S S Bessa1, A H Abdel-Razek. 1. Department of General Surgery, Faculty of Medicine, University of Alexandria, 20 Ismail Serry St., Semouha, Alexandria, Egypt. samerbessa@gmail.com
Abstract
PURPOSE: The aim of this prospective study was to present a 7-year experience with the use of prosthetic mesh repair in the management of the acutely incarcerated and/or strangulated ventral hernias. METHODS: Patients with acutely incarcerated and/or strangulated ventral hernias were treated by emergency repair of the hernia using an onlay Prolene mesh. The presence of non-viable intestine necessitating resection-anastomosis of the bowel was not considered a contraindication to the use of mesh. RESULTS: The present study included 80 patients. Their age ranged from 25 to 86 years with a mean of 56.1 ± 13.2 years. The hernia was para-umbilical in 71 patients (88.75 %), epigastric in 6 patients (7.5 %) and incisional in 3 patients (3.75 %). Eighteen patients (22.5 %) had recurrent hernias. Resection-anastomosis of non-viable small intestine was performed in 18 patients (22.5 %). There were 2 perioperative mortalities (2.5 %). Complications were encountered in 17 patients (21.3 %) and included wound sepsis in 9 patients (11.25 %), seroma formation in 5 patients (6.25 %), chest infection in 4 patients (5 %), deep vein thrombosis in 1 patient (1.25 %) and mesh infection in another patient (1.25 %). Follow-up duration ranged from 12 to 84 months with a mean of 49.9 ± 19.9 months. Only one recurrence was encountered throughout the study period. CONCLUSIONS: The use of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias is safe. The presence of non-viable intestine cannot be regarded as a contraindication for prosthetic repair.
PURPOSE: The aim of this prospective study was to present a 7-year experience with the use of prosthetic mesh repair in the management of the acutely incarcerated and/or strangulated ventral hernias. METHODS:Patients with acutely incarcerated and/or strangulated ventral hernias were treated by emergency repair of the hernia using an onlay Prolene mesh. The presence of non-viable intestine necessitating resection-anastomosis of the bowel was not considered a contraindication to the use of mesh. RESULTS: The present study included 80 patients. Their age ranged from 25 to 86 years with a mean of 56.1 ± 13.2 years. The hernia was para-umbilical in 71 patients (88.75 %), epigastric in 6 patients (7.5 %) and incisional in 3 patients (3.75 %). Eighteen patients (22.5 %) had recurrent hernias. Resection-anastomosis of non-viable small intestine was performed in 18 patients (22.5 %). There were 2 perioperative mortalities (2.5 %). Complications were encountered in 17 patients (21.3 %) and included wound sepsis in 9 patients (11.25 %), seroma formation in 5 patients (6.25 %), chest infection in 4 patients (5 %), deep vein thrombosis in 1 patient (1.25 %) and mesh infection in another patient (1.25 %). Follow-up duration ranged from 12 to 84 months with a mean of 49.9 ± 19.9 months. Only one recurrence was encountered throughout the study period. CONCLUSIONS: The use of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias is safe. The presence of non-viable intestine cannot be regarded as a contraindication for prosthetic repair.
Authors: B Papaziogas; Ch Lazaridis; J Makris; J Koutelidakis; A Patsas; M Grigoriou; G Chatzimavroudis; K Psaralexis; K Atmatzidis Journal: Hernia Date: 2005-02-03 Impact factor: 4.739
Authors: R D'Ambrosio; L Capasso; S Sgueglia; G Iarrobino; S Buonincontro; E Carfora; E Borsi Journal: Ann Ital Chir Date: 2004 Sep-Oct Impact factor: 0.766
Authors: B De Simone; A Birindelli; L Ansaloni; M Sartelli; F Coccolini; S Di Saverio; V Annessi; F Amico; F Catena Journal: Hernia Date: 2019-08-12 Impact factor: 4.739
Authors: Tyler J Loftus; Kristina L Go; Janeen R Jordan; Chasen A Croft; R Stephen Smith; Frederick A Moore; Philip A Efron; Alicia M Mohr; Scott C Brakenridge Journal: J Trauma Acute Care Surg Date: 2017-07 Impact factor: 3.313
Authors: Henry Mercoli; Stylianos Tzedakis; Antonio D'Urso; Marius Nedelcu; Riccardo Memeo; Nicolas Meyer; Michel Vix; Silvana Perretta; Didier Mutter Journal: Surg Endosc Date: 2016-08-05 Impact factor: 4.584
Authors: Lawrence Lee; Juan Mata; Tara Landry; Kosar A Khwaja; Melina C Vassiliou; Gerald M Fried; Liane S Feldman Journal: Surg Endosc Date: 2014-03-12 Impact factor: 4.584