Polypropylene mesh repair of incarcerated and strangulated hernias: a prospective clinical study

Topçu, Ömer; Kurt, Atilla; Soylu, Sinan; Akgöl, Gündüz; Atabey, Mustafa; Karakuş, Boran Cihat; Aydın, Cengiz

doi:10.1007/s00595-012-0397-0

Cited by 16 publications

(27 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the wound complication rate may be increased with bowel resection, the mesh never required removal. 28,29 Bessa and Abdel-Razek 30 analyzed the combined results of prosthetic mesh repair in cases of strangulated inguinal and incisional hernias available in the literature. Combined analysis of 572 patients revealed that bowel resection was required in 14.7% of cases, with a wound infection rate of 4%, seroma rate of 3.8%, and mesh infection in 1 patient (0.2%).…”

Section: Emergent Prosthetic Repair Of Acutely Strangulated Herniasmentioning

confidence: 99%

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

Carbonell¹,

Cobb²

2013

Surgical Clinics of North America

View full text Add to dashboard Cite

Section: Emergent Prosthetic Repair Of Acutely Strangulated Herniasmentioning

confidence: 99%

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

Carbonell¹,

Cobb²

2013

Surgical Clinics of North America

View full text Add to dashboard Cite

“…At present, the use of a mesh for the tension-free repair of an emergency hernia does not seem to be an absolute contraindication 11 . A mesh is safe to apply even in cases of intestinal resection and anastomosis 10,[17][18][19][20] . Evidence has accumulated regarding the application of synthetic meshes, and clinicians recommend the use of synthetic meshes to repair FHs in patients, including in emergency situations 2,10,19 .…”

Section: Discussionmentioning

confidence: 99%

A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia

Liu

Zheng

et al. 2020

Sci Rep

View full text Add to dashboard Cite

to compare the outcomes of open preperitoneal repair (opR) with the use of mesh and open suture repair (oSR) without mesh via inguinal approach for the treatment of emergency femoral hernia (fH). the primary outcome was the postoperative complication and the secondary outcomes were the recurrence rate of FH and the postoperative comfort level at the surgical site. 104 patients with emergency FHs were included, of whom 51 patients were treated with OPR, 53 patients were treated with OSR. Between the two groups, no significant difference was found in surgical site infection (SSI) (p = 0.801) or seroma (P = 0.843), while there was significant difference in the improvement of comfort at the surgical site (p = 0.013). The results of the 2-year follow-up demonstrated 1 and 8 cases of recurrence in the OPR and OSR group respectively, which was statistically significant (HR, 8.193 [95% CI, 1.024 to 65.547], P = 0.047). Compared with OSR, OPR with the use of mesh did not increase the risk of SSi and was safe to apply even under the condition of an emergency fH operation with intestine resection; opR could reduce the recurrence rate of fH and improve the comfort at the surgical site.The incidence of femoral hernia is not high, accounting for approximately 2-4% of all groin hernias 1,2 , but it is extremely easy for femoral hernias (FHs) to incarcerate and/or strangulate 3,4 , and patients need emergency surgery after incarceration and/or strangulation 5,6 . The surgical methods include tissue suture repair and tension-free repair with different kinds of meshes. Clinical guidelines do not strongly recommend tension-free repair with mesh because this approach may cause surgical site infection (SSI), especially in patients who undergo intestinal resection 7,8 . At present, with the improvement of mesh materials, there have been continuous reports of the safe use of mesh in the repair of incarcerated and/or strangulated groin hernias or even in the condition of intestinal resection without the occurrence of serious complications such as mesh-related infection 9-11 .However, cohort studies comparing open mesh tension-free repair and open suture repair for emergency femoral hernias via the inguinal approach have rarely been reported. The purpose of this study was to evaluate the feasibility of open preperitoneal repair (OPR) for emergency FHs using UHS meshes by comparing the outcomes with those of open suture repair (OSR) for the treatment of emergency FHs. patients and Methods ethics statement. This retrospective cohort study was approved by the Medical Ethics Committee of Ganzhou People's Hospital, and the methods were carried out in accordance with the approved guidelines.patients. By referencing the medical records, consecutive patients with a primary diagnosis of FH treated between 2011 and 2017 were identified. Patients who underwent emergency FH repair via OPR with the use of UHS mesh or OSR without the use of mesh were selected and divided into two groups (the OPR group and OSR group) according to the repair method.

show abstract

“…Moreover, irreducible hernias could be obstructed or strangulated hernias or none of them (Onuigbo and Njeze, 2016). High recurrence rates are the most debatable problems in repair of incarcerated and strangulated hernias without mesh (5-21 %) and high wound infection rates (6-14 %) (Topcu et al, 2013). The rate of surgical site infection (SSI) following hernia repair using mesh ranges from 0% to 14%.…”

Section: Introductionmentioning

confidence: 99%

Management of Irreducible Hernia Using Polypropylene Mesh

Hassaan

Sena

Al-alfy

2020

Al-Azhar Medical Journal

View full text Add to dashboard Cite

Background: Incarceration of abdominal wall hernia is a frequent problem. Moreover, using polypropylene mesh in management of acute hernia is infrequently performed.Objective: To detect the relation between postoperative surgical site infections (SSI) in patients with irreducible abdominal wall hernia using polypropylene mesh in their hernia repair.Patients and methods: Our study included 30 irreducible abdominal hernia patients even with strangulation and/or obstruction who were managed by polypropylene meshes. This prospective interventional study was conducted at the Department of General Surgery, Al-Zahraa University Hospital from November 2018 to November 2019. All patients, who presented with irreducible, obstructed or strangulated abdominal wall hernias, were included in this study.Results: Preoperative hernia complications were 66.7% irreducibility only, 3.3% hematoma, 3.3% obstructed, 6.7% strangulated, 20% strangulated obstructed. Presence of toxic fluid in the hernia sac was 23.32%. This study revealed seroma (SSI) in 36.7%. There were significant differences between seroma formation regarding preoperative hernia complications rather than irreducibility (p=0.013), presence of toxic fluid in the hernia sac (p=0.029). There were high significant relation between seroma (SSI) in cases operated emergency than in cases operated electively (p<0.001). Seroma formation was higher in cases with past history of abdominal wall surgery (p<0.001). Conclusion:Seroma formation rates were higher in irreducible strangulated and /or obstructed (urgent cases) hernia repair using polypropylene mesh but controllable, and no deep infection was developed in any case. Therefore, use of polypropylene mesh in acute urgent hernia cases was safe and advisable.

show abstract

Polypropylene mesh repair of incarcerated and strangulated hernias: a prospective clinical study

Abstract: The findings revealed effective and safe usage of mesh along with antibiotic therapy in patients undergoing incarcerated and strangulated hernia repair.

Cited by 16 publications

References 13 publications

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia

Management of Irreducible Hernia Using Polypropylene Mesh

Contact Info

Product

Resources

About