Study Comparing Two Mesh Types for Emergency Midline Laparotomy Closure in High-Risk Colorectal Surgery Patients Impact on Incisional Hernia and Wound Infection Rates

What this Trial Is About

Researchers are evaluating the use of two different mesh materials, polypropylene PP and polyvinylidene fluoride PVDF, for closing midline laparotomy incisions in emergency colorectal surgery. This study focuses on high-risk patients for incisional hernia and aims to provide evidence on differences in surgical wound infection rates and related complications like chronic pain. There are currently no specific guidelines comparing these mesh types in this surgical context. Participants undergoing emergency colorectal surgery will have their midline laparotomy closed using a small bites technique combined with either a prophylactic suprafascial PVDF mesh or a PP mesh. Randomization occurs at the time of laparotomy closure to assign patients to one of these two groups. Surgeries are performed according to each patients pathology. During the study, researchers will monitor surgical wound infection incidence for 30 days after surgery. They will also track rates of incisional hernia at one year and morbidity and mortality within 90 days postoperatively. Participants will be followed through these periods to assess outcomes and any complications related to the mesh materials used.

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