Long-Term Outcome of 254 Complex Incisional Hernia Repairs Using the Modified Rives-Stoppa Technique
| Autor: | Geoffrey B. Thompson, Anthony Joseph, Jane Mai, Michael G. Sarr, Corey W. Iqbal, Tuan H. Pham |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Incisional hernia medicine.medical_treatment Polypropylenes Prosthesis Postoperative Complications Patient satisfaction Recurrence medicine Humans Hernia Polytetrafluoroethylene Abdominal Muscles Aged Retrospective Studies Aged 80 and over business.industry Retrospective cohort study Middle Aged Surgical Mesh medicine.disease Hernia Ventral Surgery Treatment Outcome surgical procedures operative Surgical mesh Surgical Procedures Operative Seroma Female business Follow-Up Studies Abdominal surgery |
| Zdroj: | World Journal of Surgery. 31:2398-2404 |
| ISSN: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-007-9260-7 |
| Popis: | Repair of complex incisional hernias poses a major challenge. The aim of this study was to review the outcomes of the modified Rives-Stoppa repair of complex incisional hernias using a synthetic prosthesis. We reviewed patients undergoing a modified Rives-Stoppa repair of complex incisional hernias from 1990 to 2003. Patients were followed through clinic visits and mailed questionnaires. Follow-up data were complete in all patients (mean 70 months, range 24–177 months), and 87% of patients completed a mailed questionnaire. Primary outcome included mortality, morbidity, and hernia recurrence. Secondary outcome measures were duration of hospital stay, long-term abdominal wall pain, and self-reported patient satisfaction. Altogether, 254 patients underwent a modified Rives-Stoppa repair. Among them, 60% had a significant co-morbidity, and 30% had one or more previously failed hernia repairs. Mortality was zero, and overall morbidity was 13% (wound infection 4%, prosthetic infection 3%, seroma/hematoma 4%). The overall hernia recurrence rate was 5%, including explantation of mesh because of infection. Wound/prosthetic infection was predictive for hernia recurrence (31% vs. 4%, p = 0.003). Among the respondents, 89% reported overall satisfaction with their repair. The Rives-Stoppa repair of complex incisional hernias using synthetic prosthetic materials is safe with a low recurrence rate (5%) and high patient satisfaction. Postoperative wound infection is a risk factor for hernia recurrence. |
| Databáze: | OpenAIRE |
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