Savaş TEZEL, Reha ÖZGÜVEN, Selma TUNÇOL

Affect of Ischemia on Adhesion Formation for Hernia Repair with Polypropylene Mesh

Mesh ile onarılan insizyonet hernilerden sonra postoperatif adezyonlar görülür. Adezyon oluşumu ile mesh tipleri arasında bir ilişki bildirilmesine rağmen, bu çalışmamız göstermiştir ki; adezyon oluşumu mesh tipinden ziyade iskemi ile ilişkilidir. Bu çalışmanın amacı ventral hernilerin mesh ile tamiri sırasında, iskeminin adezyon oluşumu üzerindeki etkilerine dikkat çekmektir.

Anahtar Kelimeler:

Adezyon, polipropilen mesh.

Propilen Mesh ile Yapılan Fıtık Onarmalarında İskeminin Adezyon Formasyonuna Etkisi

Postoperative adhesions are seen after mesh repairs for incisional hernia. VVhiie a corretation betvveen adhesion formation and type of mesh has been reported, our study shows that adhesion formation is related to ischemia rather than mesh type. The aim of this study is to point out the affects of ischemia on adhesion formation for when repairing ventral hernias with mesh.

Keywords:

Adhesion, polypropylene mesh.,

PDF

___

Bellon JM, Contreras LA, Bujan J. The use of biomaterials
in the repair o f abdominal wall defects: A comparative study between polypropylene meshes (Marlex) and a new polyte- trafluoroethylene prosthesis (Dual-Mesh). J. Biomater. Appl 1997;12:121.
Bellon JM, Bujan J, Contreras LA. Comparison o f a new
type o f polytetrafluoroethylene patch (Dual-Mesh) and polypropylene prosthesis (Marlex). J Am Coll Surg 1996:183:11.
Bellon JM, Contreras LA, Pascual G. Neoperitoneal forma tion after implantation o f various biomaterials for the repair of abdominal wall defects in rabbits. Eur J Surg 1999:165: 145.
Cristoforoni PM, Kim YB, Preys Z. Adhesion formation after incisional hernia repair: A randomized porcine trial. Am. Surg 1996:62:935.
Jenkins S D, Kalmer TM, Parteka JJ. A comparison o f pros- thetic materials used to repair abdominal wall defects. Surg 1983:94:392.
MurphyJL, Freeman JB, Dionne PG. Comparison o f Marlex
and Gore-tex to repair abdominal wall defects in the rat. Can J Surg 1989:32:244.
Şahin M, Hasanoglu A. Comparison o f prosthetic material
used for abdominal wall defects or hernias (an experimental study). Açta Chir Hung 1995-96:35:291.
Sher W, Pollack D, Paulides CA. Repair o f abdominal wall
defects: Gore-Tex vs Marlex graft. Am Surg 1980,46:618.
Simmermacher RK, Schakenraad JM, Bleichrodt RP.
Reherniation after repair of theabdominal wall with expand- ed polytetrafluoroethylene. J. Am. Coll. Surg 1994:178:613.
Rayner CRW. Repair offull-thickness defects of the abdom inal wall in rats avoiding visceral adhesions. Br J Plastic Surgery 1974:27:130.
Ellis, H.: The cause and prevention o f postoperative intraperitoneal 1971:133:497. Surg Gynecol Obstet
Ellis H. VVound repair. Reaction o f the peritoneum to injury. Ann. R Coll Surg Engl 1978:60:219.
VVilliams DC. The peritoneum. A plea for a change in atti- tude tovvards the membrane. Br J Surg 1955:42:401.
Bridges JB, VVİİİtting HW. Parietal peritoneal healing in the ra tJ P a th Bact 1964:87:123.
Johnson FR, VVhitting HW. Repair o f parietal peritoneum. Br J Surg 1962:49:653.
Myllarniemi H, Kappinen V. Vascular pattern o f peritoneal adhesions. Br J Surg 1968:55:605.