Comparison of long-term outcome and quality of life after laparoscopic repair of incisional and ventral hernias with suture fixation with and without tacks: a prospective, randomized, controlled study

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

“…Other studies [14,31,[131][132][133] report recurrences rate with the use of tacks, from 0.89 to 3.5 % [132] with a follow-up superior to 2 years. An important series of more than 1000 patients compares various fastening systems and concludes that there is not a significant difference in recurrence between spiral tacks alone or with sutures (3.9 vs 2.6 % respectively) [107].…”

“…Tacks are associated with an equivalent [110] or lesser [115,131,136] postoperative pain than sutures. The latest paper [136] demonstrates an equivalent recurrence rate at 24 months.…”

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

“…All studies used a minimum mesh overlap of 3–5 cm. Thirty studies reported the percentage of patients at last follow‐up, with a median of 98 (range 76–100) per cent. Follow‐up was given as either a mean or median value, with an overall median of 22 (range 6–64) months.…”

Is There Hospital Variation in Long-Term Incisional Hernia Repair after Abdominal Surgery?

“…A multivariable, mixed effects Cox proportional hazards model, also known as a frailty model, was constructed based on the preoperative clinical variables found to be significantly different on univariate analysis, as defined by p value <0.05. Additionally, a procedural CPT linear risk variable commonly used in current ACS NSQIP risk-adjustment methodology 23 was included in the multivariable model as a necessary adjustment for the influence of procedural case mix on the risk of incisional hernia repair. This CPT linear risk variable was used for procedural case-mix adjustment instead of procedure-specific categories to save degrees of freedom in the risk-adjustment model and obtain more precise estimates of risk associated with each of the 25 CPT codes in the analysis.…”

“…Incisional hernias are clinically relevant long-term outcomes that typically present after 30 days and up to 10 years postoperatively. [19][20][21][22][23] However, it is unclear whether there is enough variation in incisional hernia repair rates among hospitals to detect differences in surgical quality of care. Ideally, differences between each hospital and the average hospital performance could be detected after controlling for patient preoperative clinical characteristics.…”