OC-034 SHORT- AND LONG-TERM OUTCOMES OF TEMPORISING ABDOMINAL CLOSURE WITH VICRYL MESH IN CONTAMINATED AND INFECTED FIELDS

Abstract Aim Abdominal wall reconstruction (AWR) in contaminated fields is associated with surgical site morbidity > 50% and high hernia recurrence rates. Patients undergoing surgery for intestinal failure are anatomically complex fistulae+/-stomas within failed abdominal walls. Temporising the using vicryl mesh an alternative to AWR. It avoids some of AWR however concern exists regarding persistent herniation longer-term. This study reports outcomes following temporising closure fields. Methods Retrospective single-centre, observational all patients whom was performed (2010–2019). Closure achieved 4-layers placed as inlay, secured circumferentially continuous absorbable suture. Results 26 were included (VHWG Grade 3:n=23, VHWG 4:n=3). Indication enterocutaneous fistulation (N=18), continuity restoration(n=6) explantation infected mesh(n=2). 15 had laparostomy wounds 8 herniation. Median length post-operative stay=31 days (range 11–161). Clavien Dindo>3 occurred 9 cases (34%). Surgical occurrences complicated 5/26 (20%) zero 90-day mortalities. follow-up=25 months 4–118);6 lost follow-up (including 5 deaths from unrelated causes). There fistula recurrences. 13/20 (65%) developed notable just (25%) reported symptoms. Conclusions a simple method low Despite re-fistulation rates majority free at follow up.