Cardiff repair of incisional hernia: A University hospital experience

Abstract

Objective: To analyse our results of the 'Cardiff' (far and near) repair in incisional hernias. Design: Prospective study. Setting: University hospital, Varanasi, India. Subjects: 50 patients who presented with incisional hernias between January 1990 and December 1994. Intervention: Interrupted far-and-near sutures inserted after excision of the sac. The contents were pushed into the abdomen and the peritoneum sutured with non- absorable polypropylene (prolene). Main Outcome Measures: Early and late morbidity. Six patients developed postoperative complications (wound infection, n = 3; flap necrosis, n = 2; and wound sinus, n = 1). No patient has been lost to follow up and there have been no signs of recurrence after a mean follow up of 52 months. Conclusion: The meticulous application of this simple surgical technique has low morbidity and is cost effective. We recommend it for small and medium size defects.