A Systematic Review of Stenting in the Management of Acute Deep Venous Thrombosis

Abstract

s 413 rate within the first year from 30% to 10% of the patient population. A secondary objective is a non-inferiority of MonoMax suture material (group C) in comparison to MonoPlus (group A). Results: 108 patients were randomized between February 2011 and July 2013. The compare of demographic data, risk factors and co-morbidities did not reveal structural differences between the study groups. After 12 months 4.55% of the patients with an additional implanted mesh in onlay position (group B) had developed an incision hernia versus 21.74% undergoing midline closure using two monofilaments suture loops (group A). In group C 18.18% of patients with 12-months-follow-up had an incision hernia. Non-parametric binomial testing assuming a hernia rate of 20% or 30% after 12 months was performed. For group A and C, herniation significantly differing from 20% (p 1⁄4 0.499 respectively p 1⁄4 0.543) or 30% (p 1⁄4 0.269 respectively p 1⁄4 0.165) could be refused, while the number of hernias in group B significantly differed from 20% (p 1⁄4 0.048) and 30% (p 1⁄4 0.004). Wound healing disorders occurred in15.19%. Notable differences were visible in formation of seromas which were exclusively found in patients of group B (19.23%) but not in group A or C. In total, re-surgery of the abdominal wall was performed in n 1⁄4 11 patients (10.68%). This number also includes n 1⁄4 4 non-emergency interventions (revision of the abdominal wall because of persistent seroma or repair of incision hernia). Conclusion: Additional mesh in onlay position after median laparotomy for AAA can reduce hernia rate significantly. Disclosure of Interest: None Declared. SESSION 9 e VENOUS/WOUND FRI, 30 SEPT, 08:00e9:00