Umbilical hernia repair with composite prosthesis: a single-centre experience.

Area of Science:

• General Surgery
• Abdominal Wall Reconstruction

Background:

• Composite prosthesis repair has been the preferred method for umbilical hernia repair since 2004.
• Long-term outcome data for this technique were previously limited.

Purpose of the Study:

• To evaluate the long-term results of composite prosthesis repair for umbilical hernias.
• To identify factors associated with hernia recurrence and postoperative complications.

Main Methods:

• Retrospective cohort study of 1359 patients undergoing umbilical hernia repair with composite prosthesis (Ventralex or Ventralex ST®) between 2004 and 2015.
• Data analyzed from electronic medical records, including univariate and multivariate analyses.
• Mean follow-up duration of 4.1 years.

Main Results:

• A low complication rate of 2.1% and a recurrence rate of 3.9% were observed after a mean follow-up of 4.1 years.
• Hernia recurrence was linked to female gender, recurrent hernias, and postoperative complications.
• Postoperative complications correlated with follow-up duration and smoking status.

Conclusions:

• Composite prosthesis repair offers satisfactory long-term outcomes for umbilical hernias.
• The procedure is associated with low rates of complications and recurrence.
• Factors such as gender, prior hernia, and smoking influence outcomes.