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Incisional hernia following appendectomy. Surgical experience

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Summary

Appendectomy is a very frequent cause of incisional hernia. In this paper the rate of recurrence after the hernia repair by simple suture and mesh repair was studied. 17 lateral incisional hernias secondary to appendectomy were repaired over a 9 year period. Prosthetic repair was carried out in 9 cases and primary closure in the remaining 8 cases. All the patients were followed over a period that ranged from 1 to 8 years (mean 5.6 years). There was one recurrence, though 2 patients (11.7%) with mesh repair complained about abdominal pain during the first postoperative year. The study concludes that both techniques can be successfully implemented if the correct indications based on the extent of the defect and the clinical characteristics of the patient are respected.

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References

  • Bancroft FW (1920) Acute appendicitis: a review of five hundred and eighty-four consecutive cases, J Am Med Ass 130: 1635–1638

    Google Scholar 

  • Bastien J, Leconte Ph, Leconte D (1986) Réflexions sur une série de cinq mille appendicectomies. Ann Chir 40: 368–380

    PubMed  Google Scholar 

  • Bastien J, Leconte Ph (1971) Comment agrandir und incision de McBurney. Presse Med 79: 1469–1472

    PubMed  Google Scholar 

  • Brennan TG, Jones NAG, Guillou PJ (1987). Lateral paramedian incision. Br J Surg 74: 736–737

    PubMed  Google Scholar 

  • Bucknall TE, Cox PJ, Ellis H (1982) Burst abdomen and incisional hernia: a prospective study of 1129 major laparotomies. Br Med J 284: 931–933

    Google Scholar 

  • Chevrel JP, Flament JB (1990) Les éventrations de la paroi abdominale. Rapport au 92ème Congrès Français de Chirurgie. Masson, Paris

    Google Scholar 

  • Clements N, Olson JE, Power JH (1965) Acute appendicitis in a rural community. Series IV. Ann Surg 161: 231–235

    PubMed  Google Scholar 

  • CMBD (1997) Insalud. Dirección General de Planificación Sanitaria

  • Egdahl RH (1964) Current mortality in appendicitis. Am J Surg 60: 971–975

    Google Scholar 

  • Fowler FE (1925) Hernia following the use of the McBurney incision in operations for appendicitis. Ann Surg 81: 525–527

    Google Scholar 

  • Garloch JH (1929) Appendectomy wound repair and hernia. Ann Surg 89: 282–286

    Google Scholar 

  • Houck JP, Rypins EB, Sarfeh IJ, Juler GL, Shimoda KJ (1989) Repair of incisional hernia. Surg Gynecol Obstet 169: 397–399

    PubMed  Google Scholar 

  • Kanshin NN, Volenko AV, Fainberg KA (1991) Complications of wound healing in appendectomy. Medical and economic aspects. Khirurgiia Mosk 9: 119–123

    PubMed  Google Scholar 

  • Kazarian KK, Roeder WJ, Mershimer WL (1970) Decreasing mortality and increasing morbidity from appendicitis. Am J Surg 119: 681–685

    PubMed  Google Scholar 

  • Leech P, Waddell G, Main RG (1972) The incidence of right inguinal hernia following appendicectomy. Br J Surg 59: 623

    PubMed  Google Scholar 

  • Lewis FR, Holcroft JW, Boey J, Englebert J (1975) Appendicitis. A critical review of diagnosis and treatment in 1000 cases. Arch Surg 110: 677–684

    Google Scholar 

  • Malazgirt Z, Ozen N, Ozkan K (1992) Effect of appendicectomy on development of right inguinal hernia. Eur J Surg 158: 43–44

    PubMed  Google Scholar 

  • Mittelpunkt A, Nora PF (1966) Current features in the treatment of acute appendicitis: An analysis of 1000 consecutive cases. Surgery 60: 971–975

    PubMed  Google Scholar 

  • O'Riordan OC, Horgan LF, Davidson BR (1995) Drain-site herniation of the appendix. Br J Surg 82: 1628

    PubMed  Google Scholar 

  • Pollet J (1977) Appendectomy wounds do herniate. J R Coll Surg Edinb 22: 274–276

    PubMed  Google Scholar 

  • Santora TA, Roslyn JJ (1993) Incisional hernia. Surg Clin North Am 73: 557–570

    PubMed  Google Scholar 

  • Scott J (1960) Development of inguinal hernia following appendectomy. Illinois Med J 117: 344–345

    Google Scholar 

  • Tera H, Aberg C (1976) Tissue strength of structures involved in musculo-aponeurotic layer sutures in laparotomy incisions. Acta Chir Scand 142: 349–355

    PubMed  Google Scholar 

  • Wolf WI, Hindman R (1952) Acute appendicitis in the aged. Surg Gynecol Obst 94: 239–247

    Google Scholar 

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Duce, A.M., Lozano, O., Villeta, R. et al. Incisional hernia following appendectomy. Surgical experience. Hernia 2, 169–171 (1998). https://doi.org/10.1007/BF01569140

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  • DOI: https://doi.org/10.1007/BF01569140

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