Evaluation of retro muscular mesh repair technique for treatment of ventral hernia

Alkhayat, Mohammad Mouath; Saleh, Hatem A; Shaker, Mohammed N.; Elbalshy, Mohammed A.

doi:10.18203/2349-2902.isj20180013

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Over the years, surgeons all over the world have tried various techniques for the repair of ventral hernias; while each procedure had its own advantages and disadvantages, meshplasty was considered to be the best. Subsequently, it was realized that the placement and fixation of the mesh were crucial in determining the outcome of the repair [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Retrorectus Mesh Placement Versus Properitoneal Mesh Placement in Open Repairs of Ventral Hernias

Chowdari,

Chetty Y V,

2023

Cureus

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Background Ventral hernias affect millions of patients each year. Surgery is the main line of management and various techniques have been advocated; however, mesh repair has become the norm and different approaches have been described regarding the plane of mesh fixation, but none of them are standardized. Open repair is commonly practiced, and the two most commonly performed methods are retrorectus and properitoneal mesh placement. Objectives To compare the postoperative outcomes between the retrorectus plane and the properitoneal plane of fixation of mesh in open ventral hernia repair. Methods Between September 2018 and August 2020, 56 patients with midline ventral hernia admitted to Ramaiah Hospital, Bengaluru were chosen for this prospective comparative study. Group A had 28 patients who underwent open retrorectus mesh repair and 28 patients in Group B underwent open properitoneal mesh repair. The postoperative outcomes were studied in terms of operating time, postoperative complications, and early recurrence at the end of six months and 24 months post-surgery. Results The operative time for retrorectus mesh placement was significantly lower than properitoneal mesh placement. The latter had a higher complication rate overall with an incidence of 18%, with seroma being the most common complication; however, the difference in complication rates was not statistically significant. Skin necrosis was identical in both groups and 0% of cases in both groups had SSI or mesh infection. Three patients (10.71%) in the retrorectus group and two patients (7.10%) in the properitoneal group developed recurrence at 24 months follow-up. Conclusion Retrorectus mesh repair and properitoneal mesh repair in open ventral abdominal hernias have equally good postoperative outcomes.

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Section: Introductionmentioning

confidence: 99%

A Comparative Study of Retrorectus Mesh Placement Versus Properitoneal Mesh Placement in Open Repairs of Ventral Hernias

Chowdari,

Chetty Y V,

2023

Cureus

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Prediction of outcomes of chest trauma using chest trauma scoring system at a rural tertiary health-care facility

Ali,

Kumar,

Kumar

et al. 2024

Saudi Journal for Health Sciences

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Background: In India, trauma is the most common cause of death. The third most common cause of traumatic death is thoracic trauma. Thoracic trauma accounts for 10% of all trauma admissions, and the mortality rate is reported to range from 10% to 60%. Thoracic trauma patients are likely to be assessed and cared for consistently under a well-designed classification system. Aims: This study aims To investigate Chest Trauma Score (CTS)-based prognostic and predictive outcomes following chest trauma in the Indian subpopulation sustaining chest injuries. Setting and Design: This prospective observational study, Department of General Surgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, was included a total of 50 individuals with thoracic trauma. Materials and Methods: When a patient is admitted to the emergency department or trauma unit, a complete clinical assessment, detailed history, vital signs, and all appropriate investigations - including chest radiographs, computed tomography, or high-resolution computed tomography (HRCT) chest (if hemodynamics are stable on admission) - are performed. Age, pulmonary contusion (on HRCT chest), number of rib fractures, and presence of bilateral rib fracture were the four factors used to calculate the CTS. Statistical Analysis: Data were expressed as mean (standard deviation) and percentage (%). Chi-square, Student’s t-test, and analysis of variance were used to compare measured variables. Results: The mean pulse rate (beats/min) and respiratory rate (/min) of patients were significantly higher, and systolic blood pressure (mmHg) and diastolic blood pressure (mmHg) were significantly lower in the nonsurvivor group compared with the survivor group. More than 5 rib fractures and intubation were significantly found more in nonsurvivor group. The mean Glasgow Coma Scale (GCS) was significantly decreased in nonsurvivor group (11.67 ± 1.37) as compared to survivor group (14.55 ± 1.13). Conclusion: Traffic accidents were more frequently (60%) responsible for chest trauma. The mean GCS was significantly associated with patient mortality.

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Evaluation of retro muscular mesh repair technique for treatment of ventral hernia

Cited by 2 publications

References 13 publications

A Comparative Study of Retrorectus Mesh Placement Versus Properitoneal Mesh Placement in Open Repairs of Ventral Hernias

A Comparative Study of Retrorectus Mesh Placement Versus Properitoneal Mesh Placement in Open Repairs of Ventral Hernias

Prediction of outcomes of chest trauma using chest trauma scoring system at a rural tertiary health-care facility

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