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Radiologic Images of Meshoma

Radiologic Images of Meshoma COMMENTARY A New Phenomenon Causing Chronic Pain After Prosthetic Repair of Abdominal Wall Hernias ERNIA SURGERY HAS Right been fundamen- tally affected by the use of prosthetic meshes, which have dramatically lowered the rate of recurrence after hernia repair. This revolutionary development, how- ever, may lead to certain complica- tions. Depending on the chosen pro- cedure and the approach, the mesh is implanted in front of or behind the transversalis fascia; in the latter case, this is done through an open or lap- aroscopic approach. Furthermore, depending on the surgeon’s choice, Figure 3. A meshoma with compression and the mesh is implanted without fixa- encasement of the ilioinguinal nerve. A, A computed tomographic image of the tion or is fixed by sutures, metallic meshoma. B, The explanted specimen showing staples and tacks, or a variety of tis- the resected ilioinguinal nerve completely sue glues. Nonfixation, insufficient Figure 1. A wrinkled mesh from an incisional encased within the base of a mesh plug. hernia repair following an appendectomy. fixation, or insufficient dissection to A, A computed tomographic image of the make adequate room for the pros- wrinkled mesh. B, The explanted wrinkled mesh. Meshoma thesis, however, can lead to folding http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Radiologic Images of Meshoma

JAMA Surgery , Volume 139 (12) – Dec 1, 2004

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References (1)

Publisher
American Medical Association
Copyright
Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.139.12.1297
pmid
15611452
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY A New Phenomenon Causing Chronic Pain After Prosthetic Repair of Abdominal Wall Hernias ERNIA SURGERY HAS Right been fundamen- tally affected by the use of prosthetic meshes, which have dramatically lowered the rate of recurrence after hernia repair. This revolutionary development, how- ever, may lead to certain complica- tions. Depending on the chosen pro- cedure and the approach, the mesh is implanted in front of or behind the transversalis fascia; in the latter case, this is done through an open or lap- aroscopic approach. Furthermore, depending on the surgeon’s choice, Figure 3. A meshoma with compression and the mesh is implanted without fixa- encasement of the ilioinguinal nerve. A, A computed tomographic image of the tion or is fixed by sutures, metallic meshoma. B, The explanted specimen showing staples and tacks, or a variety of tis- the resected ilioinguinal nerve completely sue glues. Nonfixation, insufficient Figure 1. A wrinkled mesh from an incisional encased within the base of a mesh plug. hernia repair following an appendectomy. fixation, or insufficient dissection to A, A computed tomographic image of the make adequate room for the pros- wrinkled mesh. B, The explanted wrinkled mesh. Meshoma thesis, however, can lead to folding

Journal

JAMA SurgeryAmerican Medical Association

Published: Dec 1, 2004

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