Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, South Pavilion 14th Floor, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, South Pavilion 14th Floor, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Am J Surg. 2018 Sep;216(3):475-480. doi: 10.1016/j.amjsurg.2018.04.008. Epub 2018 Apr 22.
Incisional hernias (IH) following abdominal surgery are frequent and morbid. Prophylactic mesh augmentation (PMA) has emerged as a technique to reduce IH formation. We aim to report patient selection, techniques and early outcomes after PMA.
Retrospective chart review identified descriptive characteristics, risk factors, operative technique, and early post-operative outcomes for PMA patients and matched non-PMA patients between January 1, 2016 and October 31, 2017.
18 consecutive PMA cases were performed (55.6% female, mean age 54.3 years and mean BMI = 29.5 kg/m). 88.9% of patients had at least two high-risk features for IH. Zero PMA patients developed IH compared to 5.3% non-PMA patients (p = 0.314) (6-months mean follow-up). No difference in surgical site occurrences (SSO) were identified between the two groups.
Early results are encouraging, demonstrating PMA is safe with equivocal SSO. Further studies are needed to assess if the reduction in IH formation is statistically significant with longer follow-up.
腹部手术后切口疝（IH）较为常见且对患者健康造成严重影响。预防性补片加强（PMA）作为一种减少 IH 形成的技术已经出现。我们旨在报告 PMA 患者的患者选择、技术和早期结果。
回顾性图表审查确定了 PMA 患者和匹配的非 PMA 患者的描述性特征、危险因素、手术技术和术后早期结果，时间范围为 2016 年 1 月 1 日至 2017 年 10 月 31 日。
连续进行了 18 例 PMA 手术（55.6%为女性，平均年龄 54.3 岁，平均 BMI=29.5kg/m）。88.9%的患者至少有两个 IH 的高风险特征。与 5.3%的非 PMA 患者相比，PMA 患者无一例发生 IH（p=0.314）（平均 6 个月随访）。两组之间在手术部位发生情况（SSO）方面没有差异。
早期结果令人鼓舞，表明 PMA 是安全的，SSO 情况不确定。需要进一步研究以评估随着随访时间的延长，IH 形成减少是否具有统计学意义。
