P-022 USE OF SEPRAFILM ADHESION BARRIER® IN COMPLEX LARGE INCISIONAL HERNIA. (13th October 2022)

• Record Type: Journal Article
• Authors: Díaz Pedrero, R; López González, L; Aguado Henche, S; Slocker De Arce, A; Córdova García, D; Ratia Gimenez, T; Serrano Yebenes, E; Soto Schütte, S; Laguna Hernández, P; Gutierrez Calvo, A
• Is Part Of: British journal of surgery. Volume 109(2022)Supplement 7
• Publication Date: 2022-10-13
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znac308.122
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Aim: The short-term results of the use of seprafilm® as a reinforcement of the peritoneum are presented. Material and Methods: Seprafilm® was used in 5 patients with large midline and lateral incisional hernia in which Transversus Abdominis Release Technique was performed in which it was necessary to explant mesh previously. This weakness of the peritoneum was reinforced with the seprafilm® plates, to isolate the intra-abdominal contents from the mesh. Results: The patients treated had an average stay of 6.6 days. All of them carried drains. There were no infectious complications in surgical site. There were no prolonged pain. All of them began tolerance the day after the surgery. At one month of the surgical intervention, there were no signs of infection, seroma or higher pain than 3 on the EVA scale. Discussion: Post-operative adhesions to mesh are related to intestinal fistulas. The use of preperitoneal space to place the mesh is a good option, although sometimes it can have continuity problems, especially when there are explants of previous materials. The use of barrier materials is appropriate in these cases. Conclusion: The use of Seprafilm® can be a good option as a barrier between viscera and prostheses for the prevention of adhesions.