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Published on: September 11, 2021
Repair of incisional hernias
1Department of Surgery, Good Hope Hospital NHS Trust, Rectory Road, Sutton, Coldfield B75 7RR, U.K.
Journal of the Royal College of Surgeons of Edinburgh
|March 13, 2001
Summary
This study presents a combined fascial and prosthetic mesh repair for incisional hernias, demonstrating a low recurrence rate of 3% and a modest complication rate. The technique is effective for all hernia types, promoting early patient mobilization.
Area of Science:
- Abdominal Surgery
- Hernia Repair
- Surgical Innovation
Background:
- Incisional hernias affect up to 11% of abdominal surgical wounds.
- Recurrence rates after traditional incisional hernia repair can be as high as 44%.
Purpose of the Study:
- To evaluate the efficacy and safety of a combined fascial and prosthetic mesh repair for incisional hernias.
- To assess complication rates, hospital stay, and recurrence rates associated with this technique.
Main Methods:
- A cohort of 35 patients underwent combined fascial and prosthetic mesh repair for incisional hernias.
- Data collected included original operation type, incision location, hernia size, intra-operative and post-operative complications, hospital stay, and analgesic requirements.
- Follow-up was conducted to determine recurrence and persistent symptoms.
Main Results:
- The combined repair technique was applied to various hernia types and incision locations.
- Post-operative complications included seroma (6%), deep vein thrombosis (1), pulmonary embolism (1), wound hematoma (1), and superficial wound infection (1).
- Mean post-operative hospital stay was 6.2 days. At a median follow-up of 20.3 months, the recurrence rate was 0% (none of 33 patients), with 6% reporting a persistent lump and 3% reporting persistent pain.
Conclusions:
- The combined fascial and prosthetic mesh repair is a versatile technique applicable to all incisional hernias.
- This method offers a low complication rate, minimal pain allowing early mobilization, and a significantly low recurrence rate.
