Peri-operative pain and patient satisfaction following open mesh repair of para-umbilical hernia under local anaesthesia: The west Suffolk experience

s / International Journal of Surgery 10 (2012) S1–S52 S5 ABSTRACTS Conclusions: Understanding thedynamic haematopoietic andmesenchymal contribution to ICC tumour formation informs therapeutic development. ASIT SHORT PAPER PRIZE: 0061: THE OPEN BLAST PELVIS: THE BURDEN OF MANAGEMENT Scott Evans, Arul Ramasamy, Jon Kendrew, Julian Cooper. University Hospitals of Birmingham, Queen Elizabeth, Birmingham, UK Aim: First study to evaluate casualties with an open pelvic blast injury. Methods: Retrospective study of a prospective combat trauma registry. UK Service Personnel sustaining open pelvic fractures from an explosive mechanism were identified from Aug 2008 Aug 2010. Results: 29 casualties survived with an open pelvic ring fracture following explosion. The median NIS score was 41. Mean blood requirements in the 1st 24 hours was 60.3 units. 6 casualties had an associated vascular injury, 7 had a bowel injury, 11 had a genital injury and 7 had a bladder injury. 8 fractures were managed definitively with external fixation, and 7 fractures required ORIF, with 4 requiring removal of metalwork for infection. Faecal diversion was performed on 9 casualties. Median length of stay was 70.2 days, and mean operative time was 29.6 hours. 1 casualty was managed solely by the orthopaedic team. 19 required at least three different surgical specialty input. At mean 20.3 months follow-up, 24 were able to ambulate, and 26 had clinical and radiological evidence of pelvic ring stability. Conclusions: Open blast pelvis represents the extreme end of trauma necessitating intense resource allocation. We do not feel faecal diversion is required in all cases. ASIT SHORT PAPER PRIZE: 0167 WINNER OF ASIT/ASGBI SHORT PAPER PRIZE: PERI-OPERATIVE PAIN AND PATIENT SATISFACTION FOLLOWING OPEN MESH REPAIR OF PARA-UMBILICAL HERNIA UNDER LOCAL ANAESTHESIA: THE WEST SUFFOLK EXPERIENCE Philip Bennett, Balendra Kumar, Eamonn Coveney. West Suffolk Hospital,