Evaluation of double mesh modification of Chevrel’s technique in management of midline incisional hernia

Hazem Nour, Hany Mohamed, Mohamed I Farid.                   

Department of General Surgery, Faculty of Medicine, Zzagazig University, Egypt.

Correspondence to:

Hazem Nour, Department of General Surgery, Faculty of Medicine, Zzagazig University, Egypt.

Email: Hzm_nr@yahoo.com

Abstract

Background: Chevrel technique provides tension free repair of midline incisional hernia, but wide skin and subcutaneous dissection increases complications rate, here we are evaluating the double mesh modification of Chevrel technique in midline incisional hernia repair. Patients and methods: 22 patients with midline incisional hernia underwent double mesh modification of Chevrel technique, after excision of hernial sac with minimal dissection of the skin and subcutaneous tissue, the anterior rectus sheath is incised on both sides to create a medial flaps that are sutured to each other, both recti abdominis muscles were dissected off the posterior rectus sheath opening the retrorectus space , prolene mesh was fixed in the retrorectus space with prolene sutures, then a prolene mesh was tailored to cover the bare area of anterior surface of both recti muscles, and fixed to the lateral flaps of the anterior rectus sheath with interrupted prolene sutures . Results: We got no recurrences, no skin necrosis, two cases of seroma, one case of superficial wound infection and one case of temporary chronic pain. Conclusion: Double mesh modification of Chevrel technique is an efficient method for treatment of midline incisional hernia with minimal surgical site occurrences.

Keywords: Chevrel technique, double mesh technique, midline incisional hernia.

Ann Afr Surg. ****; **(*):***

DOI: http://dx.doi.org/10.4314/aas.v*****

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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