Prophylactic mesh augmentation: Patient selection, techniques, and early outcomes - 05/09/18
Abstract |
Background |
Incisional hernias (IH) following abdominal surgery are frequent and morbid. Prophylactic mesh augmentation (PMA) has emerged as a technique to reduce IH formation. We aim to report patient selection, techniques and early outcomes after PMA.
Methods |
Retrospective chart review identified descriptive characteristics, risk factors, operative technique, and early post-operative outcomes for PMA patients and matched non-PMA patients between January 1, 2016 and October 31, 2017.
Results |
18 consecutive PMA cases were performed (55.6% female, mean age 54.3 years and mean BMI = 29.5 kg/m2). 88.9% of patients had at least two high-risk features for IH. Zero PMA patients developed IH compared to 5.3% non-PMA patients (p = 0.314) (6-months mean follow-up). No difference in surgical site occurrences (SSO) were identified between the two groups.
Conclusions |
Early results are encouraging, demonstrating PMA is safe with equivocal SSO. Further studies are needed to assess if the reduction in IH formation is statistically significant with longer follow-up.
Le texte complet de cet article est disponible en PDF.Highlights |
• | 88.9% of patients receiving PMA had at least 2 risk factors for IH. |
• | Average case length was 305 min and average time of mesh inset was 28 min. |
• | No difference in surgical site outcomes between PMA and non-PMA patients. |
• | Zero IH at 6 months with PMA compared to 5.3% in non-PMA patients (p = 0.314). |
Keywords : Incisional, Hernia, Prophylactic, Mesh, Augmentation, Prevention
Plan
Vol 216 - N° 3
P. 475-480 - septembre 2018 Retour au numéro
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