Ventral herniorrhaphy: experience with two different biosynthetic mesh materials, Surgisis and Alloderm

Gupta, Anupam; Zahriya, Karim; Mullens, P. L.; Salmassi, S.; Keshishian, Ara

doi:10.1007/s10029-006-0130-2

Cited by 138 publications

(103 citation statements)

References 22 publications

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“…This result was similar to a study by Hernandez et al in 2005 who reported 65.6% males and 34.4% females among SSI cases. 7 The indications for surgery were similar in both the groups (p value 0.8) Appendicular causes topping the list in both the groups. 8 The most common incision performed was midline laparotomy in both the groups.…”

Section: Discussionmentioning

confidence: 78%

Abdominal wall closure in the presence of sepsis (acute abdomen): role of negative suction

Thrishuli

Kumar

2018

Int Surg J

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Background: To compare and find out the best method of abdominal wall closure in cases peritonitis between subcutaneous negative suction drainage tube and conventional primary skin and subcutaneous closure.Methods: From September 2015 to September 2017, 100 patients who presented at the emergency department with acute abdominal pain and operated for the same, with features s/o peritonitis were enrolled into the study. 50 of them were managed with subcutaneous negative suction drainage tube during abdominal wall closure (Group A). 50 other patients underwent conventional method of abdominal wall closure (Group B). On table pus c/s was sent for all 100 cases. The surgical wound was observed for signs of infection. Any seropurulent collection from the drain or any discharge from the wound was sent for c/s and the results of which were compared with the results of on table pus c/s. If wound dehiscence was noted, secondary suturing was done after the wound healed. The duration of suction drain placement and stay in the hospital were noted in all cases. The results were analyzed with Chi-square test and Student t test (unpaired) and p values were calculated. A p value of less than 0.05 was considered significant.Results: The incidence of SSI was significantly less in Group A (20%) than in Group B (64%). Similarly, wound dehiscence occurred in 30% of SSI cases in Group A as against 87.1% of SSI cases in Group B, the difference of which was statistically significant. The mean duration of hospital stay was significantly less when subcutaneous suction drain was placed (8 days).Conclusions: Subcutaneous suction drainage tube is an effective method of abdominal wall closure in cases of peritonitis when compared to conventional primary skin closure as it significantly reduces the incidence of SSI, wound dehiscence, wound secondary suturing and duration of hospital stay.

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Section: Discussionmentioning

confidence: 78%

Abdominal wall closure in the presence of sepsis (acute abdomen): role of negative suction

Thrishuli

Kumar

2018

Int Surg J

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“…[5][6][7] The effects of immunosuppression and renal transplant on wound healing have been welldocumented. [7][8][9][10][11][12][13][14][15][16][17][18] Corticosteroids play an important role in the development of incisional hernias by impeding wound healing. [8][9][10][11][12][13][14][15][16][17][18] During acute rejection, when higher doses of methylprednisolone (1 g/day) are administered, steroids have been shown to have considerable effects on the development of incisional hernias.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9][10][11][12][13][14][15][16][17][18] Corticosteroids play an important role in the development of incisional hernias by impeding wound healing. [8][9][10][11][12][13][14][15][16][17][18] During acute rejection, when higher doses of methylprednisolone (1 g/day) are administered, steroids have been shown to have considerable effects on the development of incisional hernias. [8][9][10][11] Use of mycophenolate mofetil, tacrolimus (Astellas Pharma, Chuo-ku, Japan), and sirolimus (Pfizer, Groton, CT, USA) for immunosuppression has been shown to be significant risk factors for hernias.…”

Section: Introductionmentioning

confidence: 99%

“…[8][9][10][11][12][13][14][15][16][17][18] During acute rejection, when higher doses of methylprednisolone (1 g/day) are administered, steroids have been shown to have considerable effects on the development of incisional hernias. [8][9][10][11] Use of mycophenolate mofetil, tacrolimus (Astellas Pharma, Chuo-ku, Japan), and sirolimus (Pfizer, Groton, CT, USA) for immunosuppression has been shown to be significant risk factors for hernias. [12][13][14][15][16][17][18] Mycophenolate mofetil has been shown to have an antiproliferative effect that may interfere with the healing of the muscles and fascia.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have shown that SSI is the most important risk factor for hernia development. 1,[6][7][8][9][10][11][12] The negative effects of immunosuppressive therapy after renal transplant can further contribute to the high incidence of SSI, leading to increased incidence of incisional hernias due to disturbed and delayed wound healing.…”

Section: Introductionmentioning

confidence: 99%

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Durinka

Parsikia

Karipineni

et al. 2017

Exp Clin Transplant

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Objectives: Incisional hernias can occur after any abdominal operation, including after renal transplant. Several risk factors have been identified in nonimmunosuppressed surgical patients. We aimed to identify whether specific risk factors correlated with the development of incisional hernias after renal transplant. The existence of associations between these risk factors and postoperative complications was also reviewed. Materials and Methods: We reviewed 969 kidney transplants performed between February 2000 and January 2011. Thirty-nine kidney transplant recipients who were treated with rapamycin were excluded. The following potential risk factors were evaluated: recipient age, sex, body mass index at transplant, delayed graft function, diabetes, albumin, postoperative platelet count, drain placement, donor body mass index, donor type, warm ischemic time, and cold ischemic time. We performed univariate and multivariate logistic regression tests. Results: In our patient group, a total of 52 (5.4%) transplants were complicated by incisional hernia. On univariate analysis, we found that delayed graft function (P = .001) and infection (P < .001) were statistically significant predictors for development of incisional hernia. Multivariate analyses revealed that delayed graft function and length of stay remained statistically significant predictors. Conclusions: Delayed graft function and length of stay are significant predictors of incisional hernia after kidney transplant.

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Multi-institutional Experience Using Human Acellular Dermal Matrix for Ventral Hernia Repair in a Compromised Surgical Field

Diaz

Conquest²,

Ferzoco³

et al. 2009

Arch Surg

139

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Human acellular dermal matrix is a suitable alternative for CVHR in a compromised surgical field. The hernia recurrence rate with human acellular dermal matrix in a compromised surgical field is less than that seen with primary repair, offering additional and improved surgical options for CVHR in this group of patients. Stoma or fistula takedown at the time of CVHR continues to be associated with significant complications.

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Ventral herniorrhaphy: experience with two different biosynthetic mesh materials, Surgisis and Alloderm

Cited by 138 publications

References 22 publications

Abdominal wall closure in the presence of sepsis (acute abdomen): role of negative suction

Abdominal wall closure in the presence of sepsis (acute abdomen): role of negative suction

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Multi-institutional Experience Using Human Acellular Dermal Matrix for Ventral Hernia Repair in a Compromised Surgical Field

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