Long-term recurrence and complication rates after incisional hernia repair with the open onlay technique
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Long-term recurrence and complication rates after incisional hernia repair with the open onlay technique. / Andersen, Lars Peter Holst; Klein, Mads; Gögenur, Ismail; Rosenberg, Jacob.
I: BMC Surgery, Bind 9, Nr. 6, 2009.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Long-term recurrence and complication rates after incisional hernia repair with the open onlay technique
AU - Andersen, Lars Peter Holst
AU - Klein, Mads
AU - Gögenur, Ismail
AU - Rosenberg, Jacob
N1 - Keywords: Adult; Aged; Aged, 80 and over; Denmark; Female; Follow-Up Studies; Hernia, Abdominal; Humans; Incidence; Laparotomy; Male; Middle Aged; Postoperative Complications; Prognosis; Recurrence; Retrospective Studies; Surgical Mesh; Time Factors
PY - 2009
Y1 - 2009
N2 - BACKGROUND: Incisional hernia after abdominal surgery is a well-known complication. Controversy still exists with respect to the choice of hernia repair technique. The objective of this study was to evaluate the long-term recurrence rate as well as surgical complications in a consecutive group of patients undergoing open repair using an onlay mesh technique. METHODS: Consecutive patients undergoing open incisional hernia repair with onlay-technique between 01/05/1995 and 01/09/2007 at a single institution were included in the study. For follow-up patients were contacted by telephone, and answered a questionnaire containing questions related to the primary operation, the hernia and general risk factors. Patients were examined by a consultant surgeon in the outpatient clinic or in the patient's home if there was suspicion of an incisional hernia recurrence. RESULTS: The study included 56 patients with 100% follow-up. The median follow-up was 35 months (range 4-151). Recurrent incisional hernia was found in 8 of 56 patients (15%, 95% CI: 6-24). The overall complication rate was 13% (95% CI, 4-22). All complications were minor and needed no hospital admission. CONCLUSION: This study with a long follow-up showed low recurrence and complication rates in patients undergoing incisional hernia repair with the open onlay technique.
AB - BACKGROUND: Incisional hernia after abdominal surgery is a well-known complication. Controversy still exists with respect to the choice of hernia repair technique. The objective of this study was to evaluate the long-term recurrence rate as well as surgical complications in a consecutive group of patients undergoing open repair using an onlay mesh technique. METHODS: Consecutive patients undergoing open incisional hernia repair with onlay-technique between 01/05/1995 and 01/09/2007 at a single institution were included in the study. For follow-up patients were contacted by telephone, and answered a questionnaire containing questions related to the primary operation, the hernia and general risk factors. Patients were examined by a consultant surgeon in the outpatient clinic or in the patient's home if there was suspicion of an incisional hernia recurrence. RESULTS: The study included 56 patients with 100% follow-up. The median follow-up was 35 months (range 4-151). Recurrent incisional hernia was found in 8 of 56 patients (15%, 95% CI: 6-24). The overall complication rate was 13% (95% CI, 4-22). All complications were minor and needed no hospital admission. CONCLUSION: This study with a long follow-up showed low recurrence and complication rates in patients undergoing incisional hernia repair with the open onlay technique.
U2 - 10.1186/1471-2482-9-6
DO - 10.1186/1471-2482-9-6
M3 - Journal article
C2 - 19400934
VL - 9
JO - BMC Surgery
JF - BMC Surgery
SN - 1471-2482
IS - 6
ER -
ID: 20544178