Postoperative complications of mesh hernioplasty for incisional hernia repair and factors affecting the occurrence of complications

Rana, Karan V. S.; Singh, Gurjit; Deshpande, Niteen A; Bharathan, Viju K; Sridharan, Srihari

doi:10.4103/0975-2870.108634

Cited by 8 publications

(8 citation statements)

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“…Primary tissue repair is associated with higher unacceptable recurrence rate, now a days, tension free mesh repair is ideal hernia repair technique. 17,18 In post-operative period in our study, 09/25 (36%) patients develops wound infection , 13/25 (52%) patients develops seroma, mesh removal rate is 8% in and 01/25 (4%) patients having recurrence On-lay method. we having very high seroma formation and wound infection rate as compare to other similar studies.…”

Section: Discussionmentioning

confidence: 48%

A comparative study of 50 cases (25 each) of On-lay versus pre-peritoneal hernioplasty in incisional hernia

Panchal

Makwana

2016

Int Surg J

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Section: Discussionmentioning

confidence: 48%

A comparative study of 50 cases (25 each) of On-lay versus pre-peritoneal hernioplasty in incisional hernia

Panchal

Makwana

2016

Int Surg J

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“…The most common method of mesh hernioplasty is the onlay technique [5]. Multiple defects are highly likely to be detected because of the wide undermining done and the weakest point of the repair that is most prone to recurrence is the mesh-tissue interface [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Multiple defects are highly likely to be detected because of the wide undermining done and the weakest point of the repair that is most prone to recurrence is the mesh-tissue interface [5,6]. Sublay technique has several advantages such as low rate of infection from subcutaneous tissues down to the mesh as it lies quite deep in the preperitoneal plane [7].…”

Section: Introductionmentioning

confidence: 99%

Pattern of Wound Complications and Postoperative Pain in Sublay versus Onlay Mesh Repair for Ventral Hernia

Saber¹,

Al-Masry²

2016

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Introduction:Apart from recurrence after ventral hernia repairs, other postoperative complications like seroma formation, hematoma, cellulitis, wound infection attributed largely to extensive dissection and tissue handling. Sublay technique has several advantages such as low rate of infection from subcutaneous tissues down to the mesh as it lies quite deep in the preperitoneal plane. Moreover the mesh implanted in the preperitoneal space unites and consolidates the anterior abdominal wall and also adheres to the posterior rectus sheath and renders it inextensible allowing no further herniation. The authors in this study tried to compare the pattern of wound complications and postoperative pain in sublay and onlay mesh repair for ventral hernia. Patients and Methods: A total of 200 patients with ventral hernias were enrolled and divided into main two groups; A and B. Group A patients were subjected to onlay mesh repair and Group B patients were subjected to sublay mesh repair. Operations were performed in Port-Fouad general hospital, Port-Fouad, Port-Said, Egypt and in the AlMahalla Al-Koubra general hospital, Al-Mahalla Al-Koubra, Egypt. End Points: The end points were of wound infection, mesh rejection and chronic postoperative pain. Results: There was no statistical difference between both groups regarding their demographic data such as age, sex, special habits and body mass index and co-morbidities. Patterns of mesh related wound complications as well as chronic postoperative pain were higher in onlay versus sublay repair with no statistical significance. Conclusion: sublay preperitoneal repair is a safe and an effective technique for ventral hernia surgery. Pattern of wound complications as postoperative wound infection, mesh removal and chronic pain are much less than when compared with the onlay maneuver.

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“…En el estudio realizado por Rana 27 se describió a la recurrencia como la complicación más importante en este tipo de intervenciones quirúrgicas; si bien no existe consenso sobre los factores predisponentes a las mismas, él detectó que la infección de la herida, la diabetes y la obesidad podrían ser sus principales causas. En el presente estudio encontramos que la presencia de factores de riesgo: la edad, la diabetes, la obesidad y las eventraciones de gran tamaño, fueron los factores asociados con mayor frecuencia con el desarrollo de complicaciones, como se presentó en la tabla 7.…”

Section: Discussionunclassified

“…33 Algunos autores coinciden en que la infección de la herida es uno de los principales, si no el más importante, factor de riesgo para el desarrollo de una hernia incisional. 26,27,33 El mecanismo exacto por el cual la sepsis de la herida influye en la formación de las eventraciones no es completamente conocido. La infección produce un mecanismo de cascada que comienza con la disminución de la presión parcial de oxígeno tisular, prolonga la fase inflamatoria de la cicatrización y aumenta la cantidad de metaloproteinasas.…”

Section: Factores En Relación Con El Postoperatoriounclassified

Utilidad del drenaje en eventroplastias con malla

Tejerizo¹,

Bartoli²,

Dreizzen³

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Introducción: La reparación de las eventraciones presenta alta tasa de complicaciones, el seroma y la infección del sitio quirúrgico están entre las más frecuentes. Los drenajes son frecuentemente colocados durante la reparación de una eventración para facilitar la salida del líquido y prevenir la aparición de complicaciones. No existe consenso sobre su utilidad. Objetivos: Determinar si la utilización de drenajes en las eventroplastias con malla influye en la aparición de complicaciones. Materiales y Métodos: Realizamos un estudio observacional de cohortes, comparando prospectivamente dos grupos de pacientes operados, unos con colocación de drenaje y otro sin ellos. Resultados: Incluimos 102 pacientes, 42 en el grupo con drenaje y 60 en el grupo sin drenaje. No encontramos diferencia estadísticamente significativa en el desarrollo de complicaciones en base a la colocación de drenaje (p = 0,619). Conclusiones: La aparición de complicaciones en una intervención quirúrgica depende de múltiples factores; la edad, la diabetes y el estado nutricional, parecieran ser los más significativos. Los pacientes con IMC elevado (≥ 30) y eventraciones ≥10 cm desarrollaron con mayor frecuencia complicaciones de la herida. No encontramos que la colocación de un drenaje en las eventroplastias con malla influye en la aparición de complicaciones durante el postoperatorio.

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Postoperative complications of mesh hernioplasty for incisional hernia repair and factors affecting the occurrence of complications

Cited by 8 publications

References 0 publications

A comparative study of 50 cases (25 each) of On-lay versus pre-peritoneal hernioplasty in incisional hernia

A comparative study of 50 cases (25 each) of On-lay versus pre-peritoneal hernioplasty in incisional hernia

Pattern of Wound Complications and Postoperative Pain in Sublay versus Onlay Mesh Repair for Ventral Hernia

Utilidad del drenaje en eventroplastias con malla

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