Prevention of Incisional Hernia in Emergency Surgery
Conditions
Brief summary
Observational Study analyzing the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.
Detailed description
Background. Prevention of incisional hernias with a prophylactic mesh in emergency surgery is controversial. The present study aimed to analyze the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies. Methods. This study was a retrospective analysis of patients who underwent an emergency midline laparotomy between January 2009 and July 2010 with a follow-up period of longer than 2 years. Long-term outcomes and risk factors for the development of incisional hernias between patients who received a prophylactic reinforcement mesh (Group M) and suture (Group S) were compared.
Interventions
PROCEDUREProphylactic mesh use
After laparotomy sutured clousur the abdominal wall wound is reinforced using a suprafascial synthetic mesh.
Sponsors
José A. Pereira
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Patients undergoing emergency midline laparotomy
Exclusion criteria
* Those with need of concomitant hernia repair. * Those who received incisions outside the midline. * Those with delayed abdominal closure. * Those who died in the immediate postoperative period. * Those without a minimum 2 years of follow-up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incisional hernia | 2 years | Detection of clinical or subclinical incisional hernia during postoperative longterm followup |
Outcome results
None listed