Mesh Hernioplasty Of Strangulated Hernias With Intestinal Resection

Mansoura University163 enrolled

Overview

Primary suture repair increases the risk for recurrence, the fact of benefit of mesh repair in elective situations is documented, and many studies have reported beneficial outcomes of mesh hernioplasty in emergency situations. Still there is controversy of using such grafts in presence of intestinal resection.

Patients with acutely incarcerated hernias (with small intestine contents) who underwent polypropylene mesh hernioplasty were included in this prospective study from June 2005 through Jan. 2011, patients were categorized into 2 groups who required intestinal resection anastomosis (group I)or not (group II).

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

163

Conditions

Strangulated Hernia

Interventions

SURGERYOTHER

REPAIR OF STRANGULATED HERNIA with intestinal resection

mesh repairOTHER

mesh repair of strangulated hernia without resection

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * strangulated hernias Exclusion Criteria: * above 75, under 18 * recurrent hernia * peritonitis * pure omentum contents ASA above 3

Locations (1)

Mohamed Abdellatif

Al Mansurah, Mansoura, Egypt

Outcomes

Primary Outcomes

wound infection

Time frame: 5 weeks

Secondary Outcomes

operative time

the time from skin incision up to skin closure

Time frame: 3hours

morbidity

the perioperative complications

Time frame: 5 months

recurrence of the hernia

Recurrence of the hernia was defined as an apparent swelling or a palpable defect at the previous surgery site detected clinically or radiologically by ultrasound if needed

Time frame: 6months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.