Unacceptable results of the Mayo procedure for repair of abdominal incisional hernias

Paul, Andreas; Korenkov, Michael; Peters, S; Köhler, L.; Fischer, Steven Roger; Troidl, H.

doi:10.1080/110241598750004391

Cited by 201 publications

(87 citation statements)

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“…Some clinical studies did not find differences in the hospitalization time between these groups (6,8). Our study results can be explained that we left the drain above the mesh after the open mesh repair operation.…”

Section: Discussionmentioning

confidence: 48%

“…Many clinical studies demonstrate a higher postoperative complication rate (wound suppuration, seroma, and fistulas) after open mesh repair (6). Some clinical studies did not find differences between these two surgery techniques (6,8).…”

Section: Discussionmentioning

confidence: 99%

“…The majority of authors report a mean follow-up period of 3 years after incisional hernia surgery (3)(4)(5)(6). Nearly 45% of hernia recurrences develop 2 years after surgery; 74%, after 3 years; 23%, after 4 years; and 3%, after 5 years (3).…”

Section: Discussionmentioning

confidence: 99%

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Long-term results of incisional hernia treatment

Venclauskas¹,

Šilanskaitė²,

Kanišauskaitė³

et al. 2007

Medicina

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term results of incisional hernia treatment

Venclauskas¹,

Šilanskaitė²,

Kanišauskaitė³

et al. 2007

Medicina

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show abstract

“…The results of repair techniques vary widely. High recurrence rates have been reported for suture techniques, whereas mesh placement can reduce recurrence (5)(6)(7)(8)(9)(10). In mesh repair, one of the most important problems is the placement of the mesh.…”

Section: Introductionmentioning

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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“…[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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Unacceptable results of the Mayo procedure for repair of abdominal incisional hernias

Abstract: The widely used Mayo procedure leads to unacceptable results for repair of incisional hernias and other techniques should be evaluated and used more often. Repair of an incisional hernia does not improve overall quality of life.

Cited by 201 publications

References 0 publications

Long-term results of incisional hernia treatment

Long-term results of incisional hernia treatment

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

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

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