Mesh sutured repairs of contaminated incisional hernias

Gregory A. Dumanian*, Steven T. Lanier, Jason M. Souza, Mimi Wu Young, Alexei S. Mlodinow, Anne Marie Boller, Kyle H. Mueller, Amy L. Halverson, Michael F. McGee, Jonah J. Stulberg

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background: We sought to evaluate the results of a new mesh sutured repair technique for closure of contaminated incisional hernias. Methods: 48 patients with contaminated hernias 5 cm wide or greater by CT scan were closed with mesh sutures. Surgical site occurrence, infections, and hernia recurrence were compared to similar patient series reported in the literature. Results: Of the 48 patients, 20 had clean-contaminated wounds, 16 had contaminated wounds, and 12 were infected. 69% of the patients underwent an anterior perforator sparing components release for hernias that averaged 10.5 cm transversely (range 5 cm–25 cm). SSO occurred in 27% of patients while SSI was 19%. There were no fistulas or delayed suture sinuses. With a mean follow-up of almost 12 months, 3 midline hernias recurred (6%). In these same patients, three parastomal hernias repaired with mesh sutures failed out of 4 attempted for a total failure rate of 13%. Conclusion: Mesh sutured closure represents a simplified and effective surgical strategy for contaminated midline incisional hernia repair.

Original languageEnglish (US)
Pages (from-to)267-273
Number of pages7
JournalAmerican journal of surgery
Volume216
Issue number2
DOIs
StatePublished - Aug 2018

ASJC Scopus subject areas

  • Surgery

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