Long-term Follow-up of Prophylactic Mesh Reinforcement After Emergency Laparotomy.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Prevention of Incisional Hernia in Emergency Surgery
- Sponsor
- José A. Pereira
- Enrollment
- 187
- Primary Endpoint
- Incisional hernia
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Observational Study analyzing the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.
Detailed Description
Background. Prevention of incisional hernias with a prophylactic mesh in emergency surgery is controversial. The present study aimed to analyze the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies. Methods. This study was a retrospective analysis of patients who underwent an emergency midline laparotomy between January 2009 and July 2010 with a follow-up period of longer than 2 years. Long-term outcomes and risk factors for the development of incisional hernias between patients who received a prophylactic reinforcement mesh (Group M) and suture (Group S) were compared.
Investigators
José A. Pereira
Jose Antonio Pereira-Rodriguez; M.D; Ph.D.
Hospital del Mar
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing emergency midline laparotomy
Exclusion Criteria
- •Those with need of concomitant hernia repair.
- •Those who received incisions outside the midline.
- •Those with delayed abdominal closure.
- •Those who died in the immediate postoperative period.
- •Those without a minimum 2 years of follow-up.
Outcomes
Primary Outcomes
Incisional hernia
Time Frame: 2 years
Detection of clinical or subclinical incisional hernia during postoperative longterm followup