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Erschienen in: World Journal of Surgery 12/2007

01.12.2007

Long-Term Outcome of 254 Complex Incisional Hernia Repairs Using the Modified Rives-Stoppa Technique

verfasst von: Corey W. Iqbal, Tuan H. Pham, Anthony Joseph, Jane Mai, Geoffrey B. Thompson, Michael G. Sarr

Erschienen in: World Journal of Surgery | Ausgabe 12/2007

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Abstract

Background

Repair of complex incisional hernias poses a major challenge.

Aim

The aim of this study was to review the outcomes of the modified Rives-Stoppa repair of complex incisional hernias using a synthetic prosthesis.

Methods

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.

Results

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.

Conclusion

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.
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Metadaten
Titel
Long-Term Outcome of 254 Complex Incisional Hernia Repairs Using the Modified Rives-Stoppa Technique
verfasst von
Corey W. Iqbal
Tuan H. Pham
Anthony Joseph
Jane Mai
Geoffrey B. Thompson
Michael G. Sarr
Publikationsdatum
01.12.2007
Verlag
Springer-Verlag
Erschienen in
World Journal of Surgery / Ausgabe 12/2007
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-007-9260-7

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