Outcome of the Use of a Synthetic Mesh in the Repair of Burst Abdomen as Compared with Simple Suture

López-Cano, Manuel and Pereira, José A. and Feliu, Xavier and Hernández, Lourdes and Andrada, Daniel and Gil, Esther and Villanueva, Borja and Armengol-Carrasco, Manuel (2015) Outcome of the Use of a Synthetic Mesh in the Repair of Burst Abdomen as Compared with Simple Suture. International Journal of Clinical Medicine, 06 (03). pp. 113-118. ISSN 2158-284X

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Abstract

Aim: To assess the outcome (postoperative morbidity and mortality and/or development of incisional hernia) of patients with burst abdomen (BA) of midline laparotomy without intestinal fistula comparing early closure of the abdominal wall with a running suture alone vs. running suture plus reinforcement with a non-absorbable synthetic mesh. Methods: Retrospective analysis of the medical records of all patients undergoing surgical repair of a BA in three hospitals between 2006 and 2011. Risk factors, postoperative complications and the incidence of incisional hernia (IH) after a minimum of 12-month follow-up period were compared between groups. Results: A total of 109 patients were treated for BA, 18 patients treated by non-standard procedures were excluded from analysis. Of the remaining 91 patients, 56 belong to the mesh group and 35 to the suture group. The overall rate of postoperative complications was high in both groups (79.1%). Mortality rate was higher in the suture group than in the mesh group (31.4% vs. 14.3%; P = 0.06). IH was also more frequent in the suture group (36.4% vs. 17.6%; P = 0.057). Conclusions: Patients with BA and without intestinal fistula could be candidates for surgical repair using a running suture and a non-absorbable polypropylene mesh in the “onlay” position.

Item Type: Article
Subjects: ScienceOpen Library > Medical Science
Depositing User: Managing Editor
Date Deposited: 07 Jan 2023 08:59
Last Modified: 29 Apr 2024 07:43
URI: http://scholar.researcherseuropeans.com/id/eprint/26

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