Outcomes of concomitant mesh placement and intestinal procedures during open ventral hernia repair
- PDF / 479,955 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 62 Downloads / 190 Views
ORIGINAL ARTICLE
Outcomes of concomitant mesh placement and intestinal procedures during open ventral hernia repair A. Moazzez1 · E. D. Dubina1 · H. Park1 · A. L. Shover1 · D. Y. Kim1 · C. M. de Virgilio1 Received: 27 August 2020 / Accepted: 2 November 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Purpose The concept of mesh use during open ventral hernia repair with a concomitant intestinal procedure remains controversial and it remains unclear whether the SSI profile of contaminated fields in this setting more closely resembles cleancontaminated or dirty wounds. Methods Patients who underwent an open ventral hernia repair and intestinal procedures were extracted from the ACSNSQIP database. Data analysis was performed for mesh versus no mesh groups in aggregate and matched cohorts. The 30-day outcomes including mortality, morbidity, surgical site infections (SSI), readmission, reoperation, and length of stay were compared between the groups. Results Of 5104 patients in the mesh group, 3297 patients were matched 1:1 with patients without mesh. Mesh placement was associated with higher overall morbidity (35.1% vs. 29.8%; p
Data Loading...
