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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mesh Group | Experimental | Patient with large incisional hernia treated with FLaPp® mesh as neoperineium |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hernioplastic and insertion of FLaPp® composite mesh | Procedure | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | one month |
| Evaluation of pain after FLaPp® prosthesis | Evaluation of postoperative pain through Visual Analague Scale | one month |
| Mortality after FLaPp® prosthesis | Rate of posoperative mortality after FLaPp® prosthesis | One month |
| Measure | Description | Time Frame |
|---|---|---|
| incisional hernia recurrence at medium term | assessment of postoperative recurrence after 36 months evaluated with clinical outcpatient control and CT scan | 36 months |
| Patients' satisfatcion after FLaPp® prosthesis |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D000069290 | Incisional Hernia |
| ID | Term |
|---|---|
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
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|
Evaluated through the so-called 36 items Short-Form health survey
| 36 months |
| D010335 | Pathologic Processes |