Acta chirurgica Belgica · 2020
Is prophylactic mesh closure effective to decrease the incidence of incisional hernia after laparotomy in colorectal surgery?
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Cano-Valderrama Oscar, García-Alonso Mauricio, Sanz-Ortega Gonzalo, Rojo Mikel, Catalán Vanesa, Domínguez-Serrano Inmaculada, Dziakova Jana, Sanz-López Rodrigo, Torres Antonio J
Аннотация
BACKGROUND: few studies have studied prophylactic mesh closure after laparotomy for colorectal surgery.
METHODS: a retrospective cohort study was performed to compare patients with and without prophylactic mesh closure after open colorectal surgery.
RESULTS: 309 patients were included from January 2014 to December 2016. Prophylactic mesh closure was performed in 98 patients (31.7%). After a mean follow-up of 21.7 months, incisional hernia was developed in 9 and 54 patients in the group with and without mesh respectively (9.2% vs. 25.7%, OR = 0.3, p = 0.001). In the multivariate Cox model prophylactic mesh closure was associated with a protective effect on incisional hernia development with a Hazard Ratio of 0.46 (p = 0.033). Surgical site infection was more frequent in the mesh group (19.4% vs. 9.5%, OR = 2.3, p = 0.015).
CONCLUSIONS: prophylactic mesh closure is effective to decrease the incidence of incisional hernia after colorectal surgery.
METHODS: a retrospective cohort study was performed to compare patients with and without prophylactic mesh closure after open colorectal surgery.
RESULTS: 309 patients were included from January 2014 to December 2016. Prophylactic mesh closure was performed in 98 patients (31.7%). After a mean follow-up of 21.7 months, incisional hernia was developed in 9 and 54 patients in the group with and without mesh respectively (9.2% vs. 25.7%, OR = 0.3, p = 0.001). In the multivariate Cox model prophylactic mesh closure was associated with a protective effect on incisional hernia development with a Hazard Ratio of 0.46 (p = 0.033). Surgical site infection was more frequent in the mesh group (19.4% vs. 9.5%, OR = 2.3, p = 0.015).
CONCLUSIONS: prophylactic mesh closure is effective to decrease the incidence of incisional hernia after colorectal surgery.