Saint Francis Hospital and Medical Center, Hartford, CT, USA.
Saint Francis Hospital and Medical Center, Hartford, CT, USA; University of Connecticut, School of Medicine, Farmington, CT, USA.
Am J Surg. 2023 Aug;226(2):233-238. doi: 10.1016/j.amjsurg.2023.04.013. Epub 2023 May 10.
Postoperative ostomy reversal hernias are common and can create strain on the healthcare system. There is little literature evaluating the utilization of absorbable mesh following ostomy reversal. The effect on subsequent hernia rates at our institution has not been evaluated. We examine if the addition of absorbable mesh decreases the postoperative hernia rate in our patient population.
We performed a retrospective review of all ileostomy and colostomy reversals. Patients were divided into two groups based on whether an absorbable mesh was used at ostomy closure or not.
Hernia recurrence rates were lower in the group that had mesh reinforcement (8.96%) vs the group that did not receive a mesh (14.8%) though this was not statistically significant (p = 0.233).
Prophylactic use of an absorbable biosynthetic mesh did not alter the rate of incisional hernia rates following ostomy reversal in our cohort of patients.
术后造口还纳疝较为常见，会给医疗系统带来压力。目前关于造口还纳术后使用可吸收网片的文献较少。我们机构尚未评估其对后续疝发生率的影响。我们研究了在我们的患者人群中，使用可吸收网片是否会降低术后疝的发生率。
我们对所有回肠造口和结肠造口还纳术进行了回顾性研究。根据在造口关闭时是否使用可吸收网片，将患者分为两组。
虽然使用网片加固组（8.96%）的疝复发率低于未使用网片组（14.8%），但差异无统计学意义（p=0.233）。
在我们的患者队列中，预防性使用可吸收生物合成网片并没有改变造口还纳术后切口疝的发生率。
