Safety and Durability of One-stage Repair of Abdominal Wall Defects With Enteric Fistulas

Slater, Nicholas J.; Bökkerink, W. J. V.; Konijn, Vincent; Bleichrodt, Robert P.; Goor, Harry van

doi:10.1097/sla.0000000000000733

Cited by 28 publications

(39 citation statements)

References 20 publications

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“…A total of 601 patients were included, with an average follow‐up of 26.7 months. Follow‐up was performed by clinical assessment in five studies , a combination of clinical assessment and telephone interviews in three studies and was not defined in seven studies . None of the studies gave a clear definition of hernia recurrence and only one differentiated between hernia and bulge .…”

Section: Resultsmentioning

confidence: 99%

“…Specific details of patient comorbidity and demographics were variably reported. Of the sixteen papers included only nine reported patients’ BMI , seven included smoking status , six had information on the size of the hernia defect and nine on whether the patient had diabetes . Only six studies reported the number of previous laparotomies and six the number of previous hernia repairs .…”

Section: Resultsmentioning

confidence: 99%

“…Short‐term postoperative complication rates in all studies were variably reported (Table ). Two papers used the standardized Clavien–Dindo scale of reporting complications . Eight papers reported total numbers of patients who had complications .…”

Section: Resultsmentioning

confidence: 99%

“…A total of 1223 studies were excluded following title review, and a further 160 were removed following assessment of abstracts and papers according to the inclusion criteria. This resulted in the inclusion of 14 studies [14][15][16][17][18][19][20][21][22][23][24][25][26][27]. Review of reference lists of the screened studies identified a further two articles which met the inclusion criteria [10,28].…”

Section: Resultsmentioning

confidence: 99%

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Complex abdominal wall reconstruction in the setting of active infection and contamination: a systematic review of hernia and fistula recurrence rates

et al. 2017

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Complex abdominal wall reconstruction in the setting of active infection and contamination: a systematic review of hernia and fistula recurrence rates

et al. 2017

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“…Reported rates of surgical site occurrences in this setting are 29–66% [3–10]. Surgical site infections (SSI) and other wound complications are associated with high morbidity, considerable mortality, longer hospital stay and increased health care costs [11].…”

Section: Introductionmentioning

confidence: 99%

Closed incision prophylactic negative pressure wound therapy in patients undergoing major complex abdominal wall repair

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Lapid

et al. 2017

Hernia

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PurposeTo evaluate if incisional prophylactic negative pressure wound therapy (pNPWT) reduces wound infections and other wound complications in high-risk patients undergoing major complex ventral abdominal wall repair.MethodsRetrospective before–after comparison nested in a consecutive series of patients undergoing elective major complex abdominal wall repair. Starting January 2014, pNPWT was applied on the closed incisional wound for a minimum of 5 days. To minimize selection bias, we compared two periods of 14 months before and after January 2014. Wound infections according to the Centre for Disease Control Surgical Site Infection classification as well as other wound complications were recorded.ResultsThirty-two patients were included in the pNPWT group and 34 in the control group. The study group involved clean-contaminated and contaminated operations due to enterocutaneous fistula, enterostomies or infected mesh. Median duration of pNPWT was 5 days (IQR 5–7). Overall wound infection rate was 35%. pNPWT was associated with a significant decrease in postoperative wound infection rate (24 versus 51%; p = 0.029, OR 0.30 (95% CI 0.10–0.90)). Incisional wound infection rates dropped from 48 to 7% (p < 0.01, OR 0.08 (95% CI 0.16–0.39), whereas the number of subcutaneous abscesses was comparable in both groups. Moreover, less interventions were needed in the pNPWT group (p < 0.001).ConclusionsClosed incision pNPWT seems a promising solution to reduce the incidence of wound infections in complex abdominal wall surgery. Randomized controlled trials are needed to estimate more precisely the value and cost-effectiveness of pNPWT in this high-risk setting.

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Combined single‐stage enterolysis with pedicle seromuscular bowel flaps, myocutaneous and fasciocutaneous flaps to repair recurrent enterocutaneous fistulas in complex abdominal Wall defects

et al. 2018

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Safety and Durability of One-stage Repair of Abdominal Wall Defects With Enteric Fistulas

Cited by 28 publications

References 20 publications

Complex abdominal wall reconstruction in the setting of active infection and contamination: a systematic review of hernia and fistula recurrence rates

Complex abdominal wall reconstruction in the setting of active infection and contamination: a systematic review of hernia and fistula recurrence rates

Closed incision prophylactic negative pressure wound therapy in patients undergoing major complex abdominal wall repair

Combined single‐stage enterolysis with pedicle seromuscular bowel flaps, myocutaneous and fasciocutaneous flaps to repair recurrent enterocutaneous fistulas in complex abdominal Wall defects

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