Outcomes of abdominal wall reconstruction in patients with the combination of complex midline and lateral incisional hernias

Surgery
Joaquín Munoz-RodriguezMiguel Ángel Garcia-Urena

Abstract

The best treatment for the combined defects of midline and lateral incisional hernia is not known. The aim of our multicenter study was to evaluate the operative and patient-reported outcomes using a modified posterior component separation in patients who present with the combination of midline and lateral incisional hernia. We identified patients from a prospective, multicenter database who underwent operative repairs of a midline and lateral incisional hernia at 4 centers with minimum 2-year follow-up. Hernias were divided into a main hernia based on the larger size and associated abdominal wall hernias. Outcomes reported were short- and long-term complications, including recurrence, pain, and bulging. Quality of life was assessed with the European Registry for Abdominal Wall Hernias Quality of Life score. Fifty-eight patients were identified. Almost 70% of patients presented with a midline defect as the main incisional hernia. The operative technique was a transversus abdominis release in 26 patients (45%), a modification of transversus abdominis release 27 (47%), a reverse transversus abdominis release in 3 (5%), and a primary, lateral retromuscular preperitoneal approach in 2 (3%). Surgical site occurrences occurred in 22 ...Continue Reading

Citations

Jan 26, 2021·Frontiers in Surgery·Alvaro Robin Valle de LersundiMiguel Angel Garcia-Urena
Feb 19, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B LiR Bittner
Jun 8, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J J M ClaessenM A Boermeester
Jun 3, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Alvaro Robin Valle de LersundiMiguel Angel García Ureña

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