Management of Giant Ventral Hernia after Trauma Laparotomy: The 8-year Experience from a Level 1 Trauma Center in Thailand

Authors

  • Osaree Akaraborworn Division of Trauma Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University
  • Chomphunut Supavita Division of Trauma Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University
  • Burapat Sangthong Division of Trauma Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University
  • Komet Thongkhao Division of Trauma Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University
  • Prattana Chainiramol Division of Trauma Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University
  • Khanitta Kaewsaengrueang Division of Trauma Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University

Keywords:

Ventral hernia, surgical mesh, complications

Abstract

Background: Giant ventral hernia occurs after failure to achieve formal fascial closure after laparotomy. This condition needs further treatment for closure while the techniques very among institutes.

Objective: This study aims to review the treatment and the results of giant ventral hernia closure after trauma laparotomy at Songklanagarind hospital where is a level 1 trauma center in Thailand.

Materials and Methods: A retrospective review of all trauma patients who had giant ventral hernia closure between January 2007 and December 2014. The repair techniques, type of mesh and results were collected.

Results: Forty-six patients underwent giant ventral hernia repair. The median age was 33 years. Ninety-one percent was mesh repair and 7% was tissue repair. Composite mesh was most commonly used (93%). The median follow-up time was 598 days (IQR 228 to 1356 days; longest, 2031 days). Surgical site infection occurred in 4 cases (9%) but only one needed surgical intervention for mesh infection. There was one recurrence (2%).

Conclusions: Mesh repair is safe for giant ventral hernia closure. Serious mesh-related infection and recurrence were rare.

References

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Published

2016-03-31

How to Cite

1.
Akaraborworn O, Supavita C, Sangthong B, Thongkhao K, Chainiramol P, Kaewsaengrueang K. Management of Giant Ventral Hernia after Trauma Laparotomy: The 8-year Experience from a Level 1 Trauma Center in Thailand. Thai J Surg [Internet]. 2016 Mar. 31 [cited 2024 Dec. 23];37(1):24-7. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/219975

Issue

Vol. 37 No. 1 (2016): January - March

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.