Objective: We are trying to evaluate the efficiency and safety of mesh repair in emergent complicated midline incisional hernias as well as the impact on the early postoperative morbidity and mortality to implement the best patient management procedure.
Patients & Methods: The study includes 60 patients with emergent midline incisional hernias. Patients divided according to the type of closure of hernia defect into 2 groups, group A (30 patients) managed with a prosthetic mesh repair and group B (30 patients) managed by primary suture repair. We used the alternation method as an allocation process. Patients in both groups were monitored during operations and along the PO period. The data collected includes the patients’ condition at presentation, co-existing disease, operative data and PO complications, the length of hospital stay, 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 non-mesh groups about the mean operative time (P-value >0.05). Also, no significant difference between both groups concerning the total hospital stay days. The SSI rate in 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. Follow-up period ranging between 25 and 48 months with a significant difference between both groups regarding the recurrence rate (P-value |
