Prevention of incisional XXXX after @entity449 repair.

@entity1 @entity3256 @entity449 @entity7502 @entity794 @entity281 @entity439 @entity547 @entity583 @entity1229
BACKGROUND: Incisional @entity547 is a common late complication of elective @entity439 ( @entity439 ) repair. This paper describes a technique that could prevent the development of this condition. METHODS: Since Jan 2001, a @entity7502 mesh has been sutured prophylactically in the pre-peritoneal space during abdominal closure after elective @entity439 repair. RESULTS: Twenty-eight consecutive elective procedures were performed. One @entity1 died from a @entity583 13 days after operation. Four @entity1 (14%) had a wound @entity281 (1 deep @entity3256 resistant @entity794 ( @entity794 ) @entity281 and 3 superficial) that were treated successfully with antibiotics and dressings. One additional @entity1 had a positive @entity794 wound swab but required no treatment. Two @entity1 required late re-operations. One, who was on @entity1229 , required an urgent laparotomy for a leaking false @entity439 of the distal anastomoses 3 months after elective repair. A second @entity1 had an anterior resection 18 months after @entity439 repair. Both re-operations were uneventful. No @entity1 has yet developed a clinically evident incisional @entity547 . CONCLUSIONS: These early data suggest that this mesh technique is a simple, safe and potentially effective method to decrease the incidence of incisional @entity547 following @entity449 repair.
