Suture Versus Mesh Repair in Primary and Incisional Ventral Hernias: A Systematic Review and Meta‐Analysis

Mathes, Tim; Walgenbach, Maren; Siegel, Robert

doi:10.1007/s00268-015-3311-2

Cited by 94 publications

(58 citation statements)

References 33 publications

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“…Table 12 shows the characteristics of selected studies. The minimum and maximum reported values were respectively 2.4% [97] and 22.3% [80] for SAWR and 5% [75] and 24.3% [79] In the case of AWR the clinical visit is currently the choice. Every doubt can be confirmed by imaging.…”

Section: Awr -Recurrencementioning

confidence: 99%

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Stabilini

Cavallaro

Bocchi³

et al. 2018

International Journal of Surgery

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Section: Awr -Recurrencementioning

confidence: 99%

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Stabilini

Cavallaro

Bocchi³

et al. 2018

International Journal of Surgery

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“…Moreover, Venclauskas et al (18) reported recurrence rates of 10.5% using onlay mesh repair and 2% using sublay mesh repair. In a meta-analysis, Mathes et al (22) reported no difference in recurrence rates. Similarly, in the present study, the recurrence rates using onlay and sublay mesh repair techniques were found to be similar: 6% using onlay mesh repair and 2% using sublay mesh repair.…”

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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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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“…[4][5][6] Although mesh reduces recurrences, it is a foreign material and may cause a host of complications. 7,8 These range from mild skin problems such as skin infections, nonhealing wounds, and seroma formation to severe chronic pain, lifethreatening bowel obstruction, and chronic fistula development that may be caused by chronic mesh infection.…”

mentioning

confidence: 99%

Long-term Recurrence and Complications Associated With Elective Incisional Hernia Repair

Kokotovic

Bisgaard

Helgstrand

2016

JAMA

329

182

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Suture Versus Mesh Repair in Primary and Incisional Ventral Hernias: A Systematic Review and Meta‐Analysis

Abstract: Mesh repair reduces the number of recurrences significantly. In patients without recurrence mesh repairs seem to be associated with a risk of chronic pain especially if the mesh is fixed sublay.

Cited by 94 publications

References 33 publications

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

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

Long-term Recurrence and Complications Associated With Elective Incisional Hernia Repair

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