Reparations prothetiques des eventrations post-operatoires

ABSTRACT

The treatment of recurent post-operative eventrations or with major loss of parietal substance often justifies the use of prosthetic materiel. From 1987 to 1994; 119 from a serie of 252 post operative eventration were treated by such procedure using a prothesis type "Mersilene". The age intervall ranges from 28 to 72 years old with majority female [80%]. Benefited from this prosthetic treatment the patients who had undergone multiple surgery [65%] with large volume or complex post-operative eventration [35%]. All of them had at least one risk factor. This complication is seen predominatly after gynecology [45%] or bilairy tract surgery [34%]. Wound sepsis is present in 30% of the cases as complication of the first laparotomy which was mediane in 86%. In 60% of cases the apparition delay was less than a year. The prothesis was implanted preperitoneally. Antibioprophylaxy was systematically given. In the post-operative course, 7 wound abcess accured, 5 hematomas and 5 recurrent eventration. The others patients had a good outcome 8 months to 7 years after surgery. The authors stress the fundamental importance of peri operative carre during such intervention. The quality of results depends on it