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Incisional hernia repair in Sweden 2002.

L A Israelsson¹, S Smedberg, A Montgomery

¹Department of Surgery and Perioperative Science, Umeå University, Umeå, Sweden. Leif.Israelsson@lvn.se

Hernia : the Journal of Hernias and Abdominal Wall Surgery

|March 24, 2006

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Incisional hernia repair in Sweden shows room for improvement. Suture repair has high recurrence rates, and mesh techniques may not be optimal, prompting a national register.

Area of Science:

Abdominal Surgery
Surgical Outcomes
Hernia Repair

Background:

Incisional hernia is a frequent complication following abdominal surgery.
High complication and recurrence rates necessitate evaluating current repair techniques.

Purpose of the Study:

To assess the outcomes of incisional hernia repair across Sweden.
To identify areas for improvement in surgical practices for incisional hernias.

Main Methods:

A nationwide questionnaire survey of all surgical departments in Sweden.
Data collection on incisional hernia repairs performed in 2002.
Analysis of repair techniques, including suture and mesh methods.

Main Results:

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869 incisional hernia repairs were reported from 40 hospitals.

Suture repair (40.2%) had a high recurrence rate (29.1%).

Sublay mesh repair showed the lowest recurrence rate (7.3%), while onlay mesh repair had 19.3%.

Conclusions:

Current incisional hernia surgery in Sweden requires improvement.
Suture repair is associated with unacceptable recurrence rates.
Optimal mesh techniques and standardization of care are needed, leading to the establishment of a national register.