Large incisional hernia (LIH) is a challenging condition where the abdominal wall is hopelessly compromised. Nowadays the best treatment option in this particularly frail subset of patients is a major issue. The Auhtors proposed the clinical experience with an innovative approach with the composite Free Lateral Polypropylene prosthesis (FLaPp®) mesh fashioned as "neoperitoneum" analyzing its feasibility and short/medium term results.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
43
After the reduction of the large incisional hernia, the polypropylene transparent film of this mesh (lower flap) was sutured to the margins of the residual peritoneum and posterior rectus sheath as a "neo-peritoneum"; the macroporous light polypropylene layer (upper flap) was then sutured circumferentially with full-thickness transabdominal stitches in the retromuscular space.
Early surgical outcome of FLaPp® prosthesis classified according to Clavien Dindo Classification
evaluation of feasibility of FLaPp® prosthesis in patients affected by LIH by the assessment of postoperative morbidity classified according to Clavien Dindo Classification
Time frame: one month
Evaluation of pain after FLaPp® prosthesis
Evaluation of postoperative pain through Visual Analague Scale
Time frame: one month
Mortality after FLaPp® prosthesis
Rate of posoperative mortality after FLaPp® prosthesis
Time frame: One month
incisional hernia recurrence at medium term
assessment of postoperative recurrence after 36 months evaluated with clinical outcpatient control and CT scan
Time frame: 36 months
Patients' satisfatcion after FLaPp® prosthesis
Evaluated through the so-called 36 items Short-Form health survey
Time frame: 36 months
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