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Ventral incisional hernia recurrence.

J L Clark1

  • 1Surgery Service, Department of Veterans Affairs, Minneapolis Veterans Administration Medical Center, One Veterans Drive, Minneapolis, Minnesota 55417, USA.

The Journal of Surgical Research
|June 26, 2001
PubMed
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Ventral incisional hernia (VIH) repair outcomes show high recurrence rates, especially for recurrent cases, even with mesh. Smoking and heavy lifting are identified as key risk factors for ventral incisional hernia recurrence.

Area of Science:

  • Surgical outcomes research
  • Hernia repair analysis
  • Abdominal wall reconstruction

Background:

  • Ventral incisional hernia (VIH) is a common surgical complication.
  • Recurrence rates and risk factors for VIH require further investigation.
  • Optimal surgical techniques for primary and recurrent VIH are debated.

Purpose of the Study:

  • To evaluate the outcomes of ventral incisional hernia (VIH) repairs.
  • To identify risk factors associated with recurrent ventral incisional hernias.
  • To assess the efficacy of mesh versus primary closure in VIH repair.

Main Methods:

  • Retrospective analysis of 31 patients undergoing ventral incisional hernia (VIH) repair between October 1993 and December 1996.
  • Sutures used included O-Ethibond and Prolene; mesh (Prolene) was employed in select cases.

Related Experiment Videos

  • Data collected on patient demographics, hernia type, repair method, complications, and recurrence rates.

    • Main Results:

    • 28 patients were analyzed, with a median age of 57.5 years.
    • Recurrence rates were 25% for initial mesh repairs and 38% for primary closures.
    • For recurrent VIH repairs (n=13), 38% of mesh repairs failed; smoking and occupational lifting were identified as significant risk factors.

    Conclusions:

    • Ventral incisional hernia (VIH) recurrence is frequent, even with mesh and meticulous technique.
    • Continued smoking and significant occupational lifting appear to be important risk factors for recurrent VIH.
    • Further research into preventative strategies and management of recurrent ventral incisional hernias is warranted.