bogdan SOCEA5
TI
Tiberiu Stefăniță ȚENEA-COJAN6
1 MD, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania
2 Emergency County Hospital Craiova, Ist Surgery Clinic, Professor of Surgery
3 University of Medicine and Pharmacy „Carol Davila” Bucharest, Romania
4 University Emergency Hospital Bucharest, Ist Surgery Clinic, Surgeon
5 University of Medicine and Pharmacy „Carol Davila” Bucharest, Romania
6 Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy of Craiova
Corresponding author: [email protected]
Accepted 28 March 2026
Available Online 15 June 2018
Abstract
INCISONAL HERNIA APPEARS AS A RUPTURE OR A DEFICIENT OF INTERFASCIAL FIBROSIS WITCH HAS A RATE OF 11 -23% AFTER A LAPAROTOMY. FOR REDUCING THE RATE OF INCISIONAL HERNIAS PROSTHETIC MESH WERE USED, IN SPECIAL POLIPROPILEN. COMPLICATIONS LIKE SEROMA, FISTULA, BOWEL OBSTRUCTION, CHRONIC PAIN MUST BE CONSIDERED AND AVOIDED. IN CASES OF COMPLICATED INCISIONAL H ERNIA WITH LIFE –THREATENING SITUATIONS THE EMERGENCY TREATMENT MUST BE TAKEN. IF THE CORRECT MESH IS NOT USED FOR THE COVER OF AN MINIMAL 5 CM OVERLAP THE POSTOPERATIVE COMPLICATIONS INCREASE DRAMATICALLY. FIBROBLASTS, FOREIGN BODY GIANT CELLS, CAPILLARIE S AND MACROPHAGES HAVE DIFFERENT ACTIONS DEPENDING ON THE TOPOGRAPHY AND THE STRUCTURE OF THE MATERIAL USE. MESHES WITH PORE >1000 μM ASSURE A BETTER PROTECTION FROM COLONIZATION OF BACTERIAL DUE LARGE FILAMENTS THAT FACILITATE THE INFILTRATION OF MACROPHA GES. THE SOLUTIONS FOR MESH INFECTION IS THE COMPLETE REMOVAL OF THE PROSTHETIC MATERIAL, A COMPLETE DEBRIDEMENT OF THE REGION AND A CORRECT ADMINISTRATION OF SYSTEMIC ANTIBIOTICS.
Keywords
INCISONAL HERNIA COMPLICATIONS POLIPROPILEN MESH
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