Necessary duration of follow-up to assess complications of mesh in hernia surgery: a time-lapse study based on 460 explants

Petersen, Kevin; Morrison, John E.; Oprea, V; Grischkan, David M.; Koch, Andreas; Lorenz, R.; Bendavid, Robert; Iakovlev, Vladimir V.

doi:10.1007/s10029-020-02297-1

Cited by 8 publications

(3 citation statements)

References 60 publications

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Section: Introductionmentioning

confidence: 99%

“…Recurrence after umbilical hernia repair may develop months to years after the first operation and neither the referring doctor nor the patient may link recurrence to the primary repair. 1 Shankar et al 2 reported that 50% of hernia recurrences occurred within the first year, 75% within the first 5 years and 25%, 5 years after the repair. Despite advances in mesh technology and surgical technique, recurrence rates in open mesh repair of umbilical hernia are widely disparate ranging from 1% to as high as 54%, with progressively higher rates of recurrence after repeated repairs and longer follow-up.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Umbilical hernia: could it be the ‘canary in the coal mine’ for a more significant abdominal wall problem?

Lam

Smith

Slater

2022

ANZ Journal of Surgery

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Background: A considerable proportion of incisional hernias presenting to this unit evolve following simple umbilical hernia repair. Our aim was to review our series of complex ventral hernia repairs and identify the frequency of this problem. Our secondary aim was to encourage surgeons to evaluate whether any of the factors that increase the risk of recurrent hernia may be present, prior to undertaking an umbilical hernia repair. Methods: Observational retrospective review of a prospectively maintained single-surgeon database of consecutive patients undergoing surgery for recurrent ventral hernia. Patients presenting with recurrence at the site of a previous umbilical hernia repair were identified and their demographic data collected and analysed. A review of the published literature was performed. Patient and surgeon factors contributing to recurrence were identified and discussed. Results: Of 386 patients undergoing surgery for a recurrent ventral hernial, 102 (26.4%) were initially managed as 'simple' umbilical hernias repaired with a mesh patch or primary suture repair. 71 (69.6%) patients had undergone one or more subsequent hernia repairs prior to referral to our unit with 16 (15.6%) having had three or more repairs prior to referral. Conclusion: Recurrence rates after umbilical hernia repair are likely to be much higher than surgeons and patients appreciate. There are many aspects to consider in the repair of a 'simple' umbilical hernia and we seek promote a discussion amongst surgeons that umbilical hernias be assessed as a major abdominal wall condition and not relegated to minor surgery status.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Umbilical hernia: could it be the ‘canary in the coal mine’ for a more significant abdominal wall problem?

Lam

Smith

Slater

2022

ANZ Journal of Surgery

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“…According to hospitalization studies, one in five patients who underwent incisional hernia plastic in the USA was re-hospitalized within a year, with the majority of repeated hospitalizations occurring in the 30-day post-surgery period [1]. The analysis, published in the Journal of Surgical Research, indicates that many patients who are re-hospitalized with complications after surgical hernia plastics are often ignored, leading to a constant underreporting of complications [2,3,4]. Hernia plastic includes two types of materials: synthetic and biological implants.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Postoperative Complications in Repair Ofincisional Ventral Hernias Using Allo- And Autografts

Protasov¹,

Topchiev²,

Parshin³

et al. 2020

AREM

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The article provides a multicenter retrospective analysis of postoperative complications in patients after ventral hernias repair. The study went on for 10 years and included 628 patients divided into 2 groups. The first group included 510 patients operated on using polypropylene implants (mesh density 60g/m2 ). In the second group (118 patients) a de-epithelized autodermal graft prepared according to the authors' technology was applied. Clavien-Dindo classification was used to describe postoperative complications. The total number of complications in the first group was 22.2%, in the second group — 2.5% (p < 0.01). In the analysis of complications in all patients operated on using both allo- and autograft, the most frequent complications in the form of seroma were noted when implants using the one lay technique — 22.3% (p < 0.05) were installed. The autodermal de-epithelized graft used in ventral hernia plastics, regardless of their localization and size, especially in relapses after alloplasty, may be a good alternative to synthetic grafts.

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Comparative long-term effectiveness between ventral hernia repairs with biosynthetic and synthetic mesh

Morrison¹,

Gledhill²,

Plymale³

et al. 2023

Surg Endosc

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Necessary duration of follow-up to assess complications of mesh in hernia surgery: a time-lapse study based on 460 explants

Cited by 8 publications

References 60 publications

Umbilical hernia: could it be the ‘canary in the coal mine’ for a more significant abdominal wall problem?

Umbilical hernia: could it be the ‘canary in the coal mine’ for a more significant abdominal wall problem?

Analysis of Postoperative Complications in Repair Ofincisional Ventral Hernias Using Allo- And Autografts

Comparative long-term effectiveness between ventral hernia repairs with biosynthetic and synthetic mesh

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