Outcome of the Use of a Synthetic Mesh in the Repair of Burst Abdomen as Compared with Simple Suture - International Journal of Clinical Medicine

IJCM > Vol.6 No.3, March 2015

International Journal of Clinical Medicine

Volume 6, Issue 3 (March 2015)

ISSN Print: 2158-284X ISSN Online: 2158-2882

Google-based Impact Factor: 0.52 Citations h5-index & Ranking

Outcome of the Use of a Synthetic Mesh in the Repair of Burst Abdomen as Compared with Simple Suture ()

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DOI: 10.4236/ijcm.2015.63016 3,238 Downloads 4,403 Views Citations

Author(s)

Manuel López-Cano^1*, José A. Pereira², Xavier Feliu³, Lourdes Hernández², Daniel Andrada¹, Esther Gil¹, Borja Villanueva¹, Manuel Armengol-Carrasco¹

Affiliation(s)

¹Unidad de Cirugía de la Pared Abdominal, Servicio de Cirugía General y Digestiva, Hospital Universitario Vall d’Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
²Servicio de Cirugía General y Digestiva, Hospital del Mar, Parc de Salut Mar, Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, Spain.
³Servicio de Cirugía General y Digestiva, Hospital de Igualada, Barcelona, Spain.

ABSTRACT

Aim: To assess the outcome (postoperative morbidity and mortality and/or development of incisional hernia) of patients with burst abdomen (BA) of midline laparotomy without intestinal fistula comparing early closure of the abdominal wall with a running suture alone vs. running suture plus reinforcement with a non-absorbable synthetic mesh. Methods: Retrospective analysis of the medical records of all patients undergoing surgical repair of a BA in three hospitals between 2006 and 2011. Risk factors, postoperative complications and the incidence of incisional hernia (IH) after a minimum of 12-month follow-up period were compared between groups. Results: A total of 109 patients were treated for BA, 18 patients treated by non-standard procedures were excluded from analysis. Of the remaining 91 patients, 56 belong to the mesh group and 35 to the suture group. The overall rate of postoperative complications was high in both groups (79.1%). Mortality rate was higher in the suture group than in the mesh group (31.4% vs. 14.3%; P = 0.06). IH was also more frequent in the suture group (36.4% vs. 17.6%; P = 0.057). Conclusions: Patients with BA and without intestinal fistula could be candidates for surgical repair using a running suture and a non-absorbable polypropylene mesh in the “onlay” position.

KEYWORDS

Mesh, Suture, Burst Abdomen, Abdominal Wall, Hernia

Share and Cite:

López-Cano, M. , Pereira, J. , Feliu, X. , Hernández, L. , Andrada, D. , Gil, E. , Villanueva, B. and Armengol-Carrasco, M. (2015) Outcome of the Use of a Synthetic Mesh in the Repair of Burst Abdomen as Compared with Simple Suture. International Journal of Clinical Medicine, 6, 113-118. doi: 10.4236/ijcm.2015.63016.

Cited by

[1]	High rate of incisional hernia observed after mass closure of burst abdomen
	Hernia, 2022

[2]	Rectus diastasis increases risk of burst abdomen in emergency midline laparotomies: a matched case–control study
	Hernia, 2022

[3]	Management of abdominal wound dehiscence: update of the literature and meta-analysis
	2020

[4]	Lukning af akut midtlinjelaparotomi
	2020

[5]	Prophylactic, Synthetic Intraperitoneal Mesh Versus No Mesh Implantation in Patients with Fascial Dehiscence
	Journal of Gastrointestinal Surgery, 2018

[6]	EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen
	Hernia, 2018

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