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January 1955


Author Affiliations

From the Surgical Departments of The Johns Hopkins Hospital and the Church Home and Hospital.

AMA Arch Surg. 1955;70(1):123-127. doi:10.1001/archsurg.1955.01270070125022

DURING the last seven years 139 cases of large ventral hernias with poor tissues have been operated upon using tantalum gauze in the repair. In approximately half these cases the edges of the defect could not be approximated. In these cases, flaps of the sac, reinforced with whatever scar tissue was present, were first overlapped to close the defect, and then the entire area was covered with tantalum gauze. In the other half of the cases, in which the fascial edges of the defect could be approximated, tantalum gauze was used to reinforce the suture line, either because of the weakness of the surrounding fascia or because of the tension under which the edges were approximated. In the early cases only a small strip of tantalum gauze was used to reinforce such suture lines. In five of these cases there were so-called false recurrences; that is, a hernia occurred at

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