A comparative study of sutured versus bovine pericardium mesh abdominal closure after open abdominal aortic aneurysm repair

Bali, Christina; Papakostas, John C.; Georgiou, G.; Kouvelos, George; Avgos, Stavros; Arnaoutoglou, Elena; Papadopoulos, George Α.; Matsagkas, Miltiadis

doi:10.1007/s10029-014-1262-4

Cited by 49 publications

(88 citation statements)

References 25 publications

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“…1 ). In total, 13 RCTs fulfilled the inclusion criteria, but the study of Timmermans and colleagues was excluded because only the short‐term results (postoperative complications in the first month) were discussed; thus 12 RCTs were analysed. Six studies were considered to have a low risk of bias, and six to have a high risk of bias ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Incisional hernia (IH) is a frequent complication after abdominal surgery, with an incidence ranging from 11 to 20 per cent in general surgical populations. The incidence of IH can increase up to 40 per cent in high‐risk groups, such as patients with an abdominal aortic aneurysm (AAA) or morbid obesity. IH may be asymptomatic, but can also lead to serious and potentially fatal complications, such as incarceration and strangulation of bowel.…”

Section: Introductionmentioning

confidence: 99%

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Prevention of incisional hernia after midline laparotomy with prophylactic mesh reinforcement: a meta-analysis and trial sequential analysis

et al. 2020

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Background: Incisional hernia is a frequent complication after abdominal surgery. The aim of this study was to assess the efficacy of prophylactic mesh reinforcement (PMR) after midline laparotomy in reducing the incidence of incisional hernia.Methods: A meta-analysis was conducted following PRISMA guidelines. The primary outcome was the incidence of incisional hernia after follow-up of at least 12 months. Secondary outcomes were postoperative complications. Only RCTs were included. A random-effects model was used for the meta-analysis, and trial sequential analysis was conducted.Results: Twelve RCTs were included, comprising 1815 patients. The incidence of incisional hernia was significantly lower after PMR compared with sutured closure (risk ratio (RR) 0⋅35, 95 per cent c.i. 0⋅21 to 0⋅57; P < 0⋅001). Both onlay (RR 0⋅26, 0⋅11 to 0⋅67; P = 0⋅005) and retromuscular (RR 0⋅28, 0⋅10 to 0⋅82; P = 0⋅02) PMR led to a significant reduction in the rate of incisional hernia. The occurrence of seroma was higher in patients who had onlay PMR (RR 2⋅23, 1⋅10 to 4⋅52; P = 0⋅03). PMR did not result in an increased rate of surgical-site infection.Conclusion: PMR of a midline laparotomy using an onlay or retromuscular technique leads to a significant reduction in the rate of incisional hernia in high-risk patients. Individual risk factors should be taken into account to select patients who will benefit most.[Correction added on 19 February 2020, after first online publication: J. García Alamino has been amended to J. M. Garcia-Alamino]

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevention of incisional hernia after midline laparotomy with prophylactic mesh reinforcement: a meta-analysis and trial sequential analysis

et al. 2020

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“…Distribution of IDEAL stage and GRADE quality of included studies are presented in Tables and respectively. Of the four prophylaxis studies, two evaluated biological mesh at the time of stoma closure, one following midline laparotomy after abdominal aortic aneurysm (AAA) repair, and one after cytoreduction and hyperthermic intraperitoneal chemotherapy. All four studies included only elective patients and the degrees of contamination were clean‐contaminated (2) and contaminated (2).…”

Section: Resultsmentioning

confidence: 99%

“…Mesh placement was reported as intraperitoneal in five studies 34,35,42,44,46 , extraperitoneal in seven 30,32,33,37,40,48,50 and a combination in ten studies 29,31,36,38,39,41,43,45,47,49 . One study 28 26 2015 Greece Prophylaxis Bovine pericardium 36 Maggiori et al 24 2015 France Prophylaxis Strattice™ 17 Ueno et al 29 2004 USA Reinforcement Surgisis ® 16 Limpert et al 37 2009 USA Reinforcement Bovine pericardium 22 Hsu et al 35 2009 USA Reinforcement Permacol™ 16 Chavarriaga et al 32 2010 USA Reinforcement Permacol™ 7 Cox et al 48 2010 USA Reinforcement Surgisis ® 10 Shah et al 45 2011 elective and emergency operations. The eight studies involved a mixture of procedures, with degree of contamination ranging from clean-contaminated to dirty.…”

Section: Ideal Stage Of Innovation and Grade Quality Of Evidencementioning

confidence: 99%

Systematic review of the stage of innovation of biological mesh for complex or contaminated abdominal wall closure

et al. 2018

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BackgroundAchieving stable closure of complex or contaminated abdominal wall incisions remains challenging. This study aimed to characterize the stage of innovation for biological mesh devices used during complex abdominal wall reconstruction and to evaluate the quality of current evidence.MethodsA systematic review was performed of published and ongoing studies between January 2000 and September 2017. Eligible studies were those where a biological mesh was used to support fascial closure, either prophylactically after midline laparotomy, or for reinforcement after repair of incisional hernia with midline incision. The primary outcome measure was the IDEAL framework stage of innovation. The key secondary outcome measure was the GRADE criteria for study quality.ResultsThirty‐five studies including 2681 patients were included. Four studies considered mesh prophylaxis, 23 considered hernia repair, and eight reported on both. There was one published randomized trial (IDEAL stage 3), none of which was of high quality; the others were non‐randomized studies (IDEAL stage 2a). A detailed description of surgical technique was provided in most studies (27 of 35); however, no study reported outcomes according to the European Hernia Society consensus statement and only two described quality control of surgical technique during the study. From 21 ongoing randomized trials and observational studies, 11 considered repair of incisional hernia and 10 considered prophylaxis (seven in elective settings).ConclusionThe evidence base for biological mesh is limited, and better reporting and quality control of surgical techniques are needed. Although results of ongoing trials over the next decade will improve the evidence base, further study is required in the emergency and contaminated settings.

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“…It has been found that bovine pericardium can be a good alternative in the reconstruction of congenital diaphragmatic hernia in children [34]. At the same time, there are unique communications reflecting efficiency of use of bovine pericardium grafts in reconstruction of the abdominal wall [15,35], most of them being at the experimental stage [25,36].…”

Section: Color H-e;mentioning

confidence: 99%

Comparative Cellular Local Response in Abdominal Defect Plastic Surgery with Bovine Pericardium and Bovine Fascia Preserved in Formaldehyde in Experimental Rabbits

Gudemac

Babuci

Tica

et al. 2017

ARS Medica Tomitana

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In the present paper, we refer to a method of primary closure of congenital defects of the anterior abdominal wall with tensionless viscero-abdominal disproportion. The study group included 10 animals subjected to surgery of the abdominal wall defect closure with bovine pericardium graft preserved in 0.5% formaldehyde, and 5 rabbits of the same breed and weight, in which bovine fascia graft was used as implant, being preserved in 0.5% formaldehyde. The abdominal anterior wall defect was made surgically by excision of the musculo-fascial structures and peritoneum. Bovine pericardium graft and bovine fascia graft were placed and fixed posteriorly to rectus abdominals muscles, having direct contact with the intra-abdominal contents and protected by suturing skin and subcutaneous layer. The purpose of the study was to perform a comparative postoperative evaluation of local macroscopic and microscopic changes that develop after reconstruction of the major abdominal wall defects experimentally induced in rabbits, using bovine pericardium and bovine fascia grafts preserved in 0.5% formaldehyde. In cases of major fascial defects of the anterior abdominal wall, bovine pericardium graft has acceptable strength and biocompatibility, having stabilizing properties of the abdominal wall due to the development of the connective tissue layer located between the implant and

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A comparative study of sutured versus bovine pericardium mesh abdominal closure after open abdominal aortic aneurysm repair

Abstract: The bovine pericardium mesh reinforcement of fascia closure in patients undergoing open AAA repair showed effectiveness and low complication rate in prophylaxis from incisional herniation. It should be considered as an alternative mesh material in selected patients.

Cited by 49 publications

References 25 publications

Prevention of incisional hernia after midline laparotomy with prophylactic mesh reinforcement: a meta-analysis and trial sequential analysis

Prevention of incisional hernia after midline laparotomy with prophylactic mesh reinforcement: a meta-analysis and trial sequential analysis

Systematic review of the stage of innovation of biological mesh for complex or contaminated abdominal wall closure

Comparative Cellular Local Response in Abdominal Defect Plastic Surgery with Bovine Pericardium and Bovine Fascia Preserved in Formaldehyde in Experimental Rabbits

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