Feasibility of mesh repair for strangulated abdominal wall hernias

Ellatif, Mohamed E. Abd; Negm, AA; El-Morsy, Gamal Z.; Alkatary, Mohammed; Yousef, Abd El Azeim M.; Ellaithy, Ramadan

doi:10.1016/j.ijsu.2012.02.004

Cited by 22 publications

(27 citation statements)

References 23 publications

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“…The results showed low rates of wound infection (4.3%) and recurrence (4.3%), with a mean follow-up of 42 months. The authors therefore concluded that mesh hernioplasty is crucial to prevent recurrence and that it is safe for repairing acutely incarcerated hernias [ 45 ].…”

Section: Recommendationsmentioning

confidence: 99%

See 1 more Smart Citation

2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias

Birindelli

Sartelli

Saverio³

et al. 2017

World J Emerg Surg

136

100

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Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infection is the most common complication encountered and represents an immense burden especially in the presence of a mesh. The recurrence rate is an important topic that influences the final outcome. A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013 with the aim to define recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel. In 2016, the guidelines have been revised and updated according to the most recent available literature.

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Section: Recommendationsmentioning

confidence: 99%

“…No significant difference was found in terms of postoperative morbidities, wound infection, and recurrence rate between the two groups. The authors therefore concluded that mesh hernia repair is crucial to prevent recurrence and that it is safe for repairing acutely incarcerated hernias, even in case of intestinal resection [ 45 ].…”

Section: Recommendationsmentioning

confidence: 99%

2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias

Birindelli

Sartelli

Saverio³

et al. 2017

World J Emerg Surg

136

100

View full text Add to dashboard Cite

show abstract

“…reportan un porcentaje global de complicaciones del 35.7 % y una mortalidad del 5.9 % 3 . Otras series reportan una tasa de complicación del 30 % en las cirugías de urgencia y del 19 % en la cirugías electivas 11 . La necesidad de resección intestinal es un factor que aumenta la tasa de complicaciones y la mortalidad.…”

Section: Discussionunclassified

Coronavirus, COVID-19 and SARS-CoV-2

Megias¹

2020

Rev Hispanoam Hernia

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Se presenta un caso clínico de eventración infraumbilical complicada estrangulada con obstrucción intestinal que acude durante la pandemia de la COVID-19, causada por el virus SARS-CoV-2, al Hospital Municipal de la provincia de Buenos Aires (Argentina), con múltiples factores de riesgo y comorbilidades que potencialmente podían afectar a la evolución posoperatoria de la paciente. Se analiza, además de la técnica de plástica de pared abdominal, las medidas sanitarias implementadas para prevenir la infección del personal quirúrgico y del paciente.

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“…Many surgeons hesitate to use a mesh in cases of gangrenous strangulated intestines, because it may pose a potential risk for mesh infection. However, Abd Ellatif et al [ 8 ] divided patients with incarcerated hernia into two groups: those who underwent mesh hernioplasty with resection and anastomosis, and those who did not; there was no significant difference between the two groups in terms of wound infection and recurrence rates, and no patients had to undergo reoperation to remove the mesh. Considering these advantages, we suggest that laparoscopic mesh repair should be introduced more aggressively in cases of intestinal gangrene secondary to umbilical strangulated hernia.…”

Section: Discussionmentioning

confidence: 99%

A case of incarcerated umbilical hernia in an adult treated by laparoscopic surgery

Tsushimi

Mori

Nagase

et al. 2015

Journal of Surgical Case Reports

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A 42-year-old, obese woman was admitted to our hospital 3 h after the sudden development of abdominal pain. Her umbilical region was swollen and she was diagnosed with incarceration of an umbilical hernia by computed tomography. Although we tried, we were unable to reduce the hernia with a manipulative procedure. We decided to perform an emergency laparoscopy. Once general anesthesia was induced, we achieved hernia reduction. From a laparoscopic view, the portion of strangulated small intestine was neither necrotic nor perforated. The size of the hernial orifice was ∼2 × 2 cm, and thus, we selected a 12 × 12 cm composite mesh to cover the hernia defect by at least 5 cm in all directions. The surgical procedure was uneventful and the total operation time was 112 min. The patient recovered uneventfully and was discharged on postoperative day 9. She remains free of recurrence 20 months after surgery.

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Feasibility of mesh repair for strangulated abdominal wall hernias

Abstract: Mesh hernioplasty is crucial to prevent recurrence, and it is safe to utilize it in repair of acutely incarcerated hernias even if associated with intestinal resection.

Cited by 22 publications

References 23 publications

2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias

2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias

Coronavirus, COVID-19 and SARS-CoV-2

A case of incarcerated umbilical hernia in an adult treated by laparoscopic surgery

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