Mesh Suture Repair for the Acute Management of an End-Stage Ventral Hernia

The patient was a 63-year-old woman with a past medical history significant for morbid obesity (BMI 46.3), insulin-dependent diabetes mellitus, and congestive heart failure. Given the patient's significant risk factors for complication (insulindependent diabetes and morbid obesity), high risk f...

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Bibliographic Details
Published in:The American surgeon 2020-01, Vol.86 (1), p.26-27
Main Authors: Parker, William, Franklin, Brenton, Jessie, Elliot
Format: Article
Language:English
Subjects:
Congestive heart failure
Contamination
Defects
Diabetes
Diabetes mellitus
Diabetes mellitus (insulin dependent)
Disease Management
Female
Fistula
Fistulae
Hernia
Hernia, Ventral - diagnosis
Hernia, Ventral - surgery
Hernias
Herniorrhaphy - methods
Humans
Infections
Insulin
Middle Aged
Obesity
Prognosis
Recurrence
Risk analysis
Risk Assessment
Risk factors
Secondary Prevention - methods
Severity of Illness Index
Small intestine
Surgical Mesh
Surgical site infections
Suture Techniques - instrumentation
Sutures
Wound Healing - physiology
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Summary:The patient was a 63-year-old woman with a past medical history significant for morbid obesity (BMI 46.3), insulin-dependent diabetes mellitus, and congestive heart failure. Given the patient's significant risk factors for complication (insulindependent diabetes and morbid obesity), high risk for contamination and enterocutaneous fistula development, and ulceration directly over the small bowel, the decision was made to proceed to the operating room for a mesh-suture technique repair. The rate of surgical site infection for this group was 19 per cent, with a recurrence rate of 6 per cent.1 This represents a comparable rate of surgical site infection and a reduced rate of recurrence compared with other methods in the contaminated setting2 and a significantly lower cost than the biologic mesh material.3 Mesh-suture repair of ventral hernias is a versatile technique excellently suited for the acute care surgeon.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313482008600114