Mesh sutured repairs of abdominal wall defects

Steven T. Lanier, Gregory Ara Dumanian*, Sumanas Wanant Jordan, Kyle R. Miller, Nada A. Ali, Stuart R Stock

*Corresponding author for this work

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: A new closure technique is introduced, which uses strips of macroporous polypropylene mesh as a suture for closure of abdominal wall defects due to failures of standard sutures and difficulties with planar meshes. Methods: Strips of macroporous polypropylene mesh of 2 cm width were passed through the abdominal wall and tied as simple interrupted sutures. The surgical technique and surgical outcomes are presented. Results: One hundred and seven patients underwent a mesh sutured abdominal wall closure. Seventy-six patients had preoperative hernias, and the mean hernia width by CT scan for those with scans was 9.1 cm. Forty-nine surgical fields were clean-contaminated, contaminated, or dirty. Five patients had infections within the first 30 days. Only one knot was removed as an office procedure. Mean follow-up at 234 days revealed 4 recurrent hernias. Conclusions: Mesh sutured repairs reliably appose tissue under tension using concepts of force distribution and resistance to suture pull-through. The technique reduces the amount of foreign material required in comparison to sheet meshes, and avoids the shortcomings of monofilament sutures. Mesh sutured closures seem to be tolerant of bacterial contamination with low hernia recurrence rates and have replaced our routine use of mesh sheets and bioprosthetic grafts.

Original languageEnglish (US)
Article numbere060
JournalPlastic and Reconstructive Surgery - Global Open
Volume4
Issue number9
DOIs
StatePublished - Jan 1 2016

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Abdominal Wall
Sutures
Hernia
Polypropylenes
Transplants
Recurrence
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Lanier, Steven T. ; Dumanian, Gregory Ara ; Jordan, Sumanas Wanant ; Miller, Kyle R. ; Ali, Nada A. ; Stock, Stuart R. / Mesh sutured repairs of abdominal wall defects. In: Plastic and Reconstructive Surgery - Global Open. 2016 ; Vol. 4, No. 9.
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Mesh sutured repairs of abdominal wall defects. / Lanier, Steven T.; Dumanian, Gregory Ara; Jordan, Sumanas Wanant; Miller, Kyle R.; Ali, Nada A.; Stock, Stuart R.

In: Plastic and Reconstructive Surgery - Global Open, Vol. 4, No. 9, e060, 01.01.2016.

Research output: Contribution to journalArticle

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