作者
Michael J Rosen, Joel J Bauer, Marco Harmaty, Alfredo M Carbonell, William S Cobb, Brent Matthews, Matthew I Goldblatt, Don J Selzer, Benjamin K Poulose, Bibi ME Hansson, Camiel Rosman, James J Chao, Garth R Jacobsen
发表日期
2017/1/1
期刊
Annals of surgery
卷号
265
期号
1
页码范围
205-211
出版商
LWW
简介
Objective:
The aim of the study was to evaluate biosynthetic absorbable mesh in single-staged contaminated (Centers for Disease Control class II and III) ventral hernia (CVH) repair over 24 months.
Background:
CVH has an increased risk of postoperative infection. CVH repair with synthetic or biologic meshes has reported chronic biomaterial infections and high hernia recurrence rates.
Methods:
Patients with a contaminated or clean-contaminated operative field and a hernia defect at least 9 cm 2 had a biosynthetic mesh (open, sublay, retrorectus, or intraperitoneal) repair with fascial closure (n= 104). Endpoints included overall Kaplan-Meier estimates for hernia recurrence and postoperative wound infection rates at 24 months, and the EQ-5D and Short Form 12 Health Survey (SF-12). Analyses were conducted on the intent-to-treat population, and health outcome measures evaluated using paired t tests.
Results …
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MJ Rosen, JJ Bauer, M Harmaty, AM Carbonell… - Annals of surgery, 2017