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

José A. Pereira

Status: Completed

Conditions: Prevention of Incisional Hernia in Emergency Surgery

Treatments: Procedure: Prophylactic mesh use

Study type: Observational

Funder types: Other

Identifiers

NCT04578561

20198240I

Details and patient eligibility

About

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

Full description

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.

Enrollment: 187 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

187 participants in 2 patient groups

Prophylactic mesh

Description:

Patients who received a prophylactic mesh after emergency surgery due to high risk of incisional hernia.

Treatment:

Procedure: Prophylactic mesh use

Suture

Description:

Patients who's laparotomies closure was using only suture without any abdominal wall reinforcement