Early and Late Outcome After Suprasonic Excision of Infected Mesh Implants After Hernioplasty

Characteristic	Group I, n = 78	Group II, n = 71	p
Age, years	30.7 (8.8–84.1)	39.4 (6.1–87.7)	0.037^*
Gender, M/F	23/55	20/51	0.653^†
Time between operation, month	9.2 (6.5–11.3)	8.4 (7.1–10.2)	0.7^*
WBC (10³/μL)	12.3 (4.3–26.5)	13.0 (4.4–36.4)	0.160^*
Alb (g/dL)	4.4 (2.8–5.3)	4.4 (2.5–5.3)	0.154^*
Neutro. (%)	80.9 (43.0–95.5)	83.6 (27.6–95.5)	0.674^*
Lymph (%)	13.0 (3–46)	10.9 (3–57.8)	0.666^*

Showing medians and interquartile ranges.

* Tested by Mann-Whitney U-test.

† Tested by Fisher’s exact test. WBC: white cell count, Alb: Albumin, Neutro: neutrophil, Lymph: lymphocyte.

Table 2

The outcomes according to the procedure

Characteristic	Group I, n = 78	Group II, n = 71	p
Operation time, min	141.5 (101–153)	84.3 (54.2–93.7)	0.002^*
Bleeding, n (%)	7 (8.9)	1 (1.4)	0.035^†
Residual fragments of meshes, n (%)	13 (16.6)	1 (1.4)	0.003^†
Eventration, n (%)	3 (3.8)	0 (0.0)	0.003^†
LHS, days	14 (7–23)	7 (3–18)	0.001^*
SOI, days	1 (0–6)	1 (5–14)	0.016^*
SSI, n (%)	9 (11.5)	2 (2.8)	0.044^†

Showing medians and interquartile ranges.

* Tested by Mann-Whitney U-test.

† Tested by Fisher’s exact test. LHS: length of hospital stay, SOI: started an oral intake, SSI: surgical site infection, Clavien-Dindo classification IIIa.

Table 3

Recurrence of ventral hernias

Reherniation	Group 1 (n=78)	Group II (n=71)	p
Patients, n (%)	11 (14.1)	6 (8.5)	0.002

[i] Showing medians and interquartile ranges. Tested by Fisher’s exact test.

Table 4

Multivariate analysis clinical and operative factors according to the procedure

Indicators	Group I (n=78)	Group II (n=71)	Odd ratio	95% CI	p
Bleeding, n (%)	7 (8.9)	1 (1.4)	2.29	1.04–4.97	0.035
LHS, days	14 (7–23)	7 (3–18)	2.03	1.12–3.71	0.001
Reherniation, n (%)	11 (14.1)	6 (8.5)	2.4	1.09–3.92	0.002

[i] Showing medians and interquartile ranges. Tested by Fisher’s exact test.

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DOI: https://doi.org/10.2478/sjecr-2018-0054 | Journal eISSN: 2956-2090 (formerly 2335-075X, 2956-0454) | Journal ISSN: 2956-0454 (formerly 1820-8665)

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Language: English

Page range: 313 - 317

Submitted on: Jul 10, 2018

Accepted on: Aug 3, 2018

Published on: Dec 31, 2019

Published by: University of Kragujevac, Faculty of Medical Sciences

In partnership with: Paradigm Publishing Services

Keywords:

hernias,

suprasonic excision of infected mesh,

early and late outcome

Related subjects:

Medicine,

Clinical medicine,

Clinical medicine, other

© 2019 Vladimir S. Panteleev, Vitaliy A. Zavarukhin, Mariya P. Pogorelova, Aleksandr V. Samorodov, published by University of Kragujevac, Faculty of Medical Sciences
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Volume 20 (2019): Issue 4 (December 2019)