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Suture versus mesh repair for incisional hernia
Saleh M Al-Salamah1, Muhammad I Hussain, Kamran Khalid
1College of Medicine, King Saud University, Department of Surgery, University Unit, Riyadh Medical Complex, PO Box 261283, Riyadh 11342, Kingdom of Saudi Arabia. smsalamah@hotmail.com
Saudi Medical Journal
|May 9, 2006
Summary
Mesh repair for incisional hernias significantly reduces recurrence rates compared to traditional suture repair. This study found no increase in wound complications with mesh, making it a favorable option for hernia repair.
Area of Science:
- General Surgery
- Surgical Outcomes
- Hernia Repair
Background:
- Incisional hernias are a common surgical complication.
- Suture repair has historically been used, but recurrence rates can be high.
Purpose of the Study:
- To compare the efficacy of suture repair versus mesh repair for incisional hernias.
- To evaluate early and late outcomes, including septic complications and recurrence rates.
Main Methods:
- Retrospective review of 123 patients with incisional hernias from 2000-2004.
- Patients were divided into suture repair (Group A) and mesh repair (Group B).
- Outcomes assessed included wound infection and hernia recurrence over a mean follow-up of 37.5 months.
Main Results:
- Recurrence rate was 20.8% in the suture repair group versus 5.8% in the mesh repair group (p=0.04).
- Wound infection rates were similar between groups (5.5% for suture, 3.9% for mesh).
Conclusions:
- Mesh repair is associated with a significantly lower rate of incisional hernia recurrence.
- Mesh repair does not increase the incidence of wound complications compared to suture repair.