Open retromuscular mesh repair of complex incisional hernia: predictors of wound events and recurrence

Journal of the American College of Surgeons
William S CobbAlfredo M Carbonell

Abstract

Mesh repair of incisional hernias has been consistently shown to diminish recurrence rates after repair, with an increased risk of infectious complications. We present a consecutive series of elective, retrorectus mesh repairs of the abdominal wall and attempt to determine predictors of wound events and recurrence. A retrospective review was performed to include elective, retromuscular mesh repairs of complex incisional hernias from August 2006 to August 2013. Demographics, operative details, and postoperative events including wound events, surgical site infections (SSI), and recurrences were recorded. Over the 7-year period, 255 retromuscular mesh repairs of midline incisional defects were performed. Median age of the patients was 58 years, with an average BMI of 32.2 kg/m(2). Average size of the fascial defect was 181.4 cm(2), with recurrent defects making up 48% of repairs. Wound events occurred in 37.7% of cases; SSIs occurred in 19.6% of cases. Recurrence rate was 16.9%, with mean time to recurrence of 19.2 months. With respect to mesh type, recurrences were 16.2% with synthetic, 17.1% for bioabsorbable, and 25% for biologic mesh. When evaluating polypropylene meshes, recurrence was more likely with lightweight mesh (22.9%...Continue Reading

References

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Citations

Apr 25, 2016·Journal of the American College of Surgeons·Joshua S WinderEric M Pauli
Jun 12, 2016·Surgical Endoscopy·Jeremy A WarrenAlfredo M Carbonell
Oct 27, 2016·World Journal of Surgery·Erica I Hodgman, Mark J Watson
May 2, 2017·Plastic and Reconstructive Surgery. Global Open·Jennifer E FligorGregory A Dumanian
Dec 17, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L ClayK Strigård
Feb 14, 2018·Surgical Infections·Montserrat JuvanyAntoni Martrat
Jan 24, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yohann RenardReza Kianmanesh
Oct 20, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jeffrey A Blatnik, L Michael Brunt
Oct 27, 2018·Surgical Endoscopy·Juliann E ChoMatthew I Goldblatt
Jul 23, 2019·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·P PeterssonU Petersson
Feb 12, 2020·Plastic and Reconstructive Surgery. Global Open·Ibrahim Khansa, Jeffrey E Janis
Jan 24, 2019·Annals of Surgery·Angela M KaoVedra A Augenstein
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Charles A MessaJohn P Fischer
Aug 24, 2018·Plastic and Reconstructive Surgery·Angela M KaoB Todd Heniford
Dec 24, 2018·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·P PeterssonU Petersson
Aug 24, 2018·Plastic and Reconstructive Surgery·William S Cobb
May 18, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R AlMarzooqiM Rosen
Oct 3, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D J TubreR J Fitzgibbons
May 26, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S K KamarajahR L Harries
Aug 24, 2018·Plastic and Reconstructive Surgery·Michael SosinParag Bhanot
Oct 7, 2020·Surgical Infections·Thomas Whitehead-Clarke, Alastair Windsor
Jan 12, 2021·Plastic and Reconstructive Surgery. Global Open·Joseph A MelliaJohn P Fischer
Dec 31, 2019·Surgery·Michael R ArnoldB Todd Heniford
Jan 20, 2020·Journal of the American College of Surgeons·Jeremy WarrenWilliam S Cobb
Feb 10, 2020·American Journal of Surgery·Jeremy A WarrenAlfredo M Carbonell
Feb 19, 2021·Journal of the American College of Surgeons·L Matthijs Van den DopLucas Timmermans
Mar 22, 2021·The Surgical Clinics of North America·Diana E Peterman, Jeremy A Warren
May 15, 2018·The Surgical Clinics of North America·Jeremy A Warren, Michael Love
Apr 15, 2021·Scientific Reports·Barbara NguyenG Brent Sorensen
Jun 10, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A Smith, K Slater
Sep 26, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·E OmaK K Jensen

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