Observational studyHernia : the journal of hernias and abdominal wall surgery2018
Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results.
Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Transabdominal preperitoneal (TAPP) repair for emergency groin hernia: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Mesh versus non-mesh for emergency groin hernia repair.The Cochrane database of systematic reviews · 2023Pooled it
- Ventral hernia repair with synthetic mesh in a contaminated field: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Clinical analysis of laparoscopic transabdominal preperitoneal hernioplasty (TAPP) for incarcerated inguinal hernia.Medicine · 2026Article
- Mapping the therapeutic landscape in emergency incisional hernia: a scoping review.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- The Effects of Pectin-Honey Hydrogel in a Contaminated Chronic Hernia Model in Rats.Gels (Basel, Switzerland) · 2023Article
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- Article
- Synthetic Mesh in Contaminated Abdominal Wall Surgery: Friend or Foe? A Literature Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Review
- Minimally invasive management of de Garengeot hernia with staged robotic hernia repair.BMJ case reports · 2021Article
- Surgical site infection in mesh repair for ventral hernia in contaminated field: A systematic review and meta-analysis.Annals of medicine and surgery (2012) · 2021Review
- If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia?World journal of emergency surgery : WJES · 2021Article
- The Internal Oblique Muscle Flap with Synthetic Mesh Reinforcement for a Large, Contaminated Abdominal Wall Defect.Plastic and reconstructive surgery. Global open · 2020Article
- The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Risk factors of postoperative complications after emergency repair of incarcerated groin hernia for adult patients: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- One-year follow-up study of iBTA-induced allogenic biosheet for repair of abdominal wall defects in a beagle model: a pilot study.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSynthetic non-absorbable meshes are routinely used in hernia surgery for clean cases but are avoided in the case of clean-contaminated or contaminated hernia or dirty cases to minimize the risk of infection. The present study was conducted to evaluate the outcome of polypropylene mesh in the settings of bowel resection performed for strangulated hernias of the abdominal wall.
methodsThis prospective observational study was conducted in the Department of Surgery of a teaching hospital in central India between 1st March 2015 and 31st Aug 2017. Adult patients > 18 years age, with abdominal wall hernias, presenting with strangulation, and requiring resection and anastomosis for gangrenous bowel were included in the study. Outcomes noted were wound infection, morbidity and mortality, need for the removal of the mesh, and recurrence of the hernia.
results30 (22 men and 8 women) patients with strangulated hernias underwent emergency surgery with resection of gangrenous bowel and anastomosis. The 30 cases included 21 inguinal, seven incisional, one femoral and one umbilical hernia. 12 of the 30 cases having gross contamination of the operative wound due to perforated gangrenous bowel were classified as 'dirty'; while the remaining 18 cases with non-perforated gangrenous herniating bowel were classified as 'contaminated'. Wound infection occurred in 8/30 patients (26.67%); but these healed with antibiotics and dressing. Mesh removal was not required in any patient during entire study period. Two recurrences (6.7%; one inguinal and one incisional hernia) were observed. There was no mortality.
conclusionThe use of polypropylene mesh for contaminated and dirty strangulated hernias is effective and safe, with acceptable morbidity and good short-term results.
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