Re-do surgery after prosthetic abdominal wall repair: intraoperative findings of mesh-related complications
| Autor: | Linda D'Amore, Lucia Bambi, Maria Romana Grimaldi, Paolo Negro, Elena Annesi, Francesca Ceci, Francesco Gossetti |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Fistula medicine.medical_treatment 030230 surgery Abdominal wall 03 medical and health sciences 0302 clinical medicine Hematoma Postoperative Complications Recurrence Laparotomy medicine Humans Herniorrhaphy Retrospective Studies Wound dehiscence business.industry Abdominal Wall Abdominoplasty Surgical Mesh medicine.disease Hernia Ventral Surgery medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Seroma Implant business Abdominal surgery |
| Zdroj: | Hernia : the journal of hernias and abdominal wall surgery. 25(2) |
| ISSN: | 1248-9204 |
| Popis: | Mesh repair is one of the most popular technique for the treatment of abdominal wall hernias, resulting in lower recurrence rates. However, it is associated with a high risk of mesh-related complications. The aim of the present study is to assess the impact of biomaterials on the intra-abdominal organs, in terms of adhesions and visceral complications, in a series of patients undergoing re-do surgery at our abdominal wall unit. We reviewed the clinical records of 301 patients who undergone laparotomy between June 2008 and May 2018, selecting 67 patients with one or more previous prosthetic abdominal wall repair (AWR). The average number of previous repairs was 1.6 with a mean time interval of 66 months from the last repair. Clinical presentation included hernia recurrence (69%), mesh infection (26%), infection and recurrence (10%), and fistula (1%). Adhesions were intraoperatively observed in all patients, except for eight cases. Mesh was completely removed in 43 patients, partially in four. Postoperative complications were observed in 39% of cases, including wound dehiscence, hematoma, seroma, and mesh infection. Long-term implant results in abdominal wall repair and are not completely known, and literature is still lacking on this topic. Re-do surgery for subsequent pathological events may represent a way to increase our knowledge. |
| Databáze: | OpenAIRE |
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