RECURRENCE RATES IN COMPLEX HERNIA REPAIRS USING BIOLOGIC MESH
Main Article Content
Keywords
Hernia, biologic mesh, recurrence, infection
Abstract
Background: Skeletal hernia operations are technically demanding because they are associated with high risk of infection, and risk for recurrence. Biologic meshes which derived from acellular human or animal tissues, that increases the usage to enhance the outcomes especially in contaminated fields since it possess less immunogenic, potentially get incorporated in to the host tissue.
Objectives: Recurrence rates, infection outcomes, and factors associated with patient response to the biologic mesh in our cohort of complex hernia patients were analyzed after a 24-month follow-up period.
Study design: A Retrospective study.
Place and duration of study. Department of General Surgery MTI Lady Reading hospital Peshawar from jan 2021 to Dec 2021
Methods: A case matched chart review was conducted of one hundred patients who underwent complex hernia repairs using biologic mesh. Demographic information, comorbidities, frequencies of recurrence, and incidence of infection were among the data obtained. Mean age together with standard deviation and p-values for the recurrent factors were used in statistical tests to assess for significance.
Results: Among 100 patients (mean age: 57.mean time to hernia recurrence was 8 years, SE = ± 10.2), hernia recurrence was 28%. They also found postoperative infections that ranged at 12 percent of the total case. Risk of recurrence was higher in patients with diabetes (p = 0.03). Infection rates were significantly higher among smokers when compared with the non-smokers (p = 0.01). The second was in the absence of any mesh explants. Patients with lower BMI had a statistically significant better prognosis in this study (p < 0.05).
Conclusion: Biologic mesh is deemed to be a good choice in cases of complicated hernia surgery, especially in contaminated areas. However, what remains questionable is the recurrence rates prevalent across the patient population, which is dependent on comorbid conditions among the patients. More future investigations are required.
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Ahmad Faraz
Assistant professor Department of General Surgery MTI Lady Reading hospital Peshawar
Fazal Ghani
Associate Professor Department of General Surgery Nowshera Medical College,Nowshera
Muhammad Javed khan
Assistant professor Pediatric surgery Bacha Khan medical college mardan
Muhammad Ali khan
MS Paeds Surgery Registrar Paeds Surgery ,MMC Mardan
Huma shafi
Resident registrar Lady Reading hospital Peshawar