Galal ElGazzaz
Egypt
Research Article
Risk of Infection and Recurrence over Prolonged Follow up in Patients Undergoing Ventral Hernia Repair with Underlying Sepsis, Concomitant Bowel Injury or Resection - Can the Use of Synthetic Mesh be Justified?
Author(s): Mohammad A Gad, Aly Saber and Galal ElGazzazMohammad A Gad, Aly Saber and Galal ElGazzaz
Introduction: The incidence of hernia in a laparotomy incision has been reported to reach up to 20% percent in clean, uncomplicated cases and believed to be higher in the setting of a contaminated operative field, and comorbidity.
Objectives: The authors evaluated the risk of infection and hernia recurrence after repair with non-absorbable mesh.
Methods: A retrospective review of outcome of all patients who underwent mesh repair for ventral hernias with underlying peritoneal sepsis or during a procedure with bowel anastomosis or repair. Long-term evaluation of outcome included intra-peritoneal or wound infection the need for mesh excision or recurrence and quality of life.
Results: Patients with a recurrence (R) and those without a recurrence (NR) had similar, gender, BMI and ASA. The two groups w.. View More»
