title: Feasibility of mesh repair for strangulated abdominal wall hernias.
abstract: BACKGROUND
  Prosthetic mesh reduces the risk of hernia recurrence. The use of mesh in patients with strangulated hernias requiring bowel resection is controversial.
  
  
  METHODS
  Patients with acutely incarcerated hernias (with small intestine contents) who underwent polypropylene mesh hernioplasty were included in this prospective study from June 2005 to Jan. 2011.
  
  
  RESULTS
  163 patients were included; 48 required intestinal resection and anastomosis (Group I) and 115 did not (Group II). Operative times and hospital stay were longer in Group I (P = 0.001). No significant difference was noted between both groups in terms of postoperative morbidities (16.6% vs 13% P = 0.5), wound infection (6% vs 4% P = 0.6), and recurrence rate (2% vs 2.8% P = 0.8), All cases of wound infection were successfully managed with drainage and local wound care and no mesh had to be removed. One patient in Group I and five patients in Group II died of concomitant diseases in the follow-up period (P = 0.5).
  
  
  CONCLUSIONS
  Mesh hernioplasty is crucial to prevent recurrence, and it is safe to utilize it in repair of acutely incarcerated hernias even if associated with intestinal resection.
authors.affiliation: General Surgical Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt. surg_latif@hotmail.com
authors.forename: Mohamed E
authors.initials: ME
authors.lastname: Abd Ellatif
authors.forename: Ahmed
authors.initials: A
authors.lastname: Negm
authors.forename: Gamal
authors.initials: G
authors.lastname: Elmorsy
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al-Katary
authors.forename: Abd El-Azeim M
authors.initials: Ael-A
authors.lastname: Yousef
authors.forename: Ramadan
authors.initials: R
authors.lastname: Ellaithy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000150:complications / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D015203:Reproducibility of Results; D055502:Secondary Prevention; D013526:Surgical Mesh; D016896:Treatment Outcome; D055815:Young Adult