P022 OUTCOMES OF ABDOMINAL WALL REPAIR ASSOCIATED WITH INTESTINAL TRANSIT RECONSTRUCTION SURGERY

Autor: Luis Alberto Blázquez Hernando, Miguel Ángel García Ureña, Joaquin Munoz-Rodriguez, Alvaro Robin Valle de Lersundi, Javier López Monclús
Rok vydání: 2021
Předmět:
Zdroj: British Journal of Surgery. 108
ISSN: 1365-2168
0007-1323
DOI: 10.1093/bjs/znab395.021
Popis: Aim Analyze and evaluate the results obtained in patients undergoing transit reconstruction surgery in which an abdominal wall reconstruction (AWR) is associated using a multidisciplinary approach. Material and Methods All patients who underwent an intestinal transit reconstruction associated with an AWR surgery were identified from a prospectively maintained multicenter database. Short and long-term results have been analyzed, especially AWR outcomes. Results 10 patients were identified. 60% were men. Mean time since previous surgery was 1.66 years. 8 cases (80%) associated a midline incisional hernia with the parastomal hernia. 3 (30%) bilateral posterior component separation (PCS) Madrid transverse abdominis muscle release (Madrid TAR) modification, 5 (50%) unilateral Madrid TAR, 1 (10%) PCS Carbonell, and 1 (10%) Rives-Stoppa techniques were performed. A double mesh reconstruction technique was used in 60% of the patients, associating absorbable mesh with a permanent mesh. One patient presented a paucisymptomatic colorectal anastomosis fistula, that could be managed conservatively. A case of postsurgical ileus was also evidenced. Surgical site ocurrences (SSO) were recorded in 4 patients (40%), all of them related to surgical site infection that required a bedside wound opening. During a mean follow-up of 24 (+/- 15) months, there was no evidence of hernia recurrence. No cases of bulging, chronic mesh infection or chronic pain were reported. No case of mortality was recorded in the series. Conclusions Intestinal transit reconstruction surgery associated with an AWR, with a multidisciplinary team managed, presents acceptable long-term results, despite the high SSO associated.
Databáze: OpenAIRE
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