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

BMC Surgery
J A PereiraM López-Cano

Abstract

Recurrence after incisional hernia repair is one of the major problems related with this operation. Our objective is to analyze the influence of abdominal wall surgery expertise in the results of the open elective repair of incisional hernia. We have compiled the data of a cohort of patients who received surgery for an incisional hernia from July 2012 to December 2015 in a University Hospital. Data were collected prospectively and registered in the Spanish Register of Incisional Hernia (EVEREG). The short- and long-term complications between the groups of patients operated on by the Abdominal Wall Surgery (AWS) unit and groups operated on by surgeons outside of the specialized abdominal wall group (GS) were compared. During the study period, a total of 237 patients were operated on by the open approach (114 AWS; 123 GS). One hundred seventy-five patients completed a median follow-up of 36.6 months [standard deviation (SD) = 6]. Groups were comparable in terms of age, sex, body mass index (BMI), comorbidities, and complexity of hernia. Complications were similar in both groups. Patients in the AWS group presented fewer recurrences (12.0% vs. 28.9%; P = 0.005). The cumulative incidence of recurrence was higher in the GS group [lo...Continue Reading

References

Dec 3, 2003·The New England Journal of Medicine·John D BirkmeyerF Lee Lucas
Mar 24, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L A IsraelssonL Spangen
Apr 6, 2007·The British Journal of Surgery·D W BorowskiUNKNOWN Northern Region Colorectal Cancer Audit Group
Sep 10, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B K PouloseM D Holzman
Dec 12, 2012·Journal of the American College of Surgeons·Frederik HelgstrandThue Bisgaard
Oct 24, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N J SlaterH van Goor
Jul 30, 2014·Annals of Surgery·Mahiben MaruthappuMatthew J Carty
Aug 15, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Christopher T AquinaFergal J Fleming
Apr 7, 2015·Annals of Surgery·Terry ShihMichael J Englesbe
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Aug 26, 2016·Obesity Surgery·Christine StrohUNKNOWN Obesity Surgery Working Group, Competence Network Obesity
Oct 19, 2016·JAMA : the Journal of the American Medical Association·Dunja KokotovicFrederik Helgstrand
Nov 26, 2016·Cirugía española·José Antonio PereiraUNKNOWN en representación del grupo EVEREG
Dec 24, 2016·Annals of Surgery·Mike K LiangDavid H Berger
Oct 4, 2017·JAMA : the Journal of the American Medical Association·Ashish K Jha
Jan 24, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F KöckerlingM P Simons

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