Objective
The aim of the study is to evaluate the efficiency and safety of mesh repair in
emergent complicated midline incisional hernias as well as the impact on the early
postoperative (PO) morbidity and mortality to implement the best patient
management procedure.
Patients and methods
Thestudyincludes60patientswithemergentmidlineincisionalhernias.Patientswere
divided according to the type of closure of hernia defect into two groups, group A
(30 patients) was managed with a prosthetic mesh repair and group B (30 patients)
was managed by primary suture repair. We used the alternation method as an
allocation process. Patients in both groups were monitored during operations and
alongthePOperiod.Thedatacollected includethe patients’ conditionat presentation,
coexisting disease, operative data and PO complications, length of hospital stay,
surgical site infection (SSI) and recurrence rates.
Results
A total of 60 patients underwent operations for emergent midline incisional hernias
with (N=30) and without (N=30) the use of mesh repair. There is no significant
difference between mesh and nonmesh groups about the mean operative time
(P>0.05). Besides, there was no significant difference between both groups
concerning the total hospital stay days. The SSI rate in the mesh repair group
was 10%, while it was 6.7% in the primary suture repair group. The SSI rate was
high among diabetic patients and those with chronic liver illness. The follow-up
period ranged between 25 and 48 months with a significant difference between both
groups regarding the recurrence rate (P |
