{"id":8609,"date":"2025-05-19T15:22:09","date_gmt":"2025-05-19T14:22:09","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=8609"},"modified":"2025-06-11T12:44:22","modified_gmt":"2025-06-11T11:44:22","slug":"bhsep26-abdominal-wall-reconstruction-outcomes-of-the-first-50-cases-in-a-district-general-hospital-2025","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2025\/05\/19\/bhsep26-abdominal-wall-reconstruction-outcomes-of-the-first-50-cases-in-a-district-general-hospital-2025\/","title":{"rendered":"BHSeP26 Abdominal wall reconstruction outcomes of the first 50 cases in a district general hospital (2025)"},"content":{"rendered":"\n<p><strong>Type of publication:<\/strong><\/p>\n\n\n\n<p>Conference abstract<\/p>\n\n\n\n<p><strong>Author(s):<\/strong><\/p>\n\n\n\n<p>*Gungadin P.; *Bhandari M.; *Cheetham M.; *Chakravartty S.; *Mccloud J.; *Parampalli U.<\/p>\n\n\n\n<p><strong>Citation:<\/strong><\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p><strong>Abstract:<\/strong><\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p><a href=\"https:\/\/academic.oup.com\/bjs\/article\/112\/Supplement_3\/znae323.022\/7966328\" target=\"_blank\" rel=\"noreferrer noopener\">Link to full-text<\/a> [no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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:<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2025\/05\/19\/bhsep26-abdominal-wall-reconstruction-outcomes-of-the-first-50-cases-in-a-district-general-hospital-2025\/\">Read more <span class=\"screen-reader-text\">BHSeP26 Abdominal wall reconstruction outcomes of the first 50 cases in a district general hospital (2025)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[1085,1003,1013,228],"class_list":["post-8609","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1085","tag-bronze-open-access","tag-hernia","tag-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/8609","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=8609"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/8609\/revisions"}],"predecessor-version":[{"id":8694,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/8609\/revisions\/8694"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=8609"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=8609"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=8609"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}