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Corresponding Author

Ahmed Ahmed El-Saieed Ashry

Document Type

Original Article

Abstract

Background: Incisional hernia frequently occurs following midline laparotomy. Within some risk profiles, the occurrence rate can be as high as 70%.

Aim and objectives: To investigate the incidence of incisional hernia following centerline clean, clean-contaminated laparotomy, we will compare the use of running sutures alone vs the use of a running suture combined with a Non-absorbable Poly Propylene mesh positioned in a sublay (retro rectus) site.

Subjects and methods: This study was carried out between August 2022 and August 2023 on a total of 60 patients who underwent midsection laparotomy in clean and clean-contaminated fields. The patients were evenly divided into two groups: the Mesh Group, consisting of 30 patients who received closure with polypropylene mesh in a sub-lay fashion, and the Control Group, consisting of 30 patients who underwent closure using the Mass Closure technique with large bite fashion.

Result: After 12 months of postoperative follow-up, there is a difference between the two studied groups regarding incisional hernia occurrence, with a significant decrease in the mesh group. Furthermore, there is a substantial rise in the duration of surgery in the mesh group.

Conclusion: The occurrence of incisional hernia in a sterile surgical environment and clean-contaminated midline laparotomies can be effectively decreased by using non-absorbable sub-lay mesh in the abdominal wall closure procedure as a preventive measure.

Keywords

Incisional hernia; Eventration; Prevention; Prophylaxis; Prosthesis; Prophylactic mesh

Subject Area

General Surgery

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