Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

Emile, Sameh Hany; Elgendy, Hesham; Sakr, Ahmad; Gado, Waleed; AbdelMawla, Ahmed; Abdelnaby, Mahmoud; Magdy, Alaa

doi:10.1186/s13017-017-0143-4

Cited by 29 publications

(42 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is followed, simultaneously by divarication of recti and abdominal wound dehiscence, each accounting for less than a tenth (8.8%) of the reconstructions done ( Table 2 ). These findings are similar to previous results from Nigeria, South Korea, Yemen, Europe and Saudi Arabia [ 1 , 13 , 16 - 18 , 22 - 24 ]. Majority (68.1%) of our patients reported that cosmetic correction is the primary reason they sought reconstruction, followed by abdominal pain (12.1%).…”

Section: Discussionsupporting

confidence: 92%

“…Majority (68.1%) of our patients reported that cosmetic correction is the primary reason they sought reconstruction, followed by abdominal pain (12.1%). This is comparable to results from Saudi Arabia where 63.4% of the patients stated cosmetics as their major reason for seeking repair, followed by abdominal pain (24.1%) [ 24 ].…”

Section: Discussionsupporting

confidence: 82%

“…In Northeast Nigeria, Gali and colleagues observed that 80% of their patients were delayed for at least two years before presentation, principally due to financial constraint, delayed referral and interference by non-medically qualified persons [ 16 ]. The recurrence rate of 1.1% recorded in this study is comparable to rates of 2.6% reported by Ezeome and Nwajiobi in Nigeria [ 3 ], but higher than 0.0% quoted in Saudi Arabia [ 24 ]. Agbakwuru and colleagues reported far higher recurrence rate of 9.1% from Ile-Ife, Nigeria [ 18 ].…”

Section: Discussionsupporting

confidence: 77%

See 2 more Smart Citations

Anterior abdominal wall reconstruction with mesh implants: indications and limitations in a developing tropical economy

et al. 2020

View full text Add to dashboard Cite

Introduction the role of surgery in managing massive midline abdominal wall defects has continued to rise, leading to higher demand for more effective techniques in order to limit recurrences. There is paucity of data on this subject in Southeast Nigeria. The aim of this study is to document the indications and challenges of treatment of complex, midline abdominal wall defects in our centre. Methods this was a cross-sectional study of adult patients with complex, midline abdominal wall defects managed with mesh implants over a five-year period. Results a total of 182 adult patients, predominantly females 160(87.9%), received mesh implants for complex abdominal wall defects. The common indications were incisional hernia 128(70.3%), abdominal wound dehiscence 16(8.8%) and divarication of recti 16(8.8%). About one-third 62(34.1%) of the patients required additional abdominoplasty procedure. Delay towards prompt surgical repair was noted in 168(92.3%) patients, notably due to financial constraints 32(17.6%) followed by comorbidities requiring serial assessments 24(13.2%). Superficial wound infection rate was 5.5% while deep (mesh) infection was noted in two (1.1%) patients. Recurrence and perioperative mortality rates were 1.1% and 1.6% respectively. Diabetes mellitus in obese female patients was an independent predictor of perioperative death (p=0.000). Conclusion the most common indication for abdominal wall reconstruction in our environment is incisional hernia. The use of prosthetic meshes to repair complex abdominal wall defects is largely safe and effective in our practice, but timely reconstruction is commonly hampered by multi-faceted economic, clinical and pathological barriers.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 77%

See 1 more Smart Citation

Anterior abdominal wall reconstruction with mesh implants: indications and limitations in a developing tropical economy

et al. 2020

View full text Add to dashboard Cite

show abstract

“…However, they also found that the most frequently used method of open repair was plug repair, which was performed in 894 procedures, followed by the McVay repair (n = 186), which often resulted in increased recurrence. Lost to follow-up 2 (3.9) 4 (7.5) All the different recurrence rates were significantly correlated with surgical status (emergency or elective), repair methods (laparoscopic repair, OPR or OSR), and the surgeon's experience 2,9,14,16 . The focus of this study was open repair for emergency FHs, so the overall recurrence rate might be higher.…”

Section: Discussionmentioning

confidence: 99%

“…Similar reports have been reported in the literature 10 . Seroma is a common complication after emergency hernia repair 9 . UHS 22 mesh was selected for OPR of FHs due to its bilayer polypropylene structure; another important reason for this approach was that the material of the UHS mesh is made of an absorbable polycarbon-25 coating and nonabsorbent polypropylene filament fibres that have antimicrobial properties 23 .…”

Section: Discussionmentioning

confidence: 99%

A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia

Liu

Zheng

et al. 2020

Sci Rep

View full text Add to dashboard Cite

to compare the outcomes of open preperitoneal repair (opR) with the use of mesh and open suture repair (oSR) without mesh via inguinal approach for the treatment of emergency femoral hernia (fH). the primary outcome was the postoperative complication and the secondary outcomes were the recurrence rate of FH and the postoperative comfort level at the surgical site. 104 patients with emergency FHs were included, of whom 51 patients were treated with OPR, 53 patients were treated with OSR. Between the two groups, no significant difference was found in surgical site infection (SSI) (p = 0.801) or seroma (P = 0.843), while there was significant difference in the improvement of comfort at the surgical site (p = 0.013). The results of the 2-year follow-up demonstrated 1 and 8 cases of recurrence in the OPR and OSR group respectively, which was statistically significant (HR, 8.193 [95% CI, 1.024 to 65.547], P = 0.047). Compared with OSR, OPR with the use of mesh did not increase the risk of SSi and was safe to apply even under the condition of an emergency fH operation with intestine resection; opR could reduce the recurrence rate of fH and improve the comfort at the surgical site.The incidence of femoral hernia is not high, accounting for approximately 2-4% of all groin hernias 1,2 , but it is extremely easy for femoral hernias (FHs) to incarcerate and/or strangulate 3,4 , and patients need emergency surgery after incarceration and/or strangulation 5,6 . The surgical methods include tissue suture repair and tension-free repair with different kinds of meshes. Clinical guidelines do not strongly recommend tension-free repair with mesh because this approach may cause surgical site infection (SSI), especially in patients who undergo intestinal resection 7,8 . At present, with the improvement of mesh materials, there have been continuous reports of the safe use of mesh in the repair of incarcerated and/or strangulated groin hernias or even in the condition of intestinal resection without the occurrence of serious complications such as mesh-related infection 9-11 .However, cohort studies comparing open mesh tension-free repair and open suture repair for emergency femoral hernias via the inguinal approach have rarely been reported. The purpose of this study was to evaluate the feasibility of open preperitoneal repair (OPR) for emergency FHs using UHS meshes by comparing the outcomes with those of open suture repair (OSR) for the treatment of emergency FHs. patients and Methods ethics statement. This retrospective cohort study was approved by the Medical Ethics Committee of Ganzhou People's Hospital, and the methods were carried out in accordance with the approved guidelines.patients. By referencing the medical records, consecutive patients with a primary diagnosis of FH treated between 2011 and 2017 were identified. Patients who underwent emergency FH repair via OPR with the use of UHS mesh or OSR without the use of mesh were selected and divided into two groups (the OPR group and OSR group) according to the repair method.

show abstract

Emergency Hernia Surgery: What to Know When Evaluating a Patient with an Incarcerated Hernia

Matthews

Reinke

2019

The SAGES Manual of Acute Care Surgery

View full text Add to dashboard Cite

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

Cited by 29 publications

References 28 publications

Anterior abdominal wall reconstruction with mesh implants: indications and limitations in a developing tropical economy

Anterior abdominal wall reconstruction with mesh implants: indications and limitations in a developing tropical economy

A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia

Emergency Hernia Surgery: What to Know When Evaluating a Patient with an Incarcerated Hernia

Contact Info

Product

Resources

About