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Published on: September 11, 2021
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Lateral incisional hernia. EVEREG registry analysis.
P Martínez-López1, V Rodrigues-Gonçalves2, M Verdaguer-Tremolosa2
1Abdominal Wall Surgery Unit, General Surgery Service, Hospital Universitari Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain. pilar.martinez@vallhebron.cat.
Summary
Lateral incisional hernia (LIH) repair outcomes show high recurrence rates, especially without specialist involvement. Laparoscopic approaches remain infrequent for these common abdominal wall defects.
Area of Science:
- Abdominal wall surgery
- Hernia repair outcomes
- Surgical registry data analysis
Background:
- Lateral incisional hernias (LIH) represent a significant surgical challenge.
- The National Incisional Hernia Registry (EVEREG) provides valuable data on LIH epidemiology and management.
- Understanding current practices and outcomes is crucial for improving patient care.
Purpose of the Study:
- To analyze data from the EVEREG registry concerning lateral incisional hernias.
- To assess current surgical practices and patient outcomes in LIH repair.
- To identify factors associated with recurrence after LIH repair.
Main Methods:
- Retrospective cohort study utilizing 10 years (2012-2022) of LIH data from the EVEREG registry.
- Analysis of comorbidities, hernia characteristics, surgical approach (open vs. laparoscopic), and short-term complications.
- Evaluation of recurrence rates and their association with surgical factors, including specialist presence.
Main Results:
- 1742 LIH cases were analyzed, with a majority (87.7%) undergoing open repair.
- The overall recurrence rate at 24 months was 27.2%.
- Higher recurrence incidence was observed with no specialist present, onlay mesh placement, and larger defect sizes.
Conclusions:
- Surgery for LIH is common, but laparoscopic repair is infrequent.
- High recurrence rates in LIH repair are a concern, particularly when abdominal wall surgery specialists are absent.
- Improving surgical expertise and technique may reduce LIH recurrence.
