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Table 2 Demographic and general characteristics of patients who developed burst abdomen and candidates for posterior Cs and TAR with retro muscular mesh insertion (202 patients)

From: A prospective multicentre study evaluating the outcomes of the abdominal wall dehiscence repair using posterior component separation with transversus abdominis muscle release reinforced by a retro-muscular mesh: filling a step

General characteristics

N (%)

Age (years) (Mean ± SD)

42 ± 10

Gender

 

 Males

81 (40.1)

 Females

121 (59.9)

Body mass index (Mean ± SD)

34 ± 4

ASA

 

 I

140 (69.3)

 II

41 (20.3)

 III

21 (10.4)

Diabetes mellitus

44 (21.8)

Hypertension

41 (20.3)

COPD

20 (9.9)

Smoking

46 (22.8)

Steroid intake

10 (5.0)

Family history of any previous hernia (weak mesenchyme)

31(15.3)

Time from index surgery(midline laparotomies) till primary abdominal wall dehiscence (days) (Mean ± SD)

7 ± 3

Albumin level < 3.5 gm %

46 (22.8)

Site of primary abdominal wall dehiscence (AWD)

 

 Infra umbilical

38 (18.8)

 Supra umbilical

57 (28.2)

 Umbilical

107 (53.0)

Previous operation resulting in primary AWD

 

 Emergent

146 (72.3)

 Elective

56 (27.7)

Surgical speciality where primary AWD occurred

 

 General & GIT surgery

151 (74.8)

 Gynecology

36 (17.8)

 Vascular surgery

15 (7.4)

Possible etiology of burst

 

 Fascial necrosis

10 (5.0)

 Infection

29 (14.4)

 Loose knot

5 (2.5)

 Cut through sutures

91 (45.0)

 Unknown

67 (33.2)