title: Prophylactic preperitoneal mesh placement in open bariatric surgery: a guard against incisional hernia development.
abstract: BACKGROUND
  Incisional hernia is one of the most common late complications of open bariatric surgery. The aim of this study was to assess the safety and efficacy of preperitoneal prosthetic enforcement of midline incisions during open bariatric surgery in preventing incisional hernia development.
  
  
  METHODS
  This study randomized 64 morbidly obese patients admitted to undergo open bariatric surgery into two equal groups (I and II). A prophylactic sheet of polypropylene mesh was fixed in the preperitoneal space during wound closure in group I while in group II the wound was closed conventionally.
  
  
  RESULTS
  This study included 51 females and 13 males ranged in age from 19 to 60 years. No significant difference was observed in mean age, mean preoperative body weight, mean body mass index, mean hospital stay, and mean follow-up period of either group. Three open procedures were done: vertical banded gastroplasty, Roux-en-Y gastric bypass, and vertical sleeve gastrectomy. No significant difference in mean operative time in either group for each operation was noted. Early postoperative wound complications were similar in either group. Incisional hernia incidence was significantly higher in group II, nine cases (28.1%), than in group I, one case (3.1%).
  
  
  CONCLUSIONS
  Using prophylactic preperitoneal Prolene mesh during wound closure in open bariatric surgery is safe and effective in preventing incisional hernia development.
authors.affiliation: Gastrointestinal surgery Unit, Department of Surgery, Tanta University Hospital, Tanta, Egypt, moh.aboraya@tu.edu.eg.
authors.forename: Mohammad Hamdy
authors.initials: MH
authors.lastname: Abo-Ryia
authors.forename: Osama Helmy
authors.initials: OH
authors.lastname: El-Khadrawy
authors.forename: Hamdy Sedky
authors.initials: HS
authors.lastname: Abd-Allah
mesh_terms: D058107:Abdominal Wound Closure Techniques / Q000295:instrumentation; D000328:Adult; D001672:Biocompatible Materials; D015992:Body Mass Index; D004534:Egypt / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000009:adverse effects; D006555:Hernia, Ventral / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000473:pathology / Q000601:surgery*; D010529:Peritoneal Cavity / Q000293:injuries / Q000601:surgery*; D011126:Polypropylenes; D011322:Primary Prevention / Q000379:methods*; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; D011126:Polypropylenes