INCISIONAL HERNIOPLASTY TECHNIQUES: ANALYSIS AFTER OPEN BARIATRIC SURGERY.

Area of Science:

• Surgical techniques
• Hernia repair
• Bariatric surgery outcomes

Background:

• Incisional hernioplasty techniques vary, with no established best method.
• Comparing techniques is challenging due to patient heterogeneity.
• The Rives-Stoppa retromuscular technique involves mesh fixation on the posterior rectus sheath.

Purpose of the Study:

• To compare the outcomes of three incisional hernioplasty techniques.
• To evaluate quality of life after repair in patients undergoing open bariatric surgery.

Main Methods:

• Retrospective analysis of 263 patients undergoing incisional hernioplasty.
• Patients were divided into onlay, simple suture, and retromuscular technique groups.
• Outcomes and quality of life (Carolina's Comfort Scale) were assessed via medical records and follow-up.

Main Results:

• The onlay technique had higher seroma rates (28.89%) and drain usage (55.56%).
• Simple suture repair led to longer hospital stays (2.86 days).
• The retromuscular technique resulted in a significantly worse quality of life (8.43) due to chronic pain compared to onlay (4.7) and simple suture (2.34).

Conclusions:

• The retromuscular technique is associated with poorer quality of life in a homogeneous patient group.
• No significant difference in short-term hernia recurrence was observed among the three techniques.