%0 Journal Article
%T Hernias, aortic surgery and review of the literature of incisional hernias
%A Farrugia
%A Frederick-Anthony
%A Koliakos
%A Nikolaos
%A Martikos
%A Georgios
%A Sotiropoulos
%A Dimitros
%A Tzanetis
%A Panagiotis
%A Zavras
%A Nikolaos
%J -
%D 2016
%X Sa£¿etak Objectives: To study the relation of incisional hernias after abdominal aortic surgery and to study the recommendations for prevention of incisional hernias in general. Methods: An extensive search in Pub-Med was conducted. We used the following MeSH terms; abdominal aortic aneurysm; incisional hernia; inguinal hernia; incisional hernia and radiology, abdominal wound closure, we also did a ¡°snow-falling¡± search with the above terms. Results: Still today there is not unanimity concerning the relation of aortic or aortoiliac pathology and incisional or inguinal hernias although the majority of studies suggest that there is a possible increase in the prevalence of incisional hernias after aortic surgery. Conclusions: In order to lessen the possibilities of incisional hernias suture length to wound length ration should be more that 4:1. Sutures should be tied without excessive tension and to use either a slowly absorbable or nonabsorbable suture material. Use a suture USP 2/0 mounted on a small needle. Place stitches in the aponeurosis only and 5 to 8mm from the wound edge and 4 to 5 mm apart
%K incisional hernia
%K aortic surgery
%K recommendations
%K abdominal wound suture
%K prevention of incisional hernias
%U https://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=258755