Long-term follow-up after elective adult umbilical hernia repair: low recurrence rates also after non-mesh repairs
| Autor: | J. Dalenbäck, C. Andersson, D. Ribokas, G. Rimbäck |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Recurrence Surveys and Questionnaires medicine Humans Surgical Wound Infection Hernia Herniorrhaphy Retrospective Studies Pain Postoperative business.industry General surgery Retrospective cohort study Perioperative Middle Aged Surgical Mesh medicine.disease Surgery Umbilical hernia Surgical mesh Elective Surgical Procedures Patient Satisfaction Cohort Female Complication business Hernia Umbilical Abdominal surgery Follow-Up Studies |
| Zdroj: | Hernia : the journal of hernias and abdominal wall surgery. 17(4) |
| ISSN: | 1248-9204 |
| Popis: | The purpose of this study was to establish long-term outcome after elective adult umbilical hernia (AUH) repair. Peri- and postoperative data considering all consecutive procedures at our institution during the time span from 1999 to 2009 were retrospectively gathered and followed by a questionnaire and, if needed, a clinical investigation in early 2011. A total of 162 patients (female/male 35 %/65 %) were operated, and 144/162 (89 %) answers were gathered, mean follow-up time 70 months; 77 % were sutured, non-mesh repairs; 94 % of all AUHs were smaller than 3 cm; and 49 % of the operations were performed under local anaesthesia. No perioperative complications were encountered. Five postoperative complications were encountered, two serious, both after mesh-based repairs. Wound infection rate (SSI) was low, 2/144 (1.4 %). 7/144 (4.9 %) recurrences were registered, none if mesh-based techniques were used, giving a recurrence rate of 6.3 % in suture-based repairs, the difference, however, not statistically significant (p = 0.141); 2 % reported persistent pain at follow-up, 89 % were overall satisfied with the outcome. AUH repair could be performed with low early and long-term complication rates, with low recurrence rates also after non-mesh repairs. A substantial cohort of patients will unnecessary be implanted with meshes if mesh-reinforced repairs should be used on a routine basis, that is, 16 surplus meshes to prevent one recurrence in the present study. We recommend a tailored approach to AUH repair: suture-based methods with defects smaller than 2 cm and mesh-based repairs considered if larger than that. |
| Databáze: | OpenAIRE |
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