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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
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Suture versus preperitoneal polypropylene mesh for elective umbilical hernia repairs.
Rachel L Berger1, Linda T Li1, Stephanie C Hicks2
1Department of Surgery, Baylor College of Medicine, Houston, Texas.
The Journal of Surgical Research
|July 2, 2014
Summary
For primary ventral hernias, polypropylene mesh repair showed higher rates of surgical site infections and seromas compared to suture repair. Recurrence rates were similar between the two methods in this study.
Area of Science:
- Surgical Oncology
- Hernia Repair
- Biomaterials in Surgery
Background:
- Primary ventral hernias (PVH), including umbilical hernias, are frequently repaired surgically.
- Limited risk-adjusted data exists comparing suture versus mesh repair for PVH.
- This study compares preperitoneal polypropylene (PP) mesh repair with suture repair for elective umbilical hernias.
Purpose of the Study:
- To compare the outcomes of preperitoneal polypropylene mesh repair versus suture repair for elective umbilical hernia repair.
- To identify risk factors associated with recurrence, surgical site infections (SSIs), and seromas in PVH repair.
Main Methods:
- Retrospective review of elective open PVH repairs from 2000-2010 at a single institution.
- Inclusion criteria: patients undergoing suture or PP mesh repair for umbilical hernias.
- Analysis included univariate and propensity score-adjusted multivariate logistic regression.
Main Results:
- Of 392 eligible patients, 126 (32.1%) had PP repair and 266 (67.9%) had suture repair.
- PP repair group had significantly higher rates of SSIs (19.8% vs. 7.9%) and seromas (14.3% vs. 4.1%).
- No statistically significant difference in recurrence rates (5.6% vs. 7.5%) was observed between PP and suture repair.
Conclusions:
- While suture repair showed a trend towards higher recurrence, it was not statistically significant.
- Polypropylene mesh repair was associated with increased rates of SSIs and seromas.
- Further prospective randomized controlled trials are necessary to definitively establish the optimal repair method for PVH.
