Long-term Follow-up of Prophylactic Mesh Reinforcement After Emergency Laparotomy.

José A. Pereira187 enrolled

Overview

Observational Study analyzing the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

Background. Prevention of incisional hernias with a prophylactic mesh in emergency surgery is controversial. The present study aimed to analyze the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies. Methods. This study was a retrospective analysis of patients who underwent an emergency midline laparotomy between January 2009 and July 2010 with a follow-up period of longer than 2 years. Long-term outcomes and risk factors for the development of incisional hernias between patients who received a prophylactic reinforcement mesh (Group M) and suture (Group S) were compared.

Study Type

OBSERVATIONAL

Enrollment

187

Conditions

Prevention of Incisional Hernia in Emergency Surgery

Interventions

Prophylactic mesh usePROCEDURE

After laparotomy sutured clousur the abdominal wall wound is reinforced using a suprafascial synthetic mesh.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients undergoing emergency midline laparotomy Exclusion Criteria: * Those with need of concomitant hernia repair. * Those who received incisions outside the midline. * Those with delayed abdominal closure. * Those who died in the immediate postoperative period. * Those without a minimum 2 years of follow-up.

Outcomes

Primary Outcomes

Incisional hernia

Detection of clinical or subclinical incisional hernia during postoperative longterm followup

Time frame: 2 years

Data from ClinicalTrials.gov

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