OXIDIZED CELLULOSE AS AN ADJUNCT TO PERMANENT MESH IN THE REPAIR OF LARGE INCISIONAL HERNIAS

Obese women with ovarian cancer or other pelvic malignancies are prone to develop incisional hernias after their surgical procedure for a va riety of reasons, Repair of these defects often requires synthetic mes h, which in most instances is in direct apposition to underlying bowel , Covering the undersurface of the mesh with peritoneum or omentum can not be done in most cases because they are frequently a site of metast atic disease and have been removed at a prior surgery, The following d escribes 2 cases where oxidized cellulose was incorporated to cover th e undersurface of a piece of permanent mesh that was used to repair a large incisional defect.