Evaluation of Double Mesh Modification of Chevrel’s Technique in Management of Midline Incisional Hernia

Hazem Nour, Hany Mohamed, Mohamed Farid                   

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

Correspondence to: Dr. Hazem Nour, Email: Hzm_nr@yahoo.com

Received: 01 October 2019; Revised: 30 January 2020; Accepted: 15 April 2020; Available online: 29 May 2020

 

Abstract

Background: Chevrel’s technique provides tension-free repair of midline incisional hernia, but wide skin and subcutaneous dissection increases rate of complications. Here, we evaluate the double mesh modification of Chevrel’s technique in midline incisional hernia repair. Methods: 22 patients with midline incisional hernia underwent double mesh modification of Chevrel’s 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 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, and 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 observed 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. 2021;18(1):18–22

DOI: http://dx.doi.org/10.4314/aas.v18i1.4

Conflicts of Interest: None

Funding: None

© 2021 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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