MOJ
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Case Series Volume 13 Issue 2
Use of polypropylene mesh as the solem resource for correction of complex ventral hernias in a public hospital in Rio De Janeiro
Yasmim EP Machado, Márcio B Cavaliere, Rodrigo A Vaz de Melo, Bruno Vaz de Melo, Pedro Mastrangelo, Beatriz E Nascimento
Received: April 21, 2025 | Published: July 17, 2025
Citation: Machado YEP, CavaliereMB, Melo RAV, et al. Use of polypropylene mesh as the solem resource for correction of complex ventral hernias in a public hospital in Rio De Janeiro. MOJ Surg. 2025;13(3):66‒71. DOI: 10.15406/mojs.2025.13.00296
Abstract
Background: there is no single consensus in the literature on the definition and classification of complex hernias. They are characterized by a set of factors related to the patient, the surgical technique used and the clinical scenario. This case series aims to demonstrate that, for the majority of complex hernias, the use of a polypropylene mesh associated with an appropriate surgical technique may be sufficient to achieve excellent results. Methods: this is a cross-sectional study, with observational and retrospective analysis of 34 patients who underwent surgery to treat complex hernias from July 2020 to January 2025. The variables analyzed included type of admission to the service, sex, age, comorbidities, preoperative preparation, imaging exams, surgical technique used and complications. Results: the medical records of 34 patients were reviewed and included, with a predominance of males and an average age of 59 years, 41% of whom were obese. The main way of accessing the service was through elective surgery, and all patients underwent abdominal computed tomography. Preoperative preparation was carried out on an individual basis, considering the patient’s clinical condition, their risk factors and the proposed surgical treatment, including, in some cases, the use of progressive pneumoperitoneum. In most procedures, the technique of separating muscle components was necessary to close the midline. No serious complications, such as death or abdominal compartment syndrome, were recorded. Conclusion: incisional hernias represent a major therapeutic challenge, requiring multidisciplinary support and careful choice of the most appropriate surgical technique for closing the abdominal wall. The use of polypropylene mesh, when associated with an appropriate surgical technique, has proven to be a viable and effective option. However, centralizing these cases in SUS reference centers could optimize the use of limited resources and, above all, guarantee adequate treatment for these patients.
Keywords: hernia, abdominal, hernia, ventral, incisional hernia, abdominal wall reconstruction, meshes
©2025 Machado, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.