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Evaluation of double mesh modification of Chevrel’s technique in management of midline incisional hernia
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohamed Ibrahim Mohamed Farid
Staff Zu Site
Abstract In Staff Site
Journal:
Annals of African Surgery (2020) Surgical Society of Kenya
Volume:
Keywords :
Evaluation , double mesh modification , Chevrel’s technique
Abstract:
Abstract Background: Chevrel technique provides tension free repair of midline incisional hernia, but wide skin and subcutaneous dissection increases complications rate, here we are evaluating the double mesh modification of Chevrel technique in midline incisional hernia repair.. Patients and Methods: 22 patients with midline incisional hernia underwent double mesh modification of Chevrel technique, after excision of hernial sac with minimal dissection of the skin and subcutaneous tissue, the anterior rectus sheath is incised on both sides to create a medial flaps that are sutured to each other, both recti abdominis muscles were dissected off the posterior rectus sheath opening the retrorectus space, prolene mesh was fixed in the retrorectus space with prolene sutures, then a prolene mesh was tailored to cover the bare area of anterior surface of both recti muscles, and fixed to the lateral flaps of the anterior rectus sheath with interrupted prolene sutures . Results: We got no recurrences, no skin necrosis, two cases of seroma, one case of superficial wound infection and one case of temporary chronic pain. Conclusion: Double mesh modification of Chevrel technique is an efficient method for treatment of midline incisional hernia with minimal surgical site occurrences.
Author Related Publications
Mohamed Ibrahim Mohamed Farid, "ROLE OF SIMULTANEOUS V-Y ADVANCEMENT FLAP DURING HEMORRHOIDECTOMY MILLIGAN-MORGAN IN PREVENTING ANAL STENOSIS", Morse Florse (India), 2016
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Mohamed Ibrahim Mohamed Farid, "RECRUITMENT OF ALVARADO AND MODIFIED RIPASA SCORES IN DIAGNOSIS OF ACUTE APPENDICITIS.", Morse Florse (India), 2019
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Mohamed Ibrahim Mohamed Farid, "Endoscopic preaponeurotic mesh placement in cases of divarication of recti associated or not with midline hernia", WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2019
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Mohamed Ibrahim Mohamed Farid, "Prognostic Value of TWIST1 and EZH2 Expression in Colon Cancer", Springer Nature, 2019
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Mohamed Ibrahim Mohamed Farid, "Evaluation of axillary reverse mapping (ARM) in clinically axillary node negative breast cancer patients - Randomised controlled tria", Elsevier, 2020
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Department Related Publications
Gamal Mohamed Osman Hassan, "LAPAROSCOPY VERSUS LAPAROTOMY IN EVALUATION OF PENETRATING ABDOMINAL INJURIES.", Journal Homepage: -www.journalijar.com Article DOI:10.21474/IJAR01/7030, 2018
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Ahmed Rafaat Abdelfatah, "Histoacryl Glue versus Polypropylene Suture Mesh Fixation in Lichtenstein Inguinal Hernioplasty", International Journal of Life Sciences International Peer Reviewed Open Access Refereed Journal, 2018
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Mohamed Mahmoud Mohammed Kelani Sharkawy, "Effective, simple, easy procedure for laparoscopic port closure in difficult cases", annals of medicine and surgery, 2018
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Mohamed Mahmoud Mohammed Kelani Sharkawy, "Lazy lateral technique: an innovative approach for upper outer quadrant breast cancer near the anterior axillary fold", The Egyptian Journal of Surgery, 2018
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Zaky Abdelgawad Elsayed Ahmed Alam, "Modified transabdominal external needle for mesh size estimation in laparoscopic hernia repair", International journal of surgery, 2014
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