Journal ArticleDOI
Incisional hernia repair in Sweden 2002.
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TLDR
There is room for improvement regarding the incisional hernia surgery in Sweden, where suture repair, with its unacceptable results, is common and mesh techniques employed may not be optimal.Abstract:
Incisional hernia is a common problem after abdominal surgery. The complication and recurrence rates following the different repair techniques are a matter of great concern. Our aim was to study the results of incisional hernia repair in Sweden. A questionnaire was sent to all surgical departments in Sweden requesting data concerning incisional hernia repair performed during the year 2002. Eight hundred and sixty-nine incisional hernia repairs were reported from 40 hospitals. Specialist surgeons performed the repair in 782 (83.8%) patients. The incisional hernia was a recurrence in 148 (17.0%) patients. Thirty-three per cent of the hernias were subsequent to transverse, subcostal or muscle-splitting incisions or laparoscopic procedures. Suture repair was performed in 349 (40.2%) hernias. Onlay mesh repair was more common than a sublay technique. The rate of wound infection was 9.6% after suture repair and 8.1% after mesh repair. The recurrence rate was 29.1% with suture repair, 19.3% with onlay mesh repair, and 7.3% with sublay mesh repair. This survey revealed that there is room for improvement regarding the incisional hernia surgery in Sweden. Suture repair, with its unacceptable results, is common and mesh techniques employed may not be optimal. This study has led to the instigation of a national incisional hernia register.read more
Citations
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Journal ArticleDOI
Laparoscopic versus open surgical techniques for ventral or incisional hernia repair
TL;DR: The short-term results of laparoscopic repair in ventral hernia are promising and in spite of the risks of adhesiolysis, the technique is safe, Nevertheless, long-term follow-up is needed in order to elucidate whether laparoscope repair of ventral/incisional hernia is efficacious.
Journal ArticleDOI
Nationwide prospective study of outcomes after elective incisional hernia repair
TL;DR: Elective incisional hernia repair were beset with high rates of readmission and reoperation for recurrence, and younger age, open repair, hernia defects >7 cm, and onlay or intraperitoneal mesh positioning in open repair were significant risk factors for poor late outcomes.
Journal ArticleDOI
Open Ventral Hernia Repair with Component Separation
Eric M. Pauli,Michael J. Rosen +1 more
TL;DR: This method adheres to the literature-supported principles of a tension-free midline fascial closure with wide mesh overlap of mesh positioned in a sublay position and supports a low recurrence rate and reduced wound morbidity.
Journal ArticleDOI
Outcomes of Posterior Component Separation with Transversus Abdominis Muscle Release and Synthetic Mesh Sublay Reinforcement
Yuri W. Novitsky,Mojtaba Fayezizadeh,Arnab Majumder,Ruel Neupane,Heidi L. Elliott,Sean B. Orenstein +5 more
TL;DR: In this large series of complex AWR patients, it is demonstrated that posterior component separation via TAR with wide synthetic mesh sublay provides a very durable repair with low morbidity, even in comorbid patients with large defects.
Journal ArticleDOI
Meta-analysis of sublay versus onlay mesh repair in incisional hernia surgery
Lucas Timmermans,Barry de Goede,Sven M. van Dijk,Gert-Jan Kleinrensink,Johannes Jeekel,Johan F. Lange +5 more
TL;DR: Sublay repair seems the preferred technique for IH repair, although the majority of the included studies were retrospective studies, and it remains unclear which technique is superior.
References
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Journal ArticleDOI
A Comparison of Suture Repair with Mesh Repair for Incisional Hernia
R W Luijendijk,Wim C. J. Hop,van den Tol Mp,de Lange Dc,Braaksma Mm,Jan N. M. IJzermans,Boelhouwer Ru,de Vries Bc,Salu Mk,Wereldsma Jc,Bruijninckx Cm,J. Jeekel +11 more
TL;DR: Among patients with midline abdominal incisional hernias, mesh repair is superior to suture repair with regard to the recurrence of hernia, regardless of the size of the hernia.
Journal ArticleDOI
Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia
Jacobus W. A. Burger,Roland W. Luijendijk,Wim C. J. Hop,Jens A. Halm,Emiel G. G. Verdaasdonk,Johannes Jeekel +5 more
TL;DR: Mesh repair results in a lower recurrence rate and less abdominal pain and does not result in more complications than suture repair, and should be abandoned.
Journal ArticleDOI
Incisional hernia: A 10 year prospective study of incidence and attitudes
Marjorie Mudge,L. E. Hughes +1 more
TL;DR: Recurrence is common after surgical repair but seems to be related to surgical technique, and the possibility of complications occurring from an incisional hernia does not appear to be discussed with patients although obstruction occurred in 14 per cent of patients with troublesome hernia.
Journal ArticleDOI
Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias.
B. Todd Heniford,Adrian Park,Adrian Park,Bruce J. Ramshaw,Guy R. Voeller,John G. Hunter,Robert J. Fitzgibbons +6 more
TL;DR: In this large series of LVHRs, LVHR had a low rate of conversion to open surgery, a short hospital stay, a moderate complication rate, and a low risk of recurrence.
Journal ArticleDOI
Have outcomes of incisional hernia repair improved with time? A population-based analysis.
TL;DR: Incisional hernia repair is associated with high cumulative rates of reoperative repairs and the expectation that important measures of adverse outcome have improved in recent eras is not supported by this large population-based study.