Abdominal Wall Defect
Conditions
Keywords
Abdomen burst, Incisional hernia, mesh
Brief summary
Purpose: This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique. Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.
Detailed description
This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique. Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.
Interventions
PROCEDUREoutcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh
outcomes of complete burst abdomen repair using posterior component separation technique with transversus abdominis muscle release reinforced by sublay mesh
Sponsors
Zagazig University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* BA Grade IA according to Björck's initial classification following midline laparotomy from various departments, * ≥ 18 years * both sex * emergency or elective surgery
Exclusion criteria
* BA grade 1B,2,3, and 4 according to Björck's initial classification, * \< 18 years, * primary laparotomy performed through a non-midline incision, open abdomen, * if another laparotomy had been performed between the surgery for BA and the end of the follow-up period, * concomitant intra-abdominal surgery, abdominal complications during BA surgery, * adherent bowel to the defect edge that cannot be separated, * patients lost during follow up, * presence of intra-abdominal contamination that cannot be controlled radiologically, * history of previous BA repair, * stoma exteriorized from the midline primary wound, * temporarily wound closure techniques, * prior abdominal surgeries other than operation resulted in BA, * prior abdominal wall hernia repair with or without mesh, * history of collagen diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| recurrent burst abdomen | 3.5 years | incidence of recurrent burst abdomen by % |
| incisional hernia | 3.5 years | incidence of incisional hernia measured by clinical examination and computerized tomography by % |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidence of surgical site infection | 30 days | by % |
Countries
Egypt
Outcome results
None listed