Long-term results of incisional hernia treatment

Venclauskas, Linas; Šilanskaitė, Jolita; Kanišauskaitė, Jurga; Kiudelis, Mindaugas

doi:10.3390/medicina43110110

Cited by 23 publications

(19 citation statements)

References 13 publications

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“…The defect increases in size with time and serious complications like intestinal strangulation and perforation may occur. While more than half of the incisional hernias are seen in first two years after primary operation, they may also be detected many years after surgery [8,9,10]. The mean time from primary operation to hernia repair was about 15 years in our serial.…”

Section: Discussionmentioning

confidence: 81%

The Surgical Results of Onlay Mesh Repair for Incisional Hernia

Kaya¹

2012

Ann Clin Anal Med

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Anahtar Kelimelerİnsizyonel Herni; Onlay Mesh Tamiri; Nüks Abstract Aim: İncisional hernia after abdominal surgery is an important problem. We aimed to evaluate the long-term recurrence rate as well as surgical complications in patients operated with onlay mesh repair technique for incisional hernia. Material and Method: We studied a serial of 139 patients retrospectively, operated due to incisional hernia in between January 2001 to November 2009 in Vakıf Gureba Training and Research Hospital General Surgery Department. The patient's age, sex, location and size of the defect, operation findings, duration of hospitalization, early and late complications and recurrences were recorded. Result: There were 56 men and 83 women in our serial. The mean age was 55 (age range, 30-85 years). The most common incisions that hernia had been developed were upper midline incision (51 patients) and lower midline incision (37 patients). The size of the hernia defect was 0-5 cm in 118 patients , 6-10 cm in 5 patients 11-15 cm in 12 patients, and above 15 cm in 4 patients. The postoperative complications were wound infection in 22 patients, seroma in 12 patients. The mean duration of hospital stay was 4.53 (range 1-10 days). The recurrence was detected in 6 patients. Discussion: It seems to be that onlay mesh repair is safe and effective technique for incisional hernia repair.

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Section: Discussionmentioning

confidence: 81%

The Surgical Results of Onlay Mesh Repair for Incisional Hernia

Kaya¹

2012

Ann Clin Anal Med

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“…This surgery technique increases the risk of recurrence and even increases the intraabdominal pressure after surgery 9 . An increase in intraabdominal pressure is associated with postoperative respiratory complications such as pneumonia and respiratory insufficiency.…”

Section: Discussionmentioning

confidence: 99%

“…Nearly 20.0% of patients undergoing suture repair surgery experience pain or discomfort in the abdomen region 12 months after surgery. Tensionfree surgery technique allows the patients to recover faster to normal physical activity after operation 9 . In this retrospective study, 83.6% of patients assessed their condition after surgery as good, 16.4% as satisfactory or poor.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative complications such as wound seroma and hematoma occur in 5.6% to 42% of cases using the meshes for paraumbilical hernia repair 2,9 . It can be the reason of postoperative wound infection, suppuration, and hernia recurrence 2 .…”

Section: Discussionmentioning

confidence: 99%

“…These complications can be one of the risk factors for hernia recurrence in long-term period. The mesh repair technique is a tension-free surgery, which reduces postoperative respiratory complications and recurrence rate 9 . Liver cirrhosis is a risk factor for paraumbilical hernia.…”

Section: Discussionmentioning

confidence: 99%

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Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

Khalil¹,

Saha²,

Islam³

et al. 2018

J Curr Adv Med Res

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Background: Paraumbilical hernia has gained little attention from surgeons in comparison with other types of abdominal wall hernias (inguinal, postoperative); however, the primary suture for paraumbilical hernia is associated with a recurrence rate of 19.0 to 54.0%. Objective: The aim of this study was to analyze the results of the paraumbilical hernia repair and to assess the independent risk factors influencing paraumbilical hernia recurrence. Methodology: A retrospective analysis of patients who underwent surgery for paraumbilical hernia in the department of surgery, Dhaka Medical College Hospital from 2012 to 2015 was performed. Age, sex, hospital stay, hernia size, patient's body mass index, and postoperative complications were analyzed. Postoperative evaluation included pain and discomfort in the abdomen and hernia recurrence rate. Hernia recurrence was diagnosed during the patients' visit to a surgeon. Two surgical methods were used to repair paraumbilical hernia: open suture repair technique (keel technique) and open mesh repair technique (onlay technique). Every operation was chosen individually by the surgeon. Results: Ninety-seven patients (31 males and 66 females) with paraumbilical hernia were examined. The rate of postoperative complications was 5.2%. The complete patient's recovery time after surgery was 2.4±3.4 months. Fourteen patients (20.9%) complained of pain or discomfort in the abdomen, and 7(10.4%) patients had ligature fistula after the surgery. Forty-five patients (67.2%) did not have any complaints after surgery. The recurrence rate after paraumbilical hernia repair was 8.9%. The recurrence rate was higher when hernia size was >2cm (9% for <2 cm vs 10.5% for >2 cm) and patient's BMI was >30 kg/m 2 (8.6% for <30 vs 10.7% for >30). Conclusion: In conclusion significant independent risk factors are found for paraumbilical hernia recurrence.

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Repair of the Open Abdomen Hernia, Scope of the Problem

Ferrada¹

2015

Encyclopedia of Trauma Care

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Long-term results of incisional hernia treatment

Abstract: Summary. Ventral hernia is a common problem in

Cited by 23 publications

References 13 publications

The Surgical Results of Onlay Mesh Repair for Incisional Hernia

The Surgical Results of Onlay Mesh Repair for Incisional Hernia

Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

Repair of the Open Abdomen Hernia, Scope of the Problem

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