A Prospective Multicentre Study Evaluating the Outcomes of the Abdominal Wall Dehiscence Repair Using Posterior Component Separation With Transversus Abdominis Muscle Release Reinforced by a Retro-muscular Mesh - Filling a Step

Zagazig University202 enrolled

Overview

Purpose: This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique. Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.

This study determined the incidence of burst abdomen recurrent (BAR), incisional hernia(IH), and surgical site occurrence (SSO) following burst abdomen surgical treatment after abdominal midline incisions using a posterior component separation(CS) technique with transversus abdominis muscle release (TAR) reinforced by retro-muscular mesh technique. Methods: Between June 2014 and April 2018, 202 patients with grade IA BA (Björck's first classification) were treated in a prospective multiple-center cohort study.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

202

Conditions

Abdominal Wall Defect

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * BA Grade IA according to Björck's initial classification following midline laparotomy from various departments, * ≥ 18 years * both sex * emergency or elective surgery Exclusion Criteria: * BA grade 1B,2,3, and 4 according to Björck's initial classification, * \< 18 years, * primary laparotomy performed through a non-midline incision, open abdomen, * if another laparotomy had been performed between the surgery for BA and the end of the follow-up period, * concomitant intra-abdominal surgery, abdominal complications during BA surgery, * adherent bowel to the defect edge that cannot be separated, * patients lost during follow up, * presence of intra-abdominal contamination that cannot be controlled radiologically, * history of previous BA repair, * stoma exteriorized from the midline primary wound, * temporarily wound closure techniques, * prior abdominal surgeries other than operation resulted in BA, * prior abdominal wall hernia repair with or without mesh, * history of collagen diseases

Outcomes

Primary Outcomes

recurrent burst abdomen

incidence of recurrent burst abdomen by %

Time frame: 3.5 years

incisional hernia

incidence of incisional hernia measured by clinical examination and computerized tomography by %

Time frame: 3.5 years

Secondary Outcomes

incidence of surgical site infection

by %

Time frame: 30 days