Comparison of Polypropylene and Polyvinylidene Fluoride Meshes for Midline Laparotomy Closure in High-Risk Emergency Colorectal Surgery Patients Evaluating Incisional Hernia and Surgical Wound Infection

What this Trial Is About

Researchers are comparing two types of mesh materials, polypropylene (PP) and polyvinylidene fluoride (PVDF), used in midline laparotomy closure during emergency colorectal surgery in high-risk patients. The study responds to a lack of specific guidelines and direct comparisons in current literature, aiming to provide evidence on differences in wound infection rates and complications like incisional hernia and chronic pain. This research focuses on improving surgical outcomes in urgent colorectal procedures. Participants will undergo midline laparotomy closure using the "small bites" technique combined with either a prophylactic suprafascial polypropylene mesh or a polyvinylidene fluoride mesh. These interventions are applied during emergency colorectal surgeries, including cases initially started laparoscopically but converted to open surgery. The study targets patients at high risk for incisional hernia to evaluate the impact of the two mesh types. During the study, participants' surgical wounds will be monitored for infection occurrence up to 30 days after surgery. Researchers will collect data on wound healing and potential complications. Patients must provide informed consent and will be assessed for eligibility based on specific health and surgical criteria. The study aims to improve understanding of wound infection incidence and hernia prevention in this high-risk group.

Comparing PP and PVDF Meshes in Midline Laparotomy Closure for High-risk Colorectal Surgery. Impact on Incisional Hernia and Surgical Wound Infection.