Polypropylene mesh repair of incisional hernia after kidney transplantation: single-center experience and review of the literature
Language English Country United States Media print
Document type Journal Article, Review
PubMed
21959519
DOI
10.12659/aot.882004
PII: 882004
Knihovny.cz E-resources
- MeSH
- Surgical Mesh * MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Herniorrhaphy methods MeSH
- Polypropylenes MeSH
- Postoperative Complications etiology surgery MeSH
- Retrospective Studies MeSH
- Risk Factors MeSH
- Aged MeSH
- Kidney Transplantation adverse effects MeSH
- Hernia, Ventral etiology surgery MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
- Names of Substances
- Polypropylenes MeSH
BACKGROUND: Incisional hernia after kidney transplantation increases patient morbidity and impacts quality of life. Reports of hernia mesh repair after kidney transplantation are rare; thus, the benefit of mesh hernioplasty in transplanted patients is assumed. However, it is also assumed that transplant patients are susceptible to incisional and mesh infections. MATERIAL/METHODS: Between January 1, 2005 and December 31, 2010, we performed 1067 kidney transplantations. Twenty-eight patients developed incisional hernias (2.6%), and mesh repair was performed in 20 of them (8 women, 12 men; median age 59.5 years, range 43 to 68 years). We retrospectively studied this latter group. We also reviewed the literature regarding the results of this treatment. RESULTS: Postoperative mortality was zero, but postoperative wound bleeding led to surgical revision in 1 patient. Wound infection did not occur. During the follow-up period we observed 4 hernia recurrences (20%). CONCLUSIONS: In conclusion, our retrospective study and review of the literature confirmed the safety and low incidence (1.1% to 3.8%) of mesh hernia repair in chronic immunosuppressed patients after renal transplantation, which has a minimal risk of wound infection and no higher risk of hernia recurrence than in non-transplant patients.
Transplant Surgery Department Institute for Clinical and Experimental Medicine Prague Czech Republic
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