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Factors affecting recurrence following incisional herniorrhaphy
T Anthony1, P C Bergen, L T Kim
1Department of Surgery, University of Texas Southwestern Medical School, Dallas, Texas 75235, USA.
World Journal of Surgery
|December 14, 1999
Summary
Prosthetic repair significantly reduces incisional hernia recurrence compared to tissue repair, especially in overweight patients. Obesity and BMI were key factors in recurrent hernia cases, highlighting the need for appropriate surgical techniques.
Area of Science:
- Abdominal surgery
- Surgical outcomes
- Hernia repair
Background:
- Incisional hernias are a common complication after abdominal surgery.
- Recurrence rates vary depending on surgical technique and patient factors.
- Obesity and chronic illnesses are potential risk factors for hernia recurrence.
Purpose of the Study:
- To investigate the impact of chronic illness, obesity, and repair type on incisional hernia recurrence.
- To compare recurrence rates between tissue repair and prosthetic repair methods.
- To identify patient characteristics associated with higher recurrence rates.
Main Methods:
- Retrospective review of 77 patients undergoing midline incisional hernia repair.
- Data collected included demographics, comorbidities, repair type, and recurrence.
- Analysis of recurrence rates based on repair method and patient BMI.
Main Results:
- Overall recurrence rate was 45% over a median follow-up of 45 months.
- Tissue repair had a 54% recurrence rate versus 29% for prosthetic repair.
- Higher BMI and percent ideal body weight correlated with increased recurrence, particularly after prosthetic repair.
Conclusions:
- Prosthetic repair is associated with significantly lower recurrence rates for incisional hernias.
- Overweight patients benefit most from prosthetic repair to minimize recurrence risk.
- Chronic illnesses did not significantly impact recurrence rates in this cohort.