Outcomes of subsequent abdominal operations after an initial ventral hernia repair

被引：1

作者：

Hayden, Anna ^{[1
]}

Worth, Samantha ^{[1
]}

Kothari, Brittany ^{[2
]}

Keller, Weston ^{[3
]}

Mcgill, Emily ^{[2
]}

Blackhurst, Dawn ^{[3
]}

Cobb, William S. ^{[4
]}

Carbonell, Alfredo M. ^{[4
]}

Warren, Jeremy A. ^{[4
,5
]}

机构：

[1] Univ South Carolina, Sch Med, Greenville, SC USA

[2] Prisma Hlth Dept Surg, Summer Program Undergrad Res Surg, Greenville, SC USA

[3] Prisma Hlth Dept Surg, Greenville, SC USA

[4] Univ South Carolina, Sch Med Greenville, Prisma Hlth Dept Surg, Greenville, SC USA

[5] Univ South Carolina, Sch Med Greenville, Div Minimal Access Surg, Prisma Hlth Upstate,Dept Surg, 701 Grove Rd,Support Tower 3, Greenville, SC 29605 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2023年 / 226卷 / 06期

关键词：

Subsequent abdominal operation; Ventral hernia repair; Abdominal wall reconstruction; Mesh; MESH; COMPLICATIONS; RECURRENCE;

D O I：

10.1016/j.amjsurg.2023.07.044

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction: Nearly 20% of ventral hernia repair (VHR) patients require a subsequent abdominal operation (SAO), and mesh position may impact the complexity and outcome of the SAO. Methods: Retrospective review of VHR with mesh from 2006 to 2020 from an internal database and the ACHQC. Primary outcomes measured incidence, complexity, and complications of SAO relative to mesh position. Results: SAO was required in 433 of 2539 (17.1%) patients, totaling 671 operations; 197/893 (22.1%) with intraperitoneal mesh (IPM) and 236/1646 (14.3%) with extraperitoneal mesh (EPM; p < 0.001). SAO was directly related to VHR in 180 (232 total SAOs) and unrelated in 253 (439 total SAOs). There were no significant differences in complications after SAO between IPM and EPM, nor any difference in adhesion complexity. Conclusion: Incidence of SAO is higher with IPM, but surgical outcomes are similar. Due to the risk of secondary mesh infection with IPM, significantly more of these were removed at the time of SAO.

引用

页码：896 / 900

页数：5

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