[Dacron tulle prosthesis and biological glue in the surgical treatment of incisional hernias (author's transl)]

Abstract

In repair of incisional hernias the authors use Dacron tulle material for less than peritoneal sac reinforcement prosthesis greater than (PSRP)--a method which prevents recurrences whether or not the abdominal wall is badly damaged. A biological glue (n-butyl-cyanoacrylate monomer) in many cases avoids direct or indirect suture of the patch). In practice, there are two types of PSRP. In one type, the gap in the abdominal wall is small and can be sutured, and the peritoneal Dacron tulle patch is a mere adjunct to parietal synthesis. In the other type, the medial, lateral or peripheral eventration is extensive or recurrent, and parietal synthesis is impossible. A piece of Dacron tulle of very large size is then inserted without any glue or transfixing sutures to help solve mechanical and pathophysiological problems.