Abstract
BACKGROUND: Mesh repair reduces the risk of reoperation for recurrence in patients with primary ventral hernias. However, reoperation for recurrence underestimates total recurrence (reoperation + clinical) and mesh reinforcement may induce chronic pain. This study investigated the total recurrence and risk of chronic pain in small primary ventral hernias.
METHODS: A cohort study with questionnaire and clinical follow-up was conducted. Patients with primary, elective, open mesh or sutured repair for a small umbilical or epigastric hernia (≤ 2 cm) were included.
RESULTS: One thousand three hundred thirteen patients completed the questionnaire. The total cumulated recurrence rate after primary repair was 10% for mesh repair and 21% for sutured repair (P = .001). The incidence of chronic pain was 6% after mesh repair and 5% after sutured repair (P = .711).
CONCLUSIONS: Mesh repair halved long-term risk of recurrence after repair for small ventral hernias without increased risk of chronic pain.
| Original language | English |
|---|---|
| Journal | American Journal of Surgery |
| Volume | 209 |
| Issue number | 4 |
| Pages (from-to) | 725-732 |
| Number of pages | 8 |
| ISSN | 0002-9610 |
| DOIs | |
| Publication status | Published - 1 Apr 2015 |
Keywords
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Chronic Pain
- Cohort Studies
- Female
- Hernia, Umbilical
- Hernia, Ventral
- Herniorrhaphy
- Humans
- Male
- Middle Aged
- Recurrence
- Risk Assessment
- Surveys and Questionnaires
- Time Factors
- Young Adult