Prospective study of midline abdominal incisional hernia repair by component separation technique augmented with prosthetic mesh

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dc.contributor.authorSaroha, Ravien_US
dc.contributor.authorParuthy, Shivani B.en_US
dc.contributor.authorSingh, Sunilen_US
dc.date.accessioned2020-11-18T10:05:38Z
dc.date.available2020-11-18T10:05:38Z
dc.date.issued2020-10
dc.description.abstractBackground: In our tertiary care hospital, we receive a large number of acute abdomen cases. Raised intra-abdominal pressure (IAP) makes laparostomy mandatory initially and abdominal wall approximation cannot be completed due to compromised state in most cases. Large incisional hernias were seen on complete healing and this study was done to see the feasibility of component separation technique (CST) with mesh augmentation.Methods: 30 patients were subjected to CST with mesh augmentation. Preoperative defect size mapping, Pre- and post-operative monitoring of IAP were done. Pain scoring by visual analogue scale (VAS), early and late complications was noted. Patients were followed up for 60 months.Results: CST with mesh augmentation was found to be feasible with 96.77% success rate as no recurrence was noted in follow up. Preoperative average Basal metabolic index was 26.09. Size of defect varied from 17-20×9-16 cm2 (length X width). Seroma seen in 50% of patients was managed without any intervention. Skin necrosis in 6.6% and wound dehiscence in 3.33%, managed with minimal debridement & local wound care respectively. Respiratory compromise and hematoma were not seen and no patient required any active ICU care. Average length of hospital stay was 5.22 days. Close monitoring of IAP in immediate post-operative period was found to be significant.Conclusion: Physical acceptance of stable abdominal wall gives a psychological boost to patients with early recovery in form of ambulation and early return to work.en_US
dc.identifier.affiliationsDepartment of General Surgery, VMMC and Safdarjung Hospital, New Delhi, Indiaen_US
dc.identifier.citationSaroha Ravi, Paruthy Shivani B., Singh Sunil. Prospective study of midline abdominal incisional hernia repair by component separation technique augmented with prosthetic mesh. International Surgery Journal. 2020 Oct; 7(10): 3273-3279en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/213381
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20204121en_US
dc.subjectIAPen_US
dc.subjectCSTen_US
dc.subjectOpen ventral hernia repairen_US
dc.titleProspective study of midline abdominal incisional hernia repair by component separation technique augmented with prosthetic meshen_US
dc.typeJournal Articleen_US
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