Long-term recurrence and complication rates after incisional hernia repair with the open onlay technique

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

SN - 1471-2482

VL - 9

JO - BMC Surgery

JF - BMC Surgery

IS - 6

ER -