Dumanian Technique for Repair of Complex Incisional Hernias

Incisional hernia is protrusion of tissue at or near the site of an incision from a previous surgery. It is a challenging procedure to repair complex incisional hernias. Most of the numerous reconstructive techniques are unable to achieve goals of hernioplasty owing to various factors being planar...

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Main Authors: Sadia Lateef, Surrendar Dawani, Salman Jafferi, Nimra Aslam Aslam, Shahid Rasul
Format: Article
Language:English
Published: Bahria Univerisy Health Sciences, Campus Karachi 2023-04-01
Series:Journal of Bahria University Medical and Dental College
Subjects:
Online Access:https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1122
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author Sadia Lateef
Surrendar Dawani
Salman Jafferi
Nimra Aslam Aslam
Shahid Rasul
author_facet Sadia Lateef
Surrendar Dawani
Salman Jafferi
Nimra Aslam Aslam
Shahid Rasul
author_sort Sadia Lateef
collection DOAJ
description Incisional hernia is protrusion of tissue at or near the site of an incision from a previous surgery. It is a challenging procedure to repair complex incisional hernias. Most of the numerous reconstructive techniques are unable to achieve goals of hernioplasty owing to various factors being planar mesh impose the risk of pain and infection whereas conventional suture repairs can fail due to suture pull through, rupture or slipping of knot. The open components separation technique (CST) creates large undermining skin flaps especially useful in patients with complex hernias who require judicial approximation of the midline fascia. Another novel technique for repair of such hernias is the Dumanian Technique : using mesh as a suture material and has been shown to improve the ultimate tensile strength (UTS) and thus prevent surgical failure. Both the techniques are implemented in our case to achieve successful abdominal closure
format Article
id doaj-art-4bd26d3d2a6b45c983ea6cba5318342c
institution DOAJ
issn 2220-7562
2617-9482
language English
publishDate 2023-04-01
publisher Bahria Univerisy Health Sciences, Campus Karachi
record_format Article
series Journal of Bahria University Medical and Dental College
spelling doaj-art-4bd26d3d2a6b45c983ea6cba5318342c2025-08-20T02:45:06ZengBahria Univerisy Health Sciences, Campus KarachiJournal of Bahria University Medical and Dental College2220-75622617-94822023-04-01130210.51985/JBUMDC2022080Dumanian Technique for Repair of Complex Incisional HerniasSadia LateefSurrendar DawaniSalman JafferiNimra Aslam AslamShahid Rasul Incisional hernia is protrusion of tissue at or near the site of an incision from a previous surgery. It is a challenging procedure to repair complex incisional hernias. Most of the numerous reconstructive techniques are unable to achieve goals of hernioplasty owing to various factors being planar mesh impose the risk of pain and infection whereas conventional suture repairs can fail due to suture pull through, rupture or slipping of knot. The open components separation technique (CST) creates large undermining skin flaps especially useful in patients with complex hernias who require judicial approximation of the midline fascia. Another novel technique for repair of such hernias is the Dumanian Technique : using mesh as a suture material and has been shown to improve the ultimate tensile strength (UTS) and thus prevent surgical failure. Both the techniques are implemented in our case to achieve successful abdominal closure https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1122vComponent separation, Dumanian technique, Incisional hernia, Mesh repair
spellingShingle Sadia Lateef
Surrendar Dawani
Salman Jafferi
Nimra Aslam Aslam
Shahid Rasul
Dumanian Technique for Repair of Complex Incisional Hernias
Journal of Bahria University Medical and Dental College
vComponent separation, Dumanian technique, Incisional hernia, Mesh repair
title Dumanian Technique for Repair of Complex Incisional Hernias
title_full Dumanian Technique for Repair of Complex Incisional Hernias
title_fullStr Dumanian Technique for Repair of Complex Incisional Hernias
title_full_unstemmed Dumanian Technique for Repair of Complex Incisional Hernias
title_short Dumanian Technique for Repair of Complex Incisional Hernias
title_sort dumanian technique for repair of complex incisional hernias
topic vComponent separation, Dumanian technique, Incisional hernia, Mesh repair
url https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1122
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AT surrendardawani dumaniantechniqueforrepairofcomplexincisionalhernias
AT salmanjafferi dumaniantechniqueforrepairofcomplexincisionalhernias
AT nimraaslamaslam dumaniantechniqueforrepairofcomplexincisionalhernias
AT shahidrasul dumaniantechniqueforrepairofcomplexincisionalhernias