J S Winder1, A Majumder2, M Fayezizadeh2, Y W Novitsky2, E M Pauli3. 1. Department of General Surgery, Penn State Milton S. Hershey Medical Center, 500 University Drive, H149, Hershey, PA, 17033, USA. 2. Cleveland Comprehensive Hernia Center, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA. 3. Department of General Surgery, Penn State Milton S. Hershey Medical Center, 500 University Drive, H149, Hershey, PA, 17033, USA. epauli@pennstatehealth.psu.edu.
Abstract
BACKGROUND: A minority of patients undergoing posterior component separation (PCS) have abdominal wall defects that preclude complete reconstruction of the visceral sac with native tissue. The use of absorbable mesh bridges (AMB) to span such defects has not been established. We hypothesized that AMB use during posterior sheath closure of PCS is safe and provides favorable outcomes. METHODS: We performed a retrospective review of consecutive patients undergoing PCS with AMB at two hernia centers. Main outcome measures included demographics, comorbidities, and post-operative complications. RESULTS: 36 patients were identified. Post-operative wound complications included five surgical site infections. At a median of 27 months, there were five recurrent hernias (13.9%), 2 of which were parastomal, but no episodes of intestinal obstruction/fistula. CONCLUSIONS: Utilization of AMB for large posterior layer deficits results in acceptable rates of perioperative wound morbidity, effective PCS repairs, and does not increase intestinal morbidity or fistula formation.
BACKGROUND: A minority of patients undergoing posterior component separation (PCS) have abdominal wall defects that preclude complete reconstruction of the visceral sac with native tissue. The use of absorbable mesh bridges (AMB) to span such defects has not been established. We hypothesized that AMB use during posterior sheath closure of PCS is safe and provides favorable outcomes. METHODS: We performed a retrospective review of consecutive patients undergoing PCS with AMB at two hernia centers. Main outcome measures included demographics, comorbidities, and post-operative complications. RESULTS: 36 patients were identified. Post-operative wound complications included five surgical site infections. At a median of 27 months, there were five recurrent hernias (13.9%), 2 of which were parastomal, but no episodes of intestinal obstruction/fistula. CONCLUSIONS: Utilization of AMB for large posterior layer deficits results in acceptable rates of perioperative wound morbidity, effective PCS repairs, and does not increase intestinal morbidity or fistula formation.
Authors: Joaquin M Munoz-Rodriguez; Javier Lopez-Monclus; Marina Perez-Flecha; Alvaro Robin-Valle de Lersundi; Luis A Blazquez-Hernando; Ana Royuela-Vicente; Juan P Garcia-Hernandez; Aritz Equisoain-Azcona; Manuel Medina-Pedrique; Miguel A Garcia-Urena Journal: Surg Endosc Date: 2022-06-28 Impact factor: 4.584
Authors: Alvaro Robin Valle de Lersundi; Joaquín Munoz-Rodriguez; Javier Lopez-Monclus; Luis Alberto Blazquez Hernando; Carlos San Miguel; Ana Minaya; Marina Perez-Flecha; Miguel Angel Garcia-Urena Journal: Front Surg Date: 2021-01-08
Authors: J Lopez-Monclus; J Muñoz-Rodríguez; C San Miguel; A Robin; L A Blazquez; M Pérez-Flecha; N Rupealta; M A Garcia-Urena Journal: Hernia Date: 2020-03-05 Impact factor: 4.739