Ventral Incisional Hernia Recurrence

2001 ◽  
Vol 99 (1) ◽  
pp. 33-39 ◽  
Author(s):  
John L. Clark
Keyword(s):  
Incisional Hernia ◽  
Hernia Recurrence ◽  
Ventral Incisional Hernia ◽  
Incisional Hernia Recurrence

scholarly journals Incisional Hernia Recurrence following “Vest-Over-Pants” or Vertical Mayo Repair of Primary Hernias of the Midline

1997 ◽  
Vol 21 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Roland W. Luijendijk ◽  
Margot H.M. Lemmen ◽  
Wim C.J. Hop ◽  
Jack C.J. Wereldsma
Keyword(s):  
Incisional Hernia ◽  
Hernia Recurrence ◽  
Incisional Hernia Recurrence

scholarly journals Incisional hernia recurrence through genomic profiling: a pilot study

Hernia ◽  
2012 ◽  
Vol 17 (2) ◽  
pp. 193-202 ◽  
Author(s):  
R. Calaluce ◽  
J. W. Davis ◽  
S. L. Bachman ◽  
M. M. Gubin ◽  
J. A. Brown ◽  
...  
Keyword(s):  
Pilot Study ◽  
Incisional Hernia ◽  
Hernia Recurrence ◽  
Genomic Profiling ◽  
Incisional Hernia Recurrence

scholarly journals Incisional hernia recurrence after open elective repair: expertise in abdominal wall surgery matters

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
J. A. Pereira ◽  
A. Bravo-Salva ◽  
B. Montcusí ◽  
S. Pérez-Farre ◽  
L. Fresno de Prado ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Hernia Recurrence ◽  
Elective Repair ◽  
Incisional Hernia Recurrence

scholarly journals Incisional Hernia Involving the Neobladder: Technical Considerations to Avoid Complications

2009 ◽  
Vol 9 ◽  
pp. 505-508
Author(s):  
Devendar Katkoori ◽  
Anuradha Jayathillake ◽  
Ahmed Eldefrawy ◽  
Murugesan Manoharan
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Protective Layer ◽  
Hernia Recurrence ◽  
Mesh Erosion ◽  
Omental Flap ◽  
Time Duration ◽  
Incisional Hernias ◽  
Special Challenge ◽  
Incisional Hernia Recurrence

The management of incisional hernia following radical cystectomy (RC) and neobladder diversion poses a special challenge. Mesh erosion into the neobladder is a potential complication of hernia repair in this setting. We describe our experience and steps to avoid this complication. Three patients developed incisional hernias following RC involving the neobladder. The incisional hernias were repaired by the same surgeon. A systematic dissection and repair of the hernias with an onlay dual-layer mesh (made of polyglactin and polypropylene) was carried out. The critical steps were placing the polyglactin side of the mesh deeper and positioning of an omental flap anterior to the neobladder. The omental flap adds a protective layer that prevents adhesions between the neobladder and abdominal wall, and prevents erosion of the mesh into the fragile neobladder wall. All of these patients had received two cycles of neoadjuvant chemotherapy prior to RC. The time duration from RC to the repair of hernia was 7, 42, and 54 months. No intraoperative injury to the neobladder or other complication was noted during hernia repair. The patients were followed after hernia repair for 20, 22, and 42 months with no recurrence, mesh erosion, or other complications. Careful understanding and attention to details of the technique can minimize the risk of complications, especially incisional hernia recurrence, injury to the neobladder, and erosion of mesh into the neobladder wall.

scholarly journals Modified Peritoneal Flap Hernioplasty Versus Retromuscular Technique for Incisional Hernia Repair: a Retrospective Cohort Study

2019 ◽  
Vol 109 (4) ◽  
pp. 279-288 ◽  
Author(s):  
P. Petersson ◽  
A. Montgomery ◽  
U. Petersson
Keyword(s):  
Cohort Study ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Incisional Hernia Repair ◽  
Hernia Recurrence ◽  
Short Term ◽  
Peritoneal Flap ◽  
Incisional Hernia Recurrence

Background and Aims: We present an open retromuscular mesh technique for incisional hernia repair, the modified peritoneal flap hernioplasty, where the fascia is sutured to the mesh and the hernia sac utilized for anterior mesh coverage. The aim was to describe the modified peritoneal flap hernioplasty technique and to compare it to a retromuscular repair, without component separation, regarding short-term complications, patient satisfaction, abdominal wall complaints, and recurrent incisional hernia. Materials and Methods: Consecutive patients operated electively with modified peritoneal flap hernioplasty technique (December 2012–December 2015) or retromuscular technique (Jan 2011–Oct 2014) were included in a retrospective single-center cohort study. Outcomes were evaluated from the Swedish Ventral Hernia Registry, by chart review, physical examination, and an abdominal wall complaints questionnaire. Results: The modified peritoneal flap hernioplasty group ( n = 78) had larger hernias (mean width 10.4 vs 8.5 cm, p = 0.005), more advanced Centers for Disease Control classification ( p = 0.009), and more simultaneous gastrointestinal-tract surgery (23.1% vs 11.5%, p = 0.041) than the retromuscular group ( n = 96). No difference in short-term complications was seen. Incisional hernia recurrence was lower in the modified peritoneal flap hernioplasty group (1.4% vs 10.3%, p = 0.023), and patients were more satisfied (93.8% vs 81.7%, p = 0.032). Follow-up time was shorter in the modified peritoneal flap hernioplasty group (614 vs 1171 days, p < 0.001). Conclusion: This retrospective study showed similar rates of short-term complications, despite more complex hernias in the modified peritoneal flap hernioplasty group. Furthermore, a lower incisional hernia recurrence rate for the modified peritoneal flap hernioplasty technique compared with the retromuscular technique used in our department was found. If this holds true with equally long follow-up remains to be proven.

scholarly journals P012 RISK FACTORS FOR INCISIONAL HERNIA AND ITS RECURRENCE: OBSERVATIONAL, AMBISPECTIVE STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Lia Jimenez ◽  
Alexei Rojas ◽  
Angela Merchan ◽  
Braulio Velasquez ◽  
Daniel Fernandez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Incomplete Data ◽  
Hernia Recurrence ◽  
Urgent Surgery ◽  
History Of ◽  
Incisional Hernia Recurrence ◽  
Level Hospital ◽  
Hospital Group

Abstract Aims In patients with herniorrhaphy treated in a 3rd level hospital in the Southwestern of Colombia from January 2014 to March 2020, determine the frequency of incisional hernia recurrence and the risk factors related to. Materials and methods Observational, ambispective study that included patients older than 15 years with a history of incisional hernia that agreed to participate and signed a consent form. Patients with incomplete data or who underwent surgery in another institution were excluded. Follow-up appointments every 3 months were made to evaluate the incidence of hernia recurrence. Results 112 patients were included, 64.3% female with a mean age of 58.6-year-old. The frequency of recurrence was 38.4% with a mean of appearance of 22.9 months; 44.2% were repaired with only one technique and 39.5% with non-mesh. Non-use of mesh increased the risk for recurrence (RR 2.02; CI95%: 1.17-3.48). Other risk factors were urgent surgery (RR 1.82; CI95%: 1.14-2.91), defect closure with multifilament suture (RR 1.61; CI95%: 1.15-2.25), not do adhesiolysis (RR 3.17; CI 95%; 0.85 – 11.76) and the no use of postoperative antibiotics (RR 1.67M CI95%: 0.97-2.89). Conclusions Incisional hernia recurrences increase with time. Therefore, a follow-up of at least for 3 years should be guaranteed to avoid undiagnosed cases. Risk factors identified like absorbable multifilament sutures and non-use of the mesh must be removed from the surgery plans. Furthermore, a specialized in-hospital group of the abdominal wall and an institutional protocol would help to diminish this complication.

Chemotherapy and Abdominal Wall Closure Technique Increase the Probability of Postoperative Ventral Incisional Hernia in Patients With Colon Cancer

2021 ◽  
pp. 000313482110111
Author(s):  
David A. Santos ◽  
Liangliang Zhang ◽  
Kim-Anh Do ◽  
Brian K. Bednarski ◽  
Celia Robinson Ledet ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Colon Cancer ◽  
Adjuvant Chemotherapy ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Suture Technique ◽  
Abdominal Wall Closure ◽  
Clinical Predictors ◽  
Closure Technique ◽  
Ventral Incisional Hernia

Background Chemotherapy is associated with postoperative ventral incisional hernia (PVIH) after right hemicolectomy (RHC) for colon cancer, and abdominal wall closure technique may affect PVIH. We sought to identify clinical predictors of PVIH. Methods We retrospectively analyzed patients who underwent RHC for colon cancer from 2008-2018 and later developed PVIH. Time to PVIH was analyzed with Kaplan-Meier analysis, clinical predictors were identified with multivariable Cox proportional hazards modeling, and the probability of PVIH given chemotherapy and the suture technique was estimated with Bayesian analysis. Results We identified 399 patients (209 no adjuvant chemotherapy and 190 adjuvant chemotherapy), with an overall PVIH rate of 38%. The 5-year PVIH rate was 55% for adjuvant chemotherapy, compared with 38% for none (log-rank P < .05). Adjuvant chemotherapy (hazard ratio [HR] 1.65, 95% confidence interval [CI] 1.18-2.31, P < .01), age (HR .99, 95% CI .97-1.00, P < .01), body mass index (HR 1.02, 95% CI 1.00-1.04, P < .01), and neoadjuvant chemotherapy (HR 1.92, 95% CI 1.21-3.00, P < .01) were independently associated with PVIH. Postoperative ventral incisional hernia was more common overall in patients who received adjuvant chemotherapy (46% compared with 30%, P < .01). In patients who received adjuvant chemotherapy, the probability of PVIH for incision closure with #1 running looped polydioxanone was 42%, compared with 59% for incision closure with #0 single interrupted polyglactin 910. Discussion Exposure to chemotherapy increases the probability of PVIH after RHC, and non–short stitch incision closure further increases this probability, more so than age or body mass index. The suture technique deserves further study as a modifiable factor in this high-risk population.

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