Abstract
Selective Mesh Augmentation to Prevent Incisional Hernias in Open Colorectal Surgery Is Safe and Cost-Effective.
Highlights
More recent studies suggest that prophylactic mesh augmentation in the closure of midline laparotomy could be a useful alternative to prevent incisional hernia (IH) in high-risk patients without adding significant morbidity [12, 13]
There are many risk factors identified for IH, such as old age, smoking, previous abdominal surgery, male gender, obesity, and comorbidities such as malnutrition, abdominal aortic aneurysm, chronic renal failure, diabetes, chronic obstructive pulmonary disease (COPD), and immunosuppression [1, 14, 15]
In a retrospective study conducted in our institution, we reported an incidence rate of IH as high as 39.9% in a series of 338 patients undergoing colorectal resection, identifying two groups of patients with higher risk: obese patients and nonobese patients with the combination of several secondary risk factors for IH [1]
Summary
In a retrospective study conducted in our institution, we reported an incidence rate of IH as high as 39.9% in a series of 338 patients undergoing colorectal resection, identifying two groups of patients with higher risk: obese patients and nonobese patients with the combination of several secondary risk factors for IH [1]. These results showed that it was mandatory to come up with improvement measures to secure better outcomes for our patients.
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