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. 2017 Jul 18:12:31.
doi: 10.1186/s13017-017-0143-4. eCollection 2017.

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

Sameh Hany Emile  1 , Hesham Elgendy  1 , Ahmad Sakr  1 , Waleed Ahmed Gado  1 , Ahmed Aly Abdelmawla  1 , Mahmoud Abdelnaby  1 , Alaa Magdy  1
Affiliations

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

Sameh Hany Emile et al. World J Emerg Surg. .

Abstract

Background: The use of synthetic mesh for ventral hernia repair under contaminated conditions is a controversial issue due to the considerable risk of surgical site infection (SSI). This study aimed to review the outcomes of repair of incarcerated and strangulated ventral hernias with or without synthetic mesh in compliance with established clinical guidelines regarding the incidence of SSI and hernia recurrence.

Methods: The records of patients with complicated ventral hernias who were treated with or without synthetic mesh repair were reviewed. Variables collected included the characteristics of patients and of ventral hernias, type of repair, and incidence of SSI and recurrence.

Results: One hundred twenty-two patients (56 males) of a mean age of 56 years were included. Fifty-two (42.6%) and 70 (57.4%) patients presented with incarcerated and strangulated ventral hernias, respectively. Sixty-six (54%) patients were treated with on-lay mesh repair, and 56 (46%) were managed with suture repair. Twenty-one patients required bowel resection. SSI was detected in eight (6.5%) patients. There was no significant difference between both groups regarding the incidence of SSI (7.5% for mesh group vs 5.3% for suture group). Recurrence occurred in seven patients. Median follow-up period was 24 months. The suture repair group had a significantly higher incidence of recurrence than the mesh group. Diabetes mellitus, previous recurrence, and intestinal resection were significant predictors for SSI.

Conclusion: Following established guidelines, synthetic mesh repair of incarcerated and strangulated ventral hernias attained lower recurrence rate, comparable incidence of SSI, and higher rate of seroma formation than suture repair.

Trial registration: Research Registry, researchregistry1891.

Keywords: Incarcerated; Mesh, synthetic; Outcome, infection; Strangulated; Ventral hernia.

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Conflict of interest statement

Ethics approval and consent to participate

Ethical approval was obtained from IRB of Mansoura faculty of medicine. Consent to participate was not applicable owing to the retrospective nature of the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Flow diagram illustarting the treatment and outcomes of patients with complicated ventral hernias
See this image and copyright information in PMC

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