Outcomes of utilizing absorbable mesh as an adjunct to posterior sheath closure during complex posterior component separation

J. S. Winder, A. Majumder, M. Fayezizadeh, Y. W. Novitsky, Eric Pauli

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: A minority of patients undergoing posterior component separation (PCS) have abdominal wall defects that preclude complete reconstruction of the visceral sac with native tissue. The use of absorbable mesh bridges (AMB) to span such defects has not been established. We hypothesized that AMB use during posterior sheath closure of PCS is safe and provides favorable outcomes. Methods: We performed a retrospective review of consecutive patients undergoing PCS with AMB at two hernia centers. Main outcome measures included demographics, comorbidities, and post-operative complications. Results: 36 patients were identified. Post-operative wound complications included five surgical site infections. At a median of 27 months, there were five recurrent hernias (13.9%), 2 of which were parastomal, but no episodes of intestinal obstruction/fistula. Conclusions: Utilization of AMB for large posterior layer deficits results in acceptable rates of perioperative wound morbidity, effective PCS repairs, and does not increase intestinal morbidity or fistula formation.

Original languageEnglish (US)
Pages (from-to)303-309
Number of pages7
JournalHernia
Volume22
Issue number2
DOIs
StatePublished - Apr 1 2018

Fingerprint

Hernia
Morbidity
Intestinal Fistula
Surgical Wound Infection
Intestinal Obstruction
Wounds and Injuries
Abdominal Wall
Fistula
Comorbidity
Demography
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Winder, J. S. ; Majumder, A. ; Fayezizadeh, M. ; Novitsky, Y. W. ; Pauli, Eric. / Outcomes of utilizing absorbable mesh as an adjunct to posterior sheath closure during complex posterior component separation. In: Hernia. 2018 ; Vol. 22, No. 2. pp. 303-309.
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Outcomes of utilizing absorbable mesh as an adjunct to posterior sheath closure during complex posterior component separation. / Winder, J. S.; Majumder, A.; Fayezizadeh, M.; Novitsky, Y. W.; Pauli, Eric.

In: Hernia, Vol. 22, No. 2, 01.04.2018, p. 303-309.

Research output: Contribution to journalArticle

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T1 - Outcomes of utilizing absorbable mesh as an adjunct to posterior sheath closure during complex posterior component separation

AU - Winder, J. S.

AU - Majumder, A.

AU - Fayezizadeh, M.

AU - Novitsky, Y. W.

AU - Pauli, Eric

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