Outcome of the Use of a Synthetic Mesh in the Repair of Burst Abdomen as Compared with Simple Suture

作     者：Manuel López-Cano José A. Pereira Xavier Feliu Lourdes Hernández Daniel Andrada Esther Gil Borja Villanueva Manuel Armengol-Carrasco 

作者机构：Unidad de Cirugía de la Pared Abdominal Servicio de Cirugía General y Digestiva Hospital Universitario Vall d’Hebron Universitat Autònoma de Barcelona Barcelona Spain Servicio de Cirugía General y Digestiva Hospital del Mar Parc de Salut Mar Departamento de Ciencias Experimentales y de la Salud Universitat Pompeu Fabra Barcelona Spain Servicio de Cirugía General y Digestiva Hospital de Igualada Barcelona Spain 

出 版 物：《International Journal of Clinical Medicine》 (临床医学国际期刊（英文）)

年 卷 期：2015年第6卷第3期

页      面：113-118页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Mesh Suture Burst Abdomen Abdominal Wall Hernia 

摘      要：Aim: To assess the outcome (postoperative morbidity and mortality and/or development of incisional hernia) of patients with burst abdomen (BA) of midline laparotomy without intestinal fistula comparing early closure of the abdominal wall with a running suture alone vs. running suture plus reinforcement with a non-absorbable synthetic mesh. Methods: Retrospective analysis of the medical records of all patients undergoing surgical repair of a BA in three hospitals between 2006 and 2011. Risk factors, postoperative complications and the incidence of incisional hernia (IH) after a minimum of 12-month follow-up period were compared between groups. Results: A total of 109 patients were treated for BA, 18 patients treated by non-standard procedures were excluded from analysis. Of the remaining 91 patients, 56 belong to the mesh group and 35 to the suture group. The overall rate of postoperative complications was high in both groups (79.1%). Mortality rate was higher in the suture group than in the mesh group (31.4% vs. 14.3%;P = 0.06). IH was also more frequent in the suture group (36.4% vs. 17.6%;P = 0.057). Conclusions: Patients with BA and without intestinal fistula could be candidates for surgical repair using a running suture and a non-absorbable polypropylene mesh in the “onlay position.