A systematic review of the surgical treatment of large incisional hernia

Deerenberg, Eva B.; Timmermans, Lucas; Hogerzeil, D.P.; Slieker, Juliette; Eilers, Paul H.C.; Jeekel, J.; Lange, Johan F.

doi:10.1007/s10029-014-1321-x

Cited by 133 publications

(93 citation statements)

References 85 publications

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“…In the present study, the incidence of postoperative complications after LIHR for large IH was 27%, which is similar to that in previous reports; however, these reports did not describe the specific subgroup of hernia size . Moreno‐Egea et al .…”

Section: Discussionsupporting

confidence: 91%

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Is fascial defect closure with intraperitoneal onlay mesh superior to standard intraperitoneal onlay mesh for laparoscopic repair of large incisional hernia?

Suwa

Okamoto

Yanaga³

2018

Asian J Endoscop Surgery

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Section: Discussionsupporting

confidence: 91%

“…However, several issues related to LIHR, such as a high recurrence rate and postoperative complications for hernias with large fascial defects, have not yet been resolved . For large hernias, an open retromuscular technique with or without component separation is still considered an ideal technique for repair .…”

Section: Discussionmentioning

confidence: 99%

Is fascial defect closure with intraperitoneal onlay mesh superior to standard intraperitoneal onlay mesh for laparoscopic repair of large incisional hernia?

Suwa

Okamoto

Yanaga³

2018

Asian J Endoscop Surgery

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“…The authors reported favorable ventral hernia repair results with the modified Chevrel technique. Although various techniques have been described in the repair of ventral/incisional hernias, including onlay techniques and various sublay techniques, the ideal location of mesh placement remains heavily debated [2]. This debate very much resembles that of Lichtenstein technique vs preperitoneal repair in inguinal hernias.…”

Section: Dear Editorsmentioning

confidence: 99%

Comment to: A modified Chevrel technique for ventral hernia repair: long-term results of a single centre cohort. Mommers EHH, Leenders, B.J.M., Leclercq, W.K.G. et al.

Zhang

2017

Hernia

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“…We read with great interest the paper of Deerenberg et al [1] published in the recent issue of the journal. Although being an extensive review, we think that some issues are only barely mentioned and could not help for drawing conclusions.…”

Section: Dear Editormentioning

confidence: 99%

Comment to: A systematic review of the surgical treatment of large incisional hernia. Deerenberg EB, Timmermans L, Hogerzeil DP, Slieker JC, Eilers PH, Jeekel J, Lange JF. Hernia 2015; 19:89–101

Georgiev-Hristov

Celdrán

2015

Hernia

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We read with great interest the paper of Deerenberg et al.[1] published in the recent issue of the journal. Although being an extensive review, we think that some issues are only barely mentioned and could not help for drawing conclusions.The aim of this systematic review is stated to be the identification of the best possible technique in terms of recurrence and complications and yet no credit has been given to the double mesh technique, probably having the lowest recurrence rates described in the literature.We think that at least few papers should have been taken into account regarding this approach. Usher FC was the first to describe the double mesh technique for incisional hernia treatment in several papers between 1960 and 1971 and it was not until few decades later when other authors introduced several modifications increasing the popularity of the approach. The Moreno-Egea technique [2] is based on a double mesh bridging technique without midline closure and no releasing incisions. In the Fei's modification [3], a dual mesh is used based on the Rives-Stoppa technique, with the addition of an intraperitoneal mesh, with or without midline closure. In 2009, Carbonell Tatay published a technique based on a double mesh (sublay and onlay) used only when a combination of releasing incisions both at the levels of the external oblique and posterior rectus aponeurosis are performed. Similarly, Broker et al.[4] use a combination of a sublay (preperitoneal or retromuscular) or intraperitoneal mesh and an onlay mesh after closure of the midline. Actually the latter two techniques are pure combinations of the Ramirez' components separation technique and double mesh reinforcement. The common point among the results of these series is the absence (or the notably low rate) of recurrences. Although the quality of the follow-up in these studies could be discussed, double mesh techniques seem to be very efficient for giant incisional hernia.Since the increased interest on the combination between component separation techniques and mesh prosthesis application, double mesh approach not only keeps its importance, but it achieves even further improvement of the results in terms of recurrence. Although no former review or metaanalysis has been performed to date, some papers have found these to be the best combination for incisional hernia treatment. In a recent paper [5], the authors found 11 % of recurrences, with great variability of mesh techniques used. Interestingly, the lowest rate was found with double mesh technique and components separation (approx 9 %), compared with single mesh with components separation (approx 15 %). In another paper [6], it was found that double mesh technique and component separation technique were both independently related to fivefold decrease of recurrences.The authors of the review also mention the sandwich technique and cite five papers with a total of 131 patients when, in our opinion, double mesh techniques are far more frequently used and studied in the scientific literature and need to be a...

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A systematic review of the surgical treatment of large incisional hernia

Abstract: The use of mesh during LIH repair displayed the best recurrence rates and hazards. If possible mesh in sublay position should be used in cases of LIH repair.

Cited by 133 publications

References 85 publications

Is fascial defect closure with intraperitoneal onlay mesh superior to standard intraperitoneal onlay mesh for laparoscopic repair of large incisional hernia?

Is fascial defect closure with intraperitoneal onlay mesh superior to standard intraperitoneal onlay mesh for laparoscopic repair of large incisional hernia?

Comment to: A modified Chevrel technique for ventral hernia repair: long-term results of a single centre cohort. Mommers EHH, Leenders, B.J.M., Leclercq, W.K.G. et al.

Comment to: A systematic review of the surgical treatment of large incisional hernia. Deerenberg EB, Timmermans L, Hogerzeil DP, Slieker JC, Eilers PH, Jeekel J, Lange JF. Hernia 2015; 19:89–101

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