Long-term Follow-up of Prophylactic Mesh Reinforcement After Emergency Laparotomy.

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

187 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-01-31

Study Completion Date

2020-01-31

Brief Summary

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Observational Study analyzing the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

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Detailed Description

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Background. Prevention of incisional hernias with a prophylactic mesh in emergency surgery is controversial. The present study aimed to analyze the long-term results of prophylactic mesh used for preventing incisional hernia after emergency midline laparotomies.

Methods. This study was a retrospective analysis of patients who underwent an emergency midline laparotomy between January 2009 and July 2010 with a follow-up period of longer than 2 years. Long-term outcomes and risk factors for the development of incisional hernias between patients who received a prophylactic reinforcement mesh (Group M) and suture (Group S) were compared.

Conditions

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Prevention of Incisional Hernia in Emergency Surgery

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Prophylactic mesh

Patients who received a prophylactic mesh after emergency surgery due to high risk of incisional hernia.

Prophylactic mesh use

Intervention Type PROCEDURE

After laparotomy sutured clousur the abdominal wall wound is reinforced using a suprafascial synthetic mesh.

Suture

Patients who's laparotomies closure was using only suture without any abdominal wall reinforcement

No interventions assigned to this group

Interventions

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Prophylactic mesh use

After laparotomy sutured clousur the abdominal wall wound is reinforced using a suprafascial synthetic mesh.

Intervention Type PROCEDURE

Other Intervention Names

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Incisional hernia prevention

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing emergency midline laparotomy

Exclusion Criteria

* Those with need of concomitant hernia repair.
* Those who received incisions outside the midline.
* Those with delayed abdominal closure.
* Those who died in the immediate postoperative period.
* Those without a minimum 2 years of follow-up.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No