Comparative analysis of polypropylene and dual mesh incisional hernia repair methods in open surgery following organ transplantation: a single-center retrospective cohort study
- 01.12.2025
- Original Article
Erschienen in:
- Verfasst von
- Alireza Shamsaeefar
- Bahram Amiri
- Hamed Nikoupour
- Kourosh Kazemi
- Seyed Ali Moosavi
- Nasrin Motazedian
- Sahar Sohrabi Nazari
- Saman Nikeghbalian
- Seyed Ali Malekhosseini
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
Transplant patients face a risk of developing incisional hernias. Establishing a reliable and secure incisional hernia repair method for this patient population remains a challenge.
Methods
In this retrospective cohort study, we gathered data from patients who had undergone liver and kidney transplantations and subsequently had developed postoperative incisional hernias. Patient follow-up was extended for a minimum of 18 months. Primary outcomes focused on recurrence, hematoma, and infection rates, comparing the complication profiles of propylene mesh and Dual Mesh incisional hernia repair methods.
Results
122 transplant patients with incisional hernias were included. The incidence of recurrence and infection after incisional hernia repair surgery was 20.6% and 5.9% for Dual Mesh and 22.2% and 9.9% for polypropylene mesh (P = 0.721 and 1.000). In liver recipients, the Dual Mesh method showed a slightly lower incidence of recurrence (17.9% vs. 23.3%) and infection (3.6% vs. 10.0%) compared to polypropylene mesh (P = 0.782, 0.423). Kidney recipients exhibited insignificant higher recurrence (33.3% vs. 19%) and infection rates (16.7% vs. 9.5%) with Dual Mesh (P = 0.588, 0.545).
Conclusions
The results suggest that while trends indicate a lower recurrence and infection rate with Dual Mesh in liver transplant patients and a slightly higher recurrence and infection rate with Dual Mesh in kidney transplant patients, these differences were not statistically significant. Therefore, no definitive advantage of one mesh type over the other can be concluded from the data.
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- Titel
- Comparative analysis of polypropylene and dual mesh incisional hernia repair methods in open surgery following organ transplantation: a single-center retrospective cohort study
- Verfasst von
-
Alireza Shamsaeefar
Bahram Amiri
Hamed Nikoupour
Kourosh Kazemi
Seyed Ali Moosavi
Nasrin Motazedian
Sahar Sohrabi Nazari
Saman Nikeghbalian
Seyed Ali Malekhosseini
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-025-03275-1
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