The Treatment of Incisional Hernia

Dietz, Ulrich; Menzel, Susanne; Lock, Johan Friso; Wiegering, Armin

doi:10.3238/arztebl.2018.0031

Cited by 62 publications

(71 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The best surgical technique for a patient has to be decided on an individual basis. [18] In this study, we have noticed spontaneous mesh extrusion through umbilicus rather from scar, which we could not find in any literature we have searched. The most serious complication, though fortunately rare, is the development of enterocutaneous fistula.…”

Section: Discussionmentioning

confidence: 72%

Onlay Mesh Repair of Incisional Hernia Is Effective With Low Recurrence and Complications

H¹,

Vadde²,

Parameswarappa³

2018

jemds

View full text Add to dashboard Cite

BACKGROUND Incisional hernia after abdominal surgery is a well-known complication. Controversy still exists with respect to the choice of hernia repair technique. Aims and Objectives-To study the complications and recurrence of onlay mesh repair for incisional hernia in rural population of South India. MATERIALS AND METHODS 32 consecutive patients undergoing open incisional hernia repair with onlay mesh technique between May 2012 and Dec 2017 at a single institution were included in the study. Patients were followed up and examined by a consultant surgeon in the outpatient clinic, if there was a suspicion of an incisional hernia recurrence. Design-A prospective observational study. RESULTS The study included 32 patients with 100% follow-up. The median follow-up was 29.5 months (range 6-72). Recurrence of hernia was observed in 1 of 32 patients (3.13%). Surgical site infections (SSI) are highest complications observed (9.38%). The overall complication rate was 31.25%. CONCLUSION This study with a long follow-up showed open incisional repair with onlay mesh has low recurrence. Surgical site infection (SSI) is the commonest complication observed.

show abstract

Section: Discussionmentioning

confidence: 72%

Onlay Mesh Repair of Incisional Hernia Is Effective With Low Recurrence and Complications

H¹,

Vadde²,

Parameswarappa³

2018

jemds

View full text Add to dashboard Cite

show abstract

“…The overall recurrence rate is comparable with those found in literature. In a very recent meta-analysis of studies from multiple countries, after two years from open mesh repair for incisional abdominal hernia, 8 to 12% of patients had developed a recurrence [8], consequently, we are far from the position to speak of surgical cure by mesh. However, recurrence rates after open repair tend to be lower compared to those after laparoscopic surgery [9].…”

Section: Resultsmentioning

confidence: 99%

Recurrence Rates and Mesh Shrinkage After Polypropylene vs. Polyester Mesh Hernia Repair in Complicated Hernias

Socea¹,

Socea²,

Bratu³

et al. 2018

Mat.Plast.

View full text Add to dashboard Cite

Prosthetic mesh implants in hernia repair are frequently used based on the fact that lower recurrence rates are detected compared to anatomic repair. In latest years, researchers tried to answer weather there is an ideal mesh material for abdominal hernia repair. The studies tried to compare resistance, bio-tolerance, rates of recurrence and infection of several materials used in alloplasty. The results are far from pointing an unique ideal chemical structure of mesh. In our study, we compared the results of a cohort of 265 patients operated in 2010 and 2011 in our clinic for complicated abdominal incisional hernias. We compared the results of polypropylene mesh vs. polyester. Polypropylene mesh proved significantly better for preventing hernia recurrence and showed a lower shrinkage rate.

show abstract

“…Although the use of surgical meshes can reduce the recurrence of the incisional hernias, in the long run, due to the use of prosthetic materials, different types of postoperative complications such as chronic pain, abdominal wall infections or entero-cutaneous fistulas may occur. These postoperative complications over time may obscure the prognosis of these patients [10,11].…”

Section: Resultsmentioning

confidence: 99%

Study on the Need for Postoperative Analgesic Medication in Patients where Polypropylene Mesh was Used in the Surgical Treatment of Incisional Hernias

Hălmaciu¹,

Suciu²,

Trâmbiţaş³

et al. 2018

Mat.Plast.

View full text Add to dashboard Cite

One of the most common postoperative complications that may occur in patients treated for incisional hernias is pain. The occurrence of postoperative pain refractory to drug treatment may worsen the prognosis of these patients. We have carried out a retrospective observational study in which we have introduced 122 patients operated for incisional hernia at the Surgical Clinic No. 1 in the Tirgu Mures Emergency County Clinical Hospital. The patients included in the study were divided into two groups: group A consisting of 80 patients where the polypropylene mesh was used over the aponeurosis in the surgical treatment of the incisional hernias, and the group B consisting of 42 patients where no prosthetic materials were used in the surgical treatment of the incisional hernias. All patients were administrated 1 g of sodium metamizole monohydrate for the treatment of pain. The statistical analysis of the data revealed that, on the day of surgery, on the first, second and third postoperative day there were statistically significant differences in the need for analgesic medication between the two groups, the need for the analgesic medication being lower for group A. In contrast, on the 4th postoperative day there were no statistically significant differences in the need for analgesic medication between the two groups. In conclusion, our study showed that, when using the polypropylene mesh in the surgical treatment of incisional hernias, the need for analgesic medication is lower in the immediate postoperative period compared to cases where surgical meshes are not used in the surgical treatment of these patients.

show abstract

The Treatment of Incisional Hernia

Cited by 62 publications

References 51 publications

Onlay Mesh Repair of Incisional Hernia Is Effective With Low Recurrence and Complications

Onlay Mesh Repair of Incisional Hernia Is Effective With Low Recurrence and Complications

Recurrence Rates and Mesh Shrinkage After Polypropylene vs. Polyester Mesh Hernia Repair in Complicated Hernias

Study on the Need for Postoperative Analgesic Medication in Patients where Polypropylene Mesh was Used in the Surgical Treatment of Incisional Hernias

Contact Info

Product

Resources

About