Does defect size matter in abdominal wall reconstruction with successful fascial closure?
Journal
Surgery
ISSN: 1532-7361
Titre abrégé: Surgery
Pays: United States
ID NLM: 0417347
Informations de publication
Date de publication:
29 Oct 2024
29 Oct 2024
Historique:
received:
06
05
2024
revised:
14
06
2024
accepted:
17
06
2024
medline:
31
10
2024
pubmed:
31
10
2024
entrez:
30
10
2024
Statut:
aheadofprint
Résumé
Conflicting literature suggests that larger defects in abdominal wall reconstruction both increase the risk of recurrence and have no impact on recurrence. In our prior work, hernias with defect areas ≥100 cm A prospectively maintained hernia database was reviewed for clean, abdominal wall reconstruction with fascial closure and synthetic mesh. Patients were grouped and compared by defect area: moderate hernias <200 cm Of 984 patients, 607 LT200 (average area: 92.8 ± 60.8 cm GT200 required more complex measures to achieve fascial closure and resulted in increased length of stay, wound complications, and readmissions; however, GT200 had the same recurrence rate as smaller defects when fascial closure was achieved.
Sections du résumé
BACKGROUND
BACKGROUND
Conflicting literature suggests that larger defects in abdominal wall reconstruction both increase the risk of recurrence and have no impact on recurrence. In our prior work, hernias with defect areas ≥100 cm
METHODS
METHODS
A prospectively maintained hernia database was reviewed for clean, abdominal wall reconstruction with fascial closure and synthetic mesh. Patients were grouped and compared by defect area: moderate hernias <200 cm
RESULTS
RESULTS
Of 984 patients, 607 LT200 (average area: 92.8 ± 60.8 cm
CONCLUSION
CONCLUSIONS
GT200 required more complex measures to achieve fascial closure and resulted in increased length of stay, wound complications, and readmissions; however, GT200 had the same recurrence rate as smaller defects when fascial closure was achieved.
Identifiants
pubmed: 39477724
pii: S0039-6060(24)00831-6
doi: 10.1016/j.surg.2024.06.084
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of Interest/Disclosure Alexis M. Heniford is a surgical research grant recipient and speaking honorarium for WL Gore. Vedra A. Augenstein is a consultant for Medtronic and Vicarious Surgical and is a speaker for Allergan, Bard, and Pacira. The other authors have indicated that they have no conflicts of interest regarding the content of this article.