Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results

Hernia : the Journal of Hernias and Abdominal Wall Surgery
H PandeyD Sharma

Abstract

Synthetic non-absorbable meshes are routinely used in hernia surgery for clean cases but are avoided in the case of clean-contaminated or contaminated hernia or dirty cases to minimize the risk of infection. The present study was conducted to evaluate the outcome of polypropylene mesh in the settings of bowel resection performed for strangulated hernias of the abdominal wall. This prospective observational study was conducted in the Department of Surgery of a teaching hospital in central India between 1st March 2015 and 31st Aug 2017. Adult patients > 18 years age, with abdominal wall hernias, presenting with strangulation, and requiring resection and anastomosis for gangrenous bowel were included in the study. Outcomes noted were wound infection, morbidity and mortality, need for the removal of the mesh, and recurrence of the hernia. 30 (22 men and 8 women) patients with strangulated hernias underwent emergency surgery with resection of gangrenous bowel and anastomosis. The 30 cases included 21 inguinal, seven incisional, one femoral and one umbilical hernia. 12 of the 30 cases having gross contamination of the operative wound due to perforated gangrenous bowel were classified as 'dirty'; while the remaining 18 cases with non-...Continue Reading

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Citations

Dec 7, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T TerazawaY Nakayama
Jun 4, 2020·Revista do Colégio Brasileiro de Cirurgiões·Danilo Nagib Salomão PauloMatheus Nagib Lemos-Paulo
Jan 20, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M P MorrisJ P Fischer
Feb 8, 2021·World Journal of Emergency Surgery : WJES·Jing LiuJie Chen
Feb 19, 2021·Journal of the American College of Surgeons·L Matthijs Van den DopLucas Timmermans
Nov 23, 2019·The Journal of Surgical Research·Steven PengellySarah E Herrick
Aug 5, 2021·BMJ Case Reports·Ryan B CohenMatthew Hubbard
Oct 1, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Emmanuel E SadavaFrancisco Schlottmann
Dec 20, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Dhananjaya SharmaVikesh Agrawal

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