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Modified Chevrel Technique: A Lifesaver for Surgeons.

Özcan Dere1, Cenk Yazkan1, Samet Şahin1

  • 1Department of Surgery, Faculty of Medicine, Muğla Sitki Koçman University, Mugla 48000, Turkey.

Medicina (Kaunas, Lithuania)
|August 29, 2024
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Summary

The modified Chevrel technique (MCT) offers a viable surgical option for ventral hernias, demonstrating low recurrence rates and manageable surgical site occurrences. This approach simplifies complex hernia repairs, providing good functional and cosmetic outcomes.

Keywords:
modified Chevrel techniqueonlay mesh hernia repairventral hernia

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Area of Science:

  • Abdominal surgery
  • Hernia repair
  • Surgical techniques

Background:

  • Ventral hernias (VH) present significant surgical challenges, including high recurrence rates and difficulties in abdominal muscle repair and mesh placement.
  • The modified Chevrel technique (MCT) involves using the anterior rectus fascia as a turnover flap with onlay mesh reinforcement.

Purpose of the Study:

  • To evaluate the effectiveness of the modified Chevrel technique (MCT) for ventral hernia repair.
  • To analyze recurrence rates and surgical site occurrences (SSO) associated with MCT.

Main Methods:

  • Retrospective analysis of patients undergoing MCT for abdominal hernias from January 2013 to December 2019.
  • Data collected from electronic medical records, including recurrence, SSO, surgical site infection (SSI), and SSO requiring procedural intervention (SSOPI) rates.
  • Analysis correlated outcomes with patient comorbidities and demographics.

Main Results:

  • Median follow-up was 42.9 months; recurrence rate was 4% (3/75 patients).
  • A statistically significant association was found between recurrence and chronic obstructive pulmonary disease (p=0.02).
  • Overall SSO, SSI, and SSOPI rates were 52%, 16%, and 42%, respectively.

Conclusions:

  • The modified Chevrel technique (MCT) provides an effective approach for ventral hernia repair, offering acceptable rates of complications and recurrence.
  • MCT is a simpler alternative to complex procedures like transversus abdominis release (TAR) and anterior component separation (ACS).
  • Effective abdominal wall closure is crucial for functional and cosmetic outcomes in ventral hernia management.