Early results of various reconstructions of abdominal incisional hernias with Prolene mesh

Authors report on the early results of 127 operations performed for incisional hernias without selection in the last two years. Prolene mesh (in 8 patients with sublay, in 5 with inlay and in 27 with onlay technique) was implanted into the abdominal wall. They examined the wound healing influenced by the various methods of mesh placement. The time of operation, drainage and postoperative stay was shorter, the volume of liquid drained from the wound was less in reconstructions of incisional hernias without mesh. In the group without mesh (n = 87) 4 patients were lost, and wound complications developed in 8.1%. After mesh implantations (n = 40) wound complications occurred in 12.5% of the patients. In 2 patients the mesh had to be removed, then a new one reimplanted. There was no difference in results of various methods of mesh placements. According to their good experiences obtained in operations for incisional hernias, if indicated, the use of a mesh in recommended to avoid recurrences.