مؤتمر
Prevention of incisional hernias by prophylactic mesh-augmented reinforcement of midline laparotomies for abdominal aortic aneurysm treatment: 5 year follow-up of a randomized controlled trial
| العنوان: | Prevention of incisional hernias by prophylactic mesh-augmented reinforcement of midline laparotomies for abdominal aortic aneurysm treatment: 5 year follow-up of a randomized controlled trial |
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| المؤلفون: | Dewulf, Maxime, Muysoms, F, Vierendeels, T, Huyghe, M, Miserez, M, Ruppert, M, Tollens, T, van Bergen, L, Berrevoet, F, Detry, Olivier |
| المصدر: | Belgian Surgical Week 2022, Ostende, Belgium [BE], du 5 au 7 mai 2022 |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Human health sciences, Surgery, Sciences de la santé humaine, Chirurgie |
| الوصف: | Introduction. The incidence of incisional hernias (IHs) after open repair of an abdominal aortic aneurysm (AAA) is high. Several randomized controlled trials have reported favorable results with the use of prophylactic mesh to prevent IHs, without increasing complications. In this analysis we report on the results of the 60-month follow-up of the PRIMAAT trial (Ann Surg 2016; 263(4): 638-45).Methods. In a prospective, multicenter, open label, randomized design, patients were randomized between prophylactic retrorectus mesh reinforcement (MESH group), and primary closure of their midline laparotomy after open AAA repair (NOMESH group). This article reports on the results of clinical follow-up after 60 months. If performed, ultrasonography or computed tomography were used for the diagnosis of IHs.Results. Of the 120 randomized patients, 114 were included in the intention-to-treat analysis. Thirty-three patients in the NOMESH group (33/58 - 56.9%) and 34 patients in the MESH group (34/56 - 60.7%) were evaluated after 5 years. The cumulative incidence of IHs in the NOMESH group was 32.9% after 24 months and 49.2% after 60 months. No incisional hernias were diagnosed in the MESH group. In the NOMESH group, 21.7% (5/23) underwent reoperation within 5 years due to an IH.Conclusion. Prophylactic retrorectus mesh reinforcement after midline laparotomy for the treatment of AAAs safely and effectively decreases the rate of IHs. The cumulative incidence of IHs after open AAA repair, when no mesh is used, continues to increase during the first 5 years after surgery, which leads to a substantial rate of hernia repairs. |
| نوع الوثيقة: | conference paper not in proceedings http://purl.org/coar/resource_type/c_18cp conferencePaper peer reviewed |
| اللغة: | English |
| URL الوصول: | https://orbi.uliege.be/handle/2268/300864 |
| حقوق: | open access http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess |
| رقم الأكسشن: | edsorb.300864 |
| قاعدة البيانات: | ORBi |
| الوصف غير متاح. |