Prophylactic onlay reinforcement with absorbable mesh (polyglactin) is associated with less early wound complications after kidney transplantation: A preliminary study
Christoph W. Michalski
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorSara Mohammadi
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorElias Khajeh
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorOmid Ghamarnejad
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMohammadsadegh Sabagh
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorFrank Pianka
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMohammad Golriz
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorYakup Kulu
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorFriedrich Kallinowski
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Hernia Center, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMartin Zeier
Division of Nephrology, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorChristian Morath
Division of Nephrology, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMarkus K. Diener
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMarkus W. Büchler
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorCorresponding Author
Arianeb Mehrabi
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Correspondence to: A. Mehrabi; e-mail: [email protected]Search for more papers by this authorChristoph W. Michalski
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorSara Mohammadi
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorElias Khajeh
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorOmid Ghamarnejad
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMohammadsadegh Sabagh
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorFrank Pianka
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMohammad Golriz
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorYakup Kulu
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorFriedrich Kallinowski
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Hernia Center, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMartin Zeier
Division of Nephrology, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorChristian Morath
Division of Nephrology, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMarkus K. Diener
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorMarkus W. Büchler
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Search for more papers by this authorCorresponding Author
Arianeb Mehrabi
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Correspondence to: A. Mehrabi; e-mail: [email protected]Search for more papers by this authorAbstract
Incidence of wound complications after kidney transplantation (KTx) is still considerable. Here, we report the impact of prophylactic absorbable polyglactin (Vicryl®) mesh reinforcement on the incidence of short-term post-KTx wound complications. Sixty-nine patients were analyzed; 23 with and 46 without preventive onlay mesh reinforcement. Surgical site infections (SSI) were seen in six (26%) patients in the mesh group and in 17 (37%) patients in no-mesh group. A lower, but not statistically significant, rate of early postoperative wound complications occurred in the mesh group. Wound complications were observed in seven (30%) patients in the mesh group and in 23 (50%) patients in the no-mesh group. There was no association between mesh placement and SSI incidence (odds ratios [OR] 0.60, 95% confidence interval [CI] 0.20–1.82, p = 0.369) and wound complications (OR 0.44, 95% CI 0.15–1.26, p = 0.126). Therefore, we conclude that mesh reinforcement does not increase the risk of SSI and overall wound complications. Long-term outcomes have to be evaluated in a randomized trial setting. © 2019 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 108B:67–72, 2020.
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