Keywords : Mesh

Early Post-Operative Ultrasonographic Appearance of Implanted Mesh for Abdominal Wall Hernia Repair

Falah D Salih

Kerbala Journal of Medicine, Volume 10, Issue 2, Pages 2674-2679

background: Mesh herniorrhaphy (open method or through laparoscopic approach) is a common surgical procedure. Identification of the mesh is necessary when abdominal ultrasound is performed. Scanty studies had been involved in the Ultrasonographic appearance of mesh in the early post-operative period.
Aim: to assess the ultrasonographic appearance of polypropylene meshes used for anterior abdominal wall hernia repair.
Patients and methods: Sixty five patients with different types of anterior abdominal wall hernias (epigastric, umbilical, inguinal and incisional) treated with mesh herniorrhaphy, were examined with ultrasound in the early post-operative period. Ultrasonographic appearance of the mesh including visibility of the mesh, regularity, twinkling and posterior acoustic shadowing were assessed.
Results: Sixty five patients were examined and most of them were males. All meshes were visible. Most meshes were wavy and showed posterior acoustic shadowing. Twinkling was rare.
Conclusion: Ultrasound is very useful in identification of the meshes implanted for hernia repair within the early post-operative period and can identify all implanted meshes.