[Intraperitoneal resorbable mesh in the prevention of postoperative wound dehiscence. A comparative study].
The purpose of this study was to compare efficiency of polyamide mesh externally applied to the skin and intraperitoneal resorbable mesh of polyglactine 910, for the prevention of wound dehiscence. Two consecutive and homogenous groups of 100 patients, operated by the same surgical team and presenting one or more risk factors of evisceration, were retrospectively compared. Use of intraperitoneal polyglactine mesh, significantly reduced rate of wound dehiscence (4% vs 13%), lowered frequency of reoperation in eviscerated patients (25% vs 61%), but did not improve prognosis of this complication (50% mortality). Potential effect of resorbable mesh on late fascial disruption remains controversial.
Paye
F
F
Service de Chirurgie générale et digestive, Centre Hospitalier Général, Longjumeau.
Rongère
C
C
Gendreau
D
D
Lenriot
J P
JP
D000368:Aged; D000369:Aged, 80 and over; D004066:Digestive System Diseases / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010529:Peritoneal Cavity; D011098:Polyglactin 910 / Q000627:therapeutic use; D012189:Retrospective Studies; D013526:Surgical Mesh; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*
D011098:Polyglactin 910
Le treillis résorbable intra-péritonéal dans la prévention des éviscérations post-opératoires. Une étude comparative.