Nationwide Prospective Study of Outcomes after Elective Incisional Hernia Repair

Helgstrand, Frederik; Rosenberg, Jacob; Kehlet, Henrik; Jørgensen, Lars N.; Bisgaard, Thue

doi:10.1016/j.jamcollsurg.2012.10.013

Cited by 199 publications

(139 citation statements)

References 37 publications

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“…The size of the abdominal wall defect is an independent factor for the incidence of postoperative complications and recurrences. The risk of mesh-related complications is directly proportional to the size of the mesh placed (13)(14)(15). With regard to gain in quality of life, perioperative morbidity and likelihood of recurrence, there is evidence to support an early indication for surgery (also with smaller lesions).…”

Section: European Registry Of Abdominal Wall Hernias (Eurahs) (Etable)mentioning

confidence: 99%

The Treatment of Incisional Hernia

Dietz

Menzel

Lock

et al. 2018

Deutsches Ärzteblatt International

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SummaryBackground: A meta-analysis of studies from multiple countries has shown that the incidence of incisional hernia varies from 4% to 10% depending on the type of operation. No epidemiological surveys have been conducted so far. The worst possible complication of an incisional hernia if it is not treated surgically is incarceration. In this article, we present the main surgical methods of treating this condition. We also evaluate the available randomized and controlled trials (RCTs) in which open and laparoscopic techniques were compared and analyze the patients' quality of life.

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Section: European Registry Of Abdominal Wall Hernias (Eurahs) (Etable)mentioning

confidence: 99%

The Treatment of Incisional Hernia

Dietz

Menzel

Lock

et al. 2018

Deutsches Ärzteblatt International

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“…Comparable single-institution case series and one multicentre randomised study reported recurrence rates as low as 0-2.5%, [18][19][20][21][22] whereas prospective national registries have suggested much higher recurrence rates of 15.5% at a median of 21 months follow up. 6 Other contributing factors for recurrence of hernia include the number and size of the defects, difficulty of dissection, mesh fixation technique and operation. [18][19][20][21][22] Our study showed no significant relation between mesh fixation with transfascial sutures and non-absorbable tackers and recurrence of hernia, which is consistent with the existing literature.…”

Section: Discussionmentioning

confidence: 99%

“…5 Intraperitoneal onlay placement of mesh is associated with poorer short-(ileus) and long-term outcomes (recurrence) and the risk of serious complications, such as bowel injury, are higher with the laparoscopic technique. 4,6 The recurrence rate after laparoscopic incisional hernia repair has been reported to be between 0 to 9%. 5 With advances in technology, various types of mesh and mesh fixation devices have become available.…”

Section: Introductionmentioning

confidence: 99%

Parietex™ Composite mesh versus DynaMesh^®-IPOM for laparoscopic incisional and ventral hernia repair: a retrospective cohort study

Tandon

Shahzad

Pathak

et al. 2016

annals

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INTRODUCTION Laparoscopic incisional and ventral hernia repair (LIVHR) is widely accepted and safe but the type of mesh used is still debated. We retrospectively compared postoperative outcomes with two different meshes commonly used in LIVHR. METHODS This is a retrospective study of patients who underwent incisional hernia repair between January 2008 and December 2010. Two meshes were used: Parietex™ Composite (Covidien, New Haven, CT, USA) and the DynaMesh®-IPOM (FEG Textiltechnik mbH, Aachen, Germany). The two groups were compared with respect to recurrence rates, incidence of seroma and intestinal obstruction. RESULTS Among the 88 patients who underwent LIVHR, 75 patients (85.2%) presented with primary incisional hernia, 10 (11.4%) presented with a first recurrence and 3 (3.4%) presented with a second recurrence. Median follow-up was 53.6 months (range 40–61 months). 12.9% of patients had recurrence in the Parietex™ Composite mesh group (n=62) in comparison to 3.8% in the DynaMesh®-IPOM mesh group (n=26; P=0.20). DynaMesh®-IPOM was associated with a significantly higher incidence of intestinal obstruction secondary to adhesions (11.5% vs. 0%, P=0.006) and lower incidence of seroma and haematoma formation compared to Parietex™ composite mesh group (0% vs. 6.4% of patients; P=0.185). CONCLUSIONS LIVHR is a safe and feasible technique. Dynamesh®-IPOM is associated with a significantly higher incidence of adhesion related bowel obstruction, albeit with a lower incidence of recurrence, seroma and haematoma formation compared with Parietex™ Composite mesh. However, there is a need for further well-designed, multicentre randomised controlled studies to investigate the use of these meshes.

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“…The most common complication following use of a surgical mesh is hernia recurrence (10,(103)(104)(105). Fundamentally, recurrence is caused by early degradation of the mesh, early removal of the mesh (as necessary following infections) or mesh failure ( Figure 5) (34,45,106).…”

Section: Complications Hernia Recurrence/infectionmentioning

confidence: 99%

Surgical mesh for ventral incisional hernia repairs:Understanding mesh design

Rastegarpour¹,

Cheung²,

Vardhan³

2016

J Plastic Surgery

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Nationwide Prospective Study of Outcomes after Elective Incisional Hernia Repair

Cited by 199 publications

References 37 publications

The Treatment of Incisional Hernia

The Treatment of Incisional Hernia

Parietex™ Composite mesh versus DynaMesh^®-IPOM for laparoscopic incisional and ventral hernia repair: a retrospective cohort study

Surgical mesh for ventral incisional hernia repairs:Understanding mesh design

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Nationwide Prospective Study of Outcomes after Elective Incisional Hernia Repair

Cited by 199 publications

References 37 publications

The Treatment of Incisional Hernia

The Treatment of Incisional Hernia

Parietex™ Composite mesh versus DynaMesh®-IPOM for laparoscopic incisional and ventral hernia repair: a retrospective cohort study

Surgical mesh for ventral incisional hernia repairs:Understanding mesh design

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Product

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Parietex™ Composite mesh versus DynaMesh^®-IPOM for laparoscopic incisional and ventral hernia repair: a retrospective cohort study