Open surgical procedures for incisional hernias

Hartog, Dennis den; Dur, A.H.M.; Tuinebreijer, W.E.; Kreis, R.W.

doi:10.1002/14651858.cd006438.pub2

Cited by 239 publications

(180 citation statements)

References 23 publications

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“…In a randomized controlled trial with a 5-year follow-up, Weber et al (21) reported that sublay mesh repair has a significantly higher recurrence rate than onlay mesh repair (20% vs. 12%, respectively). Den Hartog et al (20) reported recurrence rates of 7.4% by onlay mesh repair and 13.6% by sublay mesh repair. Moreover, Venclauskas et al (18) reported recurrence rates of 10.5% using onlay mesh repair and 2% using sublay mesh repair.…”

Section: Incisional Hernia Remains a Major Problem After Laparotomymentioning

confidence: 99%

“…Considering onlay and sublay mesh repair techniques, Venclauskas et al (18) reported similar postoperative pain scores both at rest and during physical activity. However, Den Hartog et al (20) reported sublay mesh repair to cause less pain than onlay mesh repair. Similarly, our results show that the sublay group had lower VAS scores at the second and 24 th hours.…”

Section: Incisional Hernia Remains a Major Problem After Laparotomymentioning

confidence: 99%

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Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia

Sevinç

Okuş

et al. 2018

Turk J Surg

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Objective: Incisional hernia is a significant problem after laparotomy, and there is still no consensus on an ideal treatment method. The aim of this study was to compare the results of onlay and sublay mesh repair techniques. Material and Methods:In this randomized prospective trial, 100 patients were divided into two groups: onlay and sublay groups. Recurrences were evaluated by performing a physical examination. Results:The median follow-up was 37.1 (26.6 to 46.5) months. In the onlay group, the mean operation time was significantly shorter. However, in terms of postoperative pain and wound complications, the sublay group had significantly better results. The recurrence rates were found to be similar in both groups (6% in the onlay group and 2% in the sublay group). Conclusion:In the treatment of incisional hernia, sublay mesh repair is superior to onlay mesh repair in terms of postoperative pain and wound complications. Both techniques have similar recurrence rates. Keywords:Incisional hernia, mesh repair, onlay, sublay INTRODUCTIONIncisional hernia is a significant complication after laparotomy; its incidence ranges between 10% and 20% (1-4). This common problem can result in bowel strangulation, pain, and enterocutaneous fistula, and it affects the quality of life. The results of repair techniques vary widely. High recurrence rates have been reported for suture techniques, whereas mesh placement can reduce recurrence (5-10). In mesh repair, one of the most important problems is the placement of the mesh. Some techniques are reported to be associated with particularly high rates of some complications, such as recurrence, wound infection, and fistula (11,12). In the literature, several studies compare mesh and suture repair techniques, open and laparoscopic repair techniques, and mesh type as well as the plane in which the mesh should be placed. Currently, there is no consensus regarding the abdominal plane in which the mesh should be placed (13).The aim of this study was to compare the early and late results of onlay and sublay mesh repair techniques. , an American Society of Anesthesiologists score (ASA) of 4, or severe pulmonary or cardiac disease were not included. The remaining patients who agreed to be involved and signed the informed consent form were randomized into two groups: onlay group and sublay group. After the initial evaluation, 100 patients were included and were randomized to each group by the closed envelope method. The patients' demographic data, BMI, diameter of fascial defects, operation time (from first incision to dressing), visual analog scale (VAS) scores at the second and 24 th hours, length of hospital stay, drain takeoff time, postoperative complications, and recurrences were recorded. The fascial defect diameter was measured intraoperatively and is presented in cm 2 . All operations were performed according to the elective standard. There were no emergency operations. MATERIAL AND METHODS Operative TechniqueAll operations were performed under general anesthesia, and no antibioti...

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Section: Incisional Hernia Remains a Major Problem After Laparotomymentioning

confidence: 99%

Section: Incisional Hernia Remains a Major Problem After Laparotomymentioning

confidence: 99%

Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia

Sevinç

Okuş

et al. 2018

Turk J Surg

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“…At present synthetic meshes are most often categorized as macroporous, microporous, or composite [7]. Macroporous meshes include polypropylene-monofilament and polyestermultifilament meshes, among many others [8].…”

Section: Introductionmentioning

confidence: 99%

Colonization by human fibroblasts of polypropylene prosthesis in a composite form for hernia repair

Canuto

Saracino

Oraldi

et al. 2012

Hernia

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Purpose: Abdominal wall hernia is one of the commonest surgical disorders world-wide and there is no single gold-standard operative technique to repair it. In an effort to improve techniques and technologies to reinforce hernia repair, synthetic meshes are employed. In this study a new prosthesis (named composite) formed of two polypropylene layers, one macroporous (named mesh) and one transparent (named film) was examined to evaluate its capability to enable cell proliferation without inducing cell death. Inflammatory processes were also examined.Methods: Human fibroblasts BJ were seeded on multiwells, on which composite or film had been placed. After 7, 14 and 21 days, cell growth and viability, deposition of collagen, and release of IL-6, IL-1β and TNF-α were evaluated.Results: The "in vitro" protocol showed the composite to be colonized by human fibroblasts on the polypropylene macroporous mesh side; no cell growth occurred on the film. The slowdown of cell growth observed between 14 and 21 days was accompanied by an increase of type I collagen deposition and marked fibroblast activity. Inflammatory cytokines initially increased, followed by their reduction beginning at 14 days.Conclusions: The new prosthesis comprising two polypropylene layers of differing morphologies can be colonized by fibroblasts on the side facing the abdominal wall, whereas no cell growth occurs on the side facing the viscera. The transient inflammation, observed at early experimental times, is probably important for the healing process.

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“…[13] Although surgical techniques have improved, recurrence is still a common complication of surgically repaired abdominal walls, and is more frequent in open suture repairs than in tension-free repairs, with recurrence rates of 54% and 32%, respectively. [14][15][16][17] Given that mesh implantation appears to be the best option for abdominal wall repair, the technique has peaked the interest of the medical community, and the general research focus has shifted towards analyzing the compatibility of different materials for mesh production.…”

Section: Discussionmentioning

confidence: 99%

An innovative abdominal wall repair technique for infected prosthesis: the Eskimo technique

Catena¹,

Catena²,

Ansaloni³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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Open surgical procedures for incisional hernias

Cited by 239 publications

References 23 publications

Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia

Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia

Colonization by human fibroblasts of polypropylene prosthesis in a composite form for hernia repair

An innovative abdominal wall repair technique for infected prosthesis: the Eskimo technique

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