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P. Amid (2004)
Lichtenstein tension-free hernioplasty: Its inception, evolution, and principlesHernia, 8
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
JAMA Surgery – American Medical Association
Published: Dec 1, 2004
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