IMPACT OF FASCIAL APPROXIMATION DURING POST TRAUMA LAPAROTOMY VENTRAL HERNIA REPAIR ON LONG TERM OUTCOMES dr_bagaria@yahoo.co.in

PW05-16

IMPACT OF FASCIAL APPROXIMATION DURING POST TRAUMA LAPAROTOMY VENTRAL HERNIA REPAIR ON LONG TERM OUTCOMES

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Sushma Sagar sagar.sushma@gmail.com AIIMS New Delhi Trauma Surgery & Critical Care New Delhi India

India

Oral or Poster

Post trauma laparotomy ventral hernia repair (VHR) poses surgical challenges due to their relatively bigger size. The long-term effects of inability to achieve fascial approximation at the time of repair are yet not well studied. We reported our experience with these hernia patients along with impact of fascial approximation on outcomes.

We reviewed demographic, clinical, and surgical data of all VHR patients between 2011 through 2022. Telephonic, and if needed physical follow ups were done to determine recurrences using Ventral Hernia Recurrence Inventory (VHRI). The Activities Assessment Scale (AAS) was used to assess functional quality of life.

A total of 35 patients, out of 89 patients who underwent surgical VHR during this duration could be followed up. Majority of the patients were young male (28 ± 9.5 years). The mean defect size was 14.9 cm with the mean duration of primary surgery to VHR being 21.2 ± 16.3 months. Fascial approximation could not be achieved in 37% patients. The mean follows up time was 52.8 ± 42.8 months. There were no statistically significant differences in the post operative complications (p=0.57), recurrences (p= 0.99), and AAS scores (p=0.12) between fascial approximation and no fascial approximation group.

For post trauma laparotomy ventral hernia patients, timely repair, not the fascial approximation achievement seems to be a crucial consideration leading to favorable outcomes on long term follow up.