الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 147 |  |  |
| | | from | 147 | | |
Abstract
Incisional hernia is a protrusion of abdominal contents through a defect in the abdominal wall that develops in the scar of a previous laparotomy. Incisional hernia is iatrogenic and its incidence has increased with each increment of abdominal surgical intervention. An incisional hernia is the most perfect example of a “surgeon-dependent variable.” Incisional hernia is a common complication after abdominal surgery with a reported incidence between 11 and 20%. Incisional hernias enlarge over time which makes repair more difficult. Moreover, serious complications such as bowel obstruction, incarceration and strangulation or enterocutaneous fistula may occur over time. As recurrences rates after suture repair are as high as 58 % , the implantation of a prosthetic mesh is nowadays considered as the standard treatment. Recurrence rates between 2 % and 17 % are reported for mesh repair. The introduction of prosthetics has revolutionized hernia surgery with the concept of tension free repair. Although a wide variety of surgical procedures have been adopted for the repair of incisional hernia, but the implantation of prosthetic mesh remains the most efficient method of dealing with incisional hernia. The mesh facilitates closure, minimizes tension on the suture line, and assures high wound strength. Several mesh types are available which differ in material, textile structure, pore size, weight, elasticity, tissue reaction, biocompatibility and absorption time. In this thesis, a comparative study between two mesh types of surgical treatment for incisional hernia was made. The study included 30 adult patients with uncomplicated incisional hernia divided randomly into two groups: group A (partially absorbable meshes): In the first group, partially absorbable meshes (e.g. the ULTRAPRO® Mesh) were used in incisional hernia repair for fifteen patients. group B (non-absorbable meshes): The second group, non-absorbable(e.g. PROLENE® Mesh) meshes were used in incisional hernia repair for fifteen patients. In this study no significant difference found between both meshes in incisional hernia repair.