Synthetic meshes in the treatment of postoperative fascial dehiscence of the spine

Abstract

Synthetic meshes are a successful treatment option for spinal fascial dehiscence, even seemingly in patients with a higher risk profile such as obese and immunocompromised patients as well as in revision procedures. They are associated with respectable cosmetic results, pain relief and clinical outcome. Postoperatively, it is recommended to leave drains for more than five to seven days in order to avoid seroma formation and to avoid weight training for six weeks. Further prospective, comparative studies are recommended.

A Novel Method for Practicing Fascial Closure with Suture

“…Though there are methods of prevention of dehiscence, such as mesh placement, prevention of dehiscence begins with proper closure, which may be obtained by appropriate approximation and distribution of tension. Previously, placement of synthetic mesh within the thoracolumbar fascia has been investigated as a method of reducing pain, improving cosmetic results, and improving clinical outcomes [4].…”