What is the reality in epigastric hernia repair?–a trend analysis from the Herniamed Registry

Autor: Christine Schug-Pass, K Zarras, Wolfgang Reinpold, Dirk Weyhe, B Stechemesser, Ferdinand Köckerling, R Lorenz, B Lammers, René H. Fortelny, D Adolf
Rok vydání: 2021
Předmět:
Zdroj: Hernia. 25:1083-1094
ISSN: 1248-9204
1265-4906
Popis: The proportion of epigastric hernias in the total collective of all operated abdominal wall hernias is 3.6–6.9%. The recently published guidelines for treatment of epigastric hernias of the European Hernia Society and the Americas Hernia Society recommend the use of a mesh for defect size of ≥ 1 cm, i.e., a preperitoneal flat mesh technique for sizes 1–4 cm, and laparoscopic IPOM technique for defects > 4 cm and/or obesity. Against that background, this analysis of data from the Herniamed Registry now aims to explore trends in epigastric hernia repair. To detect trends, the perioperative outcome was calculated separately for the years 2010 to 2019 and the 1-year follow-up for the years 2010 to 2018 and significant differences were identified. Analysis was based on 25,518 primary elective epigastric hernia repairs. The rates of postoperative surgical complications, pain at rest, pain on exertion, chronic pain requiring treatment and recurrence associated with the various surgical techniques were calculated separately for each year. Fisher’s exact test for unadjusted analysis between years was applied with Bonferroni adjustment for multiple testing. The proportion of laparoscopic IPOM repairs declined from 26.0% in 2013 to 18.2% in 2019 (p
Databáze: OpenAIRE
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