Type of publication:

Conference abstract

Author(s):

*Gungadin P.; *Bhandari M.; *Cheetham M.; *Chakravartty S.; *Mccloud J.; *Parampalli U.

Citation:

British Journal of Surgery. Conference: 13th British Hernia Society Conference. Oxford United Kingdom. 112(Supplement 3) (pp iii6), 2025. Date of Publication: 01 Jan 2025.

Abstract:

Background: The purpose of this study was to evaluate the short-term clinical outcomes of patients undergoing reconstruction of abdominal wall following repair of complex hernias at a recently established unit. Method(s): This retrospective study included all patients who underwent abdominal wall reconstruction for complex incisional hernias between January 2022 and March 2024. Clinical data encompassing patient demographics, operative parameters, post-operative complications, length of hospital stay and 30-day mortality was analysed. Result(s): 50 patients were included with a male to female ratio of 1:1. The median age of the participants was 62 (26-82). 25% of participants had a BMI of 35. The majority of hernias were approached with a vertical elliptical incision; Fleur de Lys incision was used in 1 case and abdominoplasty incision in 3 cases. The following reconstruction techniques were used: 27 patients underwent Rives Stoppa repair and 16 patients underwent Transversus Abdominis Muscle Release. 30% patients had Botulinum toxin injection pre-operatively. The types of mesh used included: Ultrapro 80 %, Phasix 16 % and Parietex 4 %. Complications included: Surgical site occurrence 6%, cardiorespiratory complications 10%, vascular complications 2% and bowel obstruction 4%. ICU admission included 3 out of 50 patients. Length of hospital stay in 90% patients was 5 days. 60% patients had a 6-monthly follow up where 1 recurrence was noted. Conclusion(s): The early outcomes in our patients demonstrates the feasibility to achieve acceptable outcomes in a district general hospital, by following a multidisciplinary approach and optimising modifiable risk factors preoperatively.

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