Nationwide study of early outcomes after incisional hernia repair

Bisgaard, Thue; Kehlet, Henrik; Bay‐Nielsen, Morten; Iversen, Maria Gerding; Wara, P; Rosenberg, Jacob; Friis-Andersen, Hans; Jørgensen, Lars N.

doi:10.1002/bjs.6728

Cited by 64 publications

(38 citation statements)

References 20 publications

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“…In addition, while mesh reinforcement during the repair of primary and ventral incisional hernias is considered standard of care, [15, 16] many previous studies included suture repairs in the open-technique cohort. [17, 18]…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic repair reduces incidence of surgical site infections for all ventral hernias

Arita

Nguyen

et al. 2014

Surg Endosc

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Background The role of laparoscopic repair of ventral hernias remains incompletely defined. We hypothesize that laparoscopy, compared to open repair with mesh, decreases surgical site infection (SSI) for all ventral hernia types. Methods MEDLINE, EMBASE, and Cochrane databases were reviewed to identify studies evaluating outcomes of laparoscopic versus open repair with mesh of ventral hernias and divided into groups (primary or incisional). Studies with high risk of bias were excluded. Primary outcomes of interest were recurrence and SSI. Fixed effects model was used unless significant heterogeneity, assessed with the Higgins I-square (I2), was encountered. Results There were five and fifteen studies for primary and incisional cohorts. No difference was seen in recurrence between laparoscopic and open repair in the two hernia groups. SSI was more common with open repair in both hernia groups: primary (OR 4.17, 95%CI [2.03–8.55]) and incisional (OR 5.16, 95%CI [2.79–9.57]). Conclusions Laparoscopic repair, compared to open repair with mesh, decreases rates of SSI in all types of ventral hernias with no difference in recurrence. This data suggests that laparoscopic approach may be the treatment of choice for all types of ventral hernias.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic repair reduces incidence of surgical site infections for all ventral hernias

Arita

Nguyen

et al. 2014

Surg Endosc

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“…Centers with high volume showed very good early results in selected patients operated both by open and by laparoscopic, although serious complications in 3.5% of cases and reoperation rate after 5 years of 24% were seen 3,12 .…”

Section: Operative Strategymentioning

confidence: 99%

Grandes hérnias incisionais

Speranzini¹,

Deutsch

2010

ABCD, arq. bras. cir. dig.

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-Background -The correction of abdominal hernias remains one of the most common surgical procedures since it occurs in about 11% of laparotomies. There are several risk factors. Arise, in general, the first five years after the operation and their management is controversial. Aim -Update the means and methods for surgical repair of giant abdominal hernias. Method -Literature review based on PubMed, Lilacs and Scielo with crossing the keywords "abdominal hernia, prostheses, surgical techniques and complications", and adding its own contribution based on the authors' experience in handling this condition. Conclusion -Even the successful correction with the use of large prostheses, may happen procedure inconvenient, because the abdominal wall does not resume its elasticity and compliance at the normal. For this reason, it is important that the patient be advised of the possibility of their expectations regarding the outcome, both aesthetic and functional, not be achieved.RESUMO -Introdução -A correção de hérnias incisionais abdominais permanece como um dos procedimentos cirúrgicos mais comuns uma vez que ela ocorre em cerca de 11% das laparotomias. Vários são os fatores de risco. Surgem, em geral, nos primeiros cinco anos após a operação e seu manuseio ainda é controverso. Objetivo -Atualizar os meios e métodos empregados para a correção cirúrgica das hérnias abdominais gigantes. Método -Revisão da literatura com base no Pubmed, Scielo e Lilacs com cruzamento dos descritores "hérnia abdominal, próteses, complicações e técnicas cirúrgicas", e adicionando contribuição própria baseada na experiência dos autores no manuseio desta afecção. Conclusão -Mesmo as correções bem sucedidas, com a utilização ou não de grandes próteses, não são os procedimentos isentos de inconvenientes, pois a parede abdominal não retoma a sua elasticidade e complacência normais. Por este motivo, é importante que o paciente seja alertado da possibilidade da sua expectativa em relação ao resultado, tanto estético quanto funcional, não ser alcançada.

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“…Giant ventral hernia repair is associated with a high risk of postoperative morbidity and prolonged length of stay (LOS) compared with other hernia repair procedures requiring laparotomy [1][2][3][4]. Further, the total costs of these procedures remain high [5].…”

Section: Introductionmentioning

confidence: 99%