SP3.2.7 Surgical techniques in emergency hernia repair - what are we doing? Findings from the MASH study

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چکیده

Abstract Aims There is limited evidence to guide the emergency management of acutely symptomatic abdominal wall and groin hernias (ASH) there a lack consensus on optimal surgical technique. This study aimed explore techniques used repair ASH. Methods A prospective 12-week cohort (NCT04197271) recruited adult patients with ASH across 23 UK sites. Baseline characteristics, quality life, strategy 30/90-day outcomes were collected. For those undergoing surgery, detailed information was recorded on: time anaesthetic technique, grade surgeon, intraoperative findings, antibiotic use, operative approach, technique (mesh vs suture), mesh/suture type position whether bowel resection/stoma formation required. Results Of 264 recruited, 214 (82%) underwent acute within 48 hours admission. 95% open repair, 93% under general anaesthetic. 5% inguinal femoral had laparoscopic repair. Mesh in 89% 29% umbilical hernias. The majority (86%) synthetic non-absorbable mesh (94% inguinal, 84% umbilical). placement varied widely for epigastric hernia, onlay most commonly (24%). Similar variation seen suture choice. 8% developed an SSI by 30 days, which repairs. One patient early hernia recurrence (umbilical) requiring surgery. Conclusions data demonstrates ASH, especially use mesh. Laparoscopic surgery uncommon. Further studies are required clarify strategies setting.

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ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2021

ISSN: ['1365-2168', '0007-1323']

DOI: https://doi.org/10.1093/bjs/znab361.074