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Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias: a seven years study

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Abstract

Purpose

The aim of this prospective study was to present a 7-year experience with the use of prosthetic mesh repair in the management of the acutely incarcerated and/or strangulated ventral hernias.

Methods

Patients with acutely incarcerated and/or strangulated ventral hernias were treated by emergency repair of the hernia using an onlay Prolene mesh. The presence of non-viable intestine necessitating resection-anastomosis of the bowel was not considered a contraindication to the use of mesh.

Results

The present study included 80 patients. Their age ranged from 25 to 86 years with a mean of 56.1 ± 13.2 years. The hernia was para-umbilical in 71 patients (88.75 %), epigastric in 6 patients (7.5 %) and incisional in 3 patients (3.75 %). Eighteen patients (22.5 %) had recurrent hernias. Resection-anastomosis of non-viable small intestine was performed in 18 patients (22.5 %). There were 2 perioperative mortalities (2.5 %). Complications were encountered in 17 patients (21.3 %) and included wound sepsis in 9 patients (11.25 %), seroma formation in 5 patients (6.25 %), chest infection in 4 patients (5 %), deep vein thrombosis in 1 patient (1.25 %) and mesh infection in another patient (1.25 %). Follow-up duration ranged from 12 to 84 months with a mean of 49.9 ± 19.9 months. Only one recurrence was encountered throughout the study period.

Conclusions

The use of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias is safe. The presence of non-viable intestine cannot be regarded as a contraindication for prosthetic repair.

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Authors and Affiliations

  1. Department of General Surgery, Faculty of Medicine, University of Alexandria, 20 Ismail Serry St., Semouha, Alexandria, Egypt

    S. S. Bessa & A. H. Abdel-Razek

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  1. S. S. Bessa
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  2. A. H. Abdel-Razek
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Correspondence to S. S. Bessa.

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Bessa, S.S., Abdel-Razek, A.H. Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated ventral hernias: a seven years study. Hernia 17, 59–65 (2013). https://doi.org/10.1007/s10029-012-0938-x

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  • DOI: https://doi.org/10.1007/s10029-012-0938-x

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