P063 COMPARATIVE ANALYSIS OF INCISIONAL HERNIA REPAIRS WITH MESH IN SUBLAY AND ONLAY POSITION: PROSPECTIVE SERIES

Autor:	Sara Amador, Arantzazu Rada Palomino, Mauro Valentini, Aurora Aldeano Martin, Xavier Mira Alonso, Montserrat Juvany Gómez
Rok vydání:	2021
Předmět:	Position (obstetrics) medicine.medical_specialty business.industry Incisional hernia Medicine Surgery business medicine.disease
Zdroj:	British Journal of Surgery. 108
ISSN:	1365-2168 0007-1323
Popis:	Aim Sublay mesh placement in incisional hernia repair (IH) does not seem to show lower surgical site infection (SSI) or recurrence than onlay placement, according to a recent review. Our aim was to analyze both techniques in an abdominal wall department. Material and Methods Prospective data collection of all IHs for four years. Results were analyzed at one month and during follow-up. The characteristics of IH, operative time, incidence of SSI and recurrence was compared by groups depending on location of the mesh in sublay (SM) or onlay (OM). Results “The surface area of the hernial defect was greater in the SM group (216±338 vs 68±84cm2; P = 0.002), as well as longer surgical time (131±91 vs 70±54 min; P Conclusions A SM repair is performed in IHs with large defects, which entails a longer surgical time and the appearance of hematoma, although no statistically significant differences in the rate of SSI or IH recurrence was observed between SM and OM repair.
Databáze:	OpenAIRE
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