Vitamin C after surgery

✍ Scribed by C. J. Schorah

• Publisher: John Wiley and Sons
• Year: 1988
• Tongue: English
• Weight: 147 KB
• Volume: 75
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800751139

✦ Synopsis

Correspondence

with the call to overcome muscle retraction in the large incisional hernia, the key to treatment.

In three preliminary cases I used buried tubing instead of Boerema's rods. One became infected after a few weeks, so the tubes were removed early. Surprisingly the expected breakdown of the repair never materialized, but it seemed logical in future to utilize them as drains by exteriorization.

His two rigid rods could not havecontributed to patient comfort. He was wrong to require prosthetic support beyond 4-6 weeks, and an additional second operation after 6 months. He had no way of telling when the rods should be extracted.

The fear of introducing infection through drains is unfounded. Strong monofilament nylon should be avoided because of its liability to eventual sinus formation through scarred, and often thin, skin. Realizing this, Boerema devised his method for removing it, slow absorption sutures not being available before 1971. The repair is full muscle thickness. not aponeurotic. I have recently seen a patient whose repair is intact after 6 years.