P064 DURABLE REPAIR OF PRIMARY AND RECURRENT INCISIONAL HERNIA BASED ON BIOMECHANICAL PRINCIPLES
| العنوان: | P064 DURABLE REPAIR OF PRIMARY AND RECURRENT INCISIONAL HERNIA BASED ON BIOMECHANICAL PRINCIPLES |
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| المؤلفون: | Lösel Philipp, Thorsten Löffler, Johannes Görich, Johannes Rinn, Liung Al-Hileh, Regine Nessel, Vincent Heuveline, Matthias Vollmer, Samuel Voss, Friedrich Kallinowski |
| المصدر: | British Journal of Surgery. 108 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Incisional hernia, Medicine, Surgery, business, medicine.disease |
| الوصف: | Aim Durable composite constructions of polymers follow specific mechanical principles. Can incisional hernia can be repaired durably based on biomechanical principles considering the abdominal wall a polymer composite? Material and Methods Biomechanical principles of the reconstruction of the abdominal wall were analyzed ex vivo with cyclic loading common in material sciences. The resulting GRIP concept was clinically applied. The tissue quality of the individual patient was assessed with computed tomography at rest and during Valsalva’s maneuver. Hernia meshes with high GRIP factors (Progrip®, Dahlhausen® Cicat) were used. All patients recieved single-shot antibiosis. Patients were discharged after full ambulation was achieved. Results A total of 163 patients (82 males and 81 females) were treated for incisional hernia. Primary hernia was repaired in 119, recurrence in 44 patients. Recurrent hernia was significantly larger (median 161 cm² versus 78 cm²; u-test: p = 0.00714) resulting in a 30 % lower mesh defect area ratio. Redo-surgery took significantly longer (median 229 min versus 150 min; p Conclusions Incisional hernia can be repaired safely and durably based on biomechanical principles. |
| تدمد: | 1365-2168 0007-1323 |
| DOI: | 10.1093/bjs/znab395.060 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::3df939b1bcac22276af8795be3b1a120 https://doi.org/10.1093/bjs/znab395.060 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi...........3df939b1bcac22276af8795be3b1a120 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652168 00071323 |
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| DOI: | 10.1093/bjs/znab395.060 |