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01-04-2018 | How-I-Do-It

Outcomes of utilizing absorbable mesh as an adjunct to posterior sheath closure during complex posterior component separation

Authors: J. S. Winder, A. Majumder, M. Fayezizadeh, Y. W. Novitsky, E. M. Pauli

Published in: Hernia | Issue 2/2018

Abstract

Background

A minority of patients undergoing posterior component separation (PCS) have abdominal wall defects that preclude complete reconstruction of the visceral sac with native tissue. The use of absorbable mesh bridges (AMB) to span such defects has not been established. We hypothesized that AMB use during posterior sheath closure of PCS is safe and provides favorable outcomes.

Methods

We performed a retrospective review of consecutive patients undergoing PCS with AMB at two hernia centers. Main outcome measures included demographics, comorbidities, and post-operative complications.

Results

36 patients were identified. Post-operative wound complications included five surgical site infections. At a median of 27 months, there were five recurrent hernias (13.9%), 2 of which were parastomal, but no episodes of intestinal obstruction/fistula.

Conclusions

Utilization of AMB for large posterior layer deficits results in acceptable rates of perioperative wound morbidity, effective PCS repairs, and does not increase intestinal morbidity or fistula formation.

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Title: Outcomes of utilizing absorbable mesh as an adjunct to posterior sheath closure during complex posterior component separation
Authors: J. S. Winder
A. Majumder
M. Fayezizadeh
Y. W. Novitsky
E. M. Pauli
Publication date: 01-04-2018
Publisher: Springer Paris
Published in: Hernia / Issue 2/2018
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-018-1732-1

At a glance: The STEP trials

Springer Medicine

Outcomes of utilizing absorbable mesh as an adjunct to posterior sheath closure during complex posterior component separation

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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