Mesh wrapping for severe hepatic injury: a beneficial option in the trauma surgeon's armamentarium.

Academic Article

Abstract

  • BACKGROUND: The purpose of this study was to assess the efficacy of absorbable mesh wrapping (MW) versus perihepatic packing (HP) for severe hepatic injury. METHODS: From January 2001 to December 2012, data were collected for MW patients with hepatic injury. Patients who underwent HP were matched with MW patients by injury mechanism, liver injury grade, Injury Severity Score, and age. RESULTS: Twenty-six MW and twenty-six HP patients were matched. Eighteen blunt and 8 penetrating injuries were present in each group. There were 9 (35%) mortalities in the MW group and 16 (62%) in the HP groups (P = .03). Average transfusions were 12.0 and 24.5 (P = .03) packed red blood cells in the MW and HP groups, respectively. Average laparotomies per survivors were 1.3 for the MW and 3.1 for the HP groups (P = .01). Average length of stay for survivors was 19 and 47 (P = .04) days in the MW and HP groups, respectively. CONCLUSION: MW for hepatic injuries can significantly decrease mortality, transfusions, laparotomies, and length of stay.
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    Keywords

  • Absorbable, Hepatorrhaphy, Injury, Liver, Mesh, Repair, Wrap, Abdominal Injuries, Absorbable Implants, Adolescent, Adult, Clinical Competence, Equipment Design, Female, Follow-Up Studies, Humans, Laparotomy, Liver, Male, Middle Aged, Retrospective Studies, Surgical Mesh, Survival Rate, Trauma Centers, Trauma Severity Indices, Treatment Outcome, United States, Wounds, Nonpenetrating, Wounds, Penetrating, Young Adult
  • Digital Object Identifier (doi)

    Authorlist

  • Kennedy R; Brevard SB; Bosarge P; Simmons JD; Frotan MA; Baker JA; Tuart L; Pritchett C; Gonzalez RP
  • Start Page

  • 515
  • End Page

  • 520
  • Volume

  • 209
  • Issue

  • 3