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Long-term recurrence and complication rates after incisional hernia repair with the open onlay technique.

Andersen LP, Klein M, Gögenur I, Rosenberg J - BMC Surg (2009)

Bottom Line: Recurrent incisional hernia was found in 8 of 56 patients (15%, 95% CI: 6-24).All complications were minor and needed no hospital admission.This study with a long follow-up showed low recurrence and complication rates in patients undergoing incisional hernia repair with the open onlay technique.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery D, Herlev Hospital, University of Copenhagen, 2730 Herlev, Denmark. lphandersen@gmail.com

ABSTRACT

Background: Incisional hernia after abdominal surgery is a well-known complication. Controversy still exists with respect to the choice of hernia repair technique. The objective of this study was to evaluate the long-term recurrence rate as well as surgical complications in a consecutive group of patients undergoing open repair using an onlay mesh technique.

Methods: Consecutive patients undergoing open incisional hernia repair with onlay-technique between 01/05/1995 and 01/09/2007 at a single institution were included in the study. For follow-up patients were contacted by telephone, and answered a questionnaire containing questions related to the primary operation, the hernia and general risk factors. Patients were examined by a consultant surgeon in the outpatient clinic or in the patient's home if there was suspicion of an incisional hernia recurrence.

Results: The study included 56 patients with 100% follow-up. The median follow-up was 35 months (range 4-151). Recurrent incisional hernia was found in 8 of 56 patients (15%, 95% CI: 6-24). The overall complication rate was 13% (95% CI, 4-22). All complications were minor and needed no hospital admission.

Conclusion: This study with a long follow-up showed low recurrence and complication rates in patients undergoing incisional hernia repair with the open onlay technique.

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Related in: MedlinePlus

Schematic drawing of the mesh position. The hernia defect was routinely sutured and the onlay mesh was used as a reinforcement of the suture line.
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Figure 1: Schematic drawing of the mesh position. The hernia defect was routinely sutured and the onlay mesh was used as a reinforcement of the suture line.

Mentions: The study included consecutive patients who underwent open hernia repair with onlay technique between May 1995 and September 2007 (see figure 1). All hernias disregarding size were operated by the same technique which included closure of the hernia defect with non-absorbable sutures (typically Prolene 2-0) followed by an onlay polypropylene mesh (figure 1). Thus, the mesh was placed superficial to the external fascia also using non-absorbable sutures. Repair operations were carried out by four senior surgeons at a single institution.


Long-term recurrence and complication rates after incisional hernia repair with the open onlay technique.

Andersen LP, Klein M, Gögenur I, Rosenberg J - BMC Surg (2009)

Schematic drawing of the mesh position. The hernia defect was routinely sutured and the onlay mesh was used as a reinforcement of the suture line.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2684736&req=5

Figure 1: Schematic drawing of the mesh position. The hernia defect was routinely sutured and the onlay mesh was used as a reinforcement of the suture line.
Mentions: The study included consecutive patients who underwent open hernia repair with onlay technique between May 1995 and September 2007 (see figure 1). All hernias disregarding size were operated by the same technique which included closure of the hernia defect with non-absorbable sutures (typically Prolene 2-0) followed by an onlay polypropylene mesh (figure 1). Thus, the mesh was placed superficial to the external fascia also using non-absorbable sutures. Repair operations were carried out by four senior surgeons at a single institution.

Bottom Line: Recurrent incisional hernia was found in 8 of 56 patients (15%, 95% CI: 6-24).All complications were minor and needed no hospital admission.This study with a long follow-up showed low recurrence and complication rates in patients undergoing incisional hernia repair with the open onlay technique.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery D, Herlev Hospital, University of Copenhagen, 2730 Herlev, Denmark. lphandersen@gmail.com

ABSTRACT

Background: Incisional hernia after abdominal surgery is a well-known complication. Controversy still exists with respect to the choice of hernia repair technique. The objective of this study was to evaluate the long-term recurrence rate as well as surgical complications in a consecutive group of patients undergoing open repair using an onlay mesh technique.

Methods: Consecutive patients undergoing open incisional hernia repair with onlay-technique between 01/05/1995 and 01/09/2007 at a single institution were included in the study. For follow-up patients were contacted by telephone, and answered a questionnaire containing questions related to the primary operation, the hernia and general risk factors. Patients were examined by a consultant surgeon in the outpatient clinic or in the patient's home if there was suspicion of an incisional hernia recurrence.

Results: The study included 56 patients with 100% follow-up. The median follow-up was 35 months (range 4-151). Recurrent incisional hernia was found in 8 of 56 patients (15%, 95% CI: 6-24). The overall complication rate was 13% (95% CI, 4-22). All complications were minor and needed no hospital admission.

Conclusion: This study with a long follow-up showed low recurrence and complication rates in patients undergoing incisional hernia repair with the open onlay technique.

Show MeSH
Related in: MedlinePlus