Retrorectus prosthetic mesh repair of midline abdominal hernia

McLanahan, David; King, Lacey; Weems, Charles C.; Novotney, Michael; Gibson, Kathleen

doi:10.1016/s0002-9610(97)89582-7

Cited by 198 publications

(94 citation statements)

References 2 publications

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“…During second surgery for repair of the large ventral hernia, hardly any adhesions were found between skin graft and viscera and synthetic mesh was used as an onlay graft for repair of abdominal wall defect. Some authors [2,3] have described advantages of retrorectus placement of mesh as an inlay graft but we found that retrorectus dissection to be traumatic particularly in cases with multiple previous abdominal operations, besides our results of onlay placement of mesh have been comparable to inlay placement of mesh.…”

Section: Discussionsupporting

confidence: 54%

Reconstruction of Complex Abdominal Wall Defects

Bath

Patnaik

Bhandari

2007

Medical Journal Armed Forces India

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Section: Discussionsupporting

confidence: 54%

Reconstruction of Complex Abdominal Wall Defects

Bath

Patnaik

Bhandari

2007

Medical Journal Armed Forces India

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“…Others have suggested that up to 50% of patients having undergone mesh repair of an incisional hernia developed complaints because of a reduced mobility of the abdominal wall. 20,32 Our study does not reveal any difference in scar or superficial pain between mesh and suture repair patients. Moreover, abdominal pain was less frequent (18% versus 39%) and less intense in patients having undergone mesh repair.…”

Section: Annals Of Surgery • Volume 240 Number 4 October 2004mentioning

confidence: 54%

“…Suture repair of incisional hernia results in recurrence rates of 12% to 54%, 10 -16 while mesh repair results in recurrence rates of 2% to 36%. [13][14][15][17][18][19][20][21][22][23] Because most studies only provide shortterm follow-up, these recurrence rates may even be underestimated. In addition to the high recurrence rates, incisional hernia repair may give rise to serious complications, such as enterocutaneous fistula and bowel obstruction, causing deterioration rather than improvement of the patient's situation.…”

mentioning

confidence: 99%

Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia

Burger¹,

Luijendijk²,

Hop³

et al. 2004

Annals of Surgery

1,418

807

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Objective: The objective of this study was to determine the best treatment of incisional hernia, taking into account recurrence, complications, discomfort, cosmetic result, and patient satisfaction. Background: Long-term results of incisional hernia repair are lacking. Retrospective studies and the midterm results of this study indicate that mesh repair is superior to suture repair. However, many surgeons are still performing suture repair. Methods: Between 1992 and 1998, a multicenter trial was performed, in which 181 eligible patients with a primary or first-time recurrent midline incisional hernia were randomly assigned to suture or mesh repair. In 2003, follow-up was updated. Results: Median follow-up was 75 months for suture repair and 81 months for mesh repair patients. The 10-year cumulative rate of recurrence was 63% for suture repair and 32% for mesh repair (P Ͻ 0.001). Abdominal aneurysm (P ϭ 0.01) and wound infection (P ϭ 0.02) were identified as independent risk factors for recurrence. In patients with small incisional hernias, the recurrence rates were 67% after suture repair and 17% after mesh repair (P ϭ 0.003). One hundred twenty-six patients completed long-term follow-up (median follow-up 98 months). In the mesh repair group, 17% suffered a complication, compared with 8% in the suture repair group (P ϭ 0.17). Abdominal pain was more frequent in suture repair patients (P ϭ 0.01), but there was no difference in scar pain, cosmetic result, and patient satisfaction. Conclusions: Mesh repair results in a lower recurrence rate and less abdominal pain and does not result in more complications than suture repair. Suture repair of incisional hernia should be abandoned. (Ann Surg 2004;240: 578 -585)

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“…The high prosthesis infection rate reported with open mesh repairs [5,6,21], to which the mesh seems to be a major contributor [22], was not observed with this laparoscopic approach. Laparoscopic ventral her nia repair permits emplacement of mesh from a distant incision, which may be the reason for the absence of mesh infections in this series.…”

Section: Discussionmentioning

confidence: 99%

“…The conventional repair of Incisional ventral hernia is associated with a high incidence of complication and recurrence rate of up to 50% [3][4][5] in patients who have repairs without the use of a prosthetic patch. The use of a tension free mesh reduced the rate of recurrence to less than 10% [6,7], but not the high overall rate of wound complication [8][9][10]. Open repair also requires a large incision, wide dissection, and raising of flaps to dissect the hernia sac and exposure of the prosthesis to the possibility of contamination, which is an important factor predisposing to postoperative infection.…”

Section: Introductionmentioning

confidence: 99%