EP-581 Prophylactic onlay mesh at emergency laparotomy: Promising early outcomes with long-acting synthetic resorbable mesh

Abstract Background Careful surgical strategy is paramount in balancing the prevention of fascial dehiscence, incisional hernia (IH) and fear additional mesh-related wound complications post-laparotomy. This study aims to review early outcomes patients undergoing an emergency laparotomy with prophylactic long-acting resorbable synthetic TIGR® mesh, used reduce dehiscence potential subsequent IH. Methods A retrospective, ethically approved 24 consecutive mesh placement during laparotomies by a single surgeon between January 2017 June 2021 at University Hospital. standardised approach included onlay positioning small-bite closure, bundle. We recorded patient demographics, operative indications, findings, degree peritonitis, postoperative complications, mortality. Results The patients; 16/24 (66.6%) were female mean age was 66.5 (range 31–86); 14/24 ASA grade III or greater; 4/24 (16.6%) developed six 3/6 occurred patient. Complications subphrenic abscess, seroma, intrabdominal hematoma, enterocutaneous fistula leading deep infection small bowel perforation. Five (20.8%) died hospital; central venous catheter sepsis (n=1), fungal septicaemia (n=1) multiorgan failure (n=3). Surgical site seroma rates low, occurring 2/24 (4% each). Conclusions has identified that not associated significant when active wider use prevent long-term IH should be considered.