Mette W Christoffersen1, Frederik Helgstrand2, Jacob Rosenberg3, Henrik Kehlet4, Pernille Strandfelt5, Thue Bisgaard6. 1. Gastro Unit Surgical Division, Hvidovre Hospital, Kettegård Alle 30, Copenhagen University, Hvidovre, DK-2650 Denmark. Electronic address: mette.willaume@gmail.com. 2. Danish Hernia Database, Copenhagen, Denmark; Department of Gastrointestinal Surgery, Rigshospitalet, Copenhagen University, Blegdamsvej 9, DK-2200 Copenhagen, Denmark. 3. Danish Hernia Database, Copenhagen, Denmark; Gastro Unit, Surgical Division, Herlev Hospital, Copenhagen University, Herlev Ringvej 75, DK-2730 Copenhagen, Denmark. 4. Danish Hernia Database, Copenhagen, Denmark; Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Blegdamsvej 9, DK-2200 Copenhagen, Denmark. 5. Gastro Unit Surgical Division, Hvidovre Hospital, Kettegård Alle 30, Copenhagen University, Hvidovre, DK-2650 Denmark. 6. Gastro Unit Surgical Division, Hvidovre Hospital, Kettegård Alle 30, Copenhagen University, Hvidovre, DK-2650 Denmark; Danish Hernia Database, Copenhagen, Denmark.
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.
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.
Authors: Elke Zani-Ruttenstock; Augusto Zani; Emma Bullman; Eveline Lapidus-Krol; Agostino Pierro Journal: Pediatr Surg Int Date: 2014-11-05 Impact factor: 1.827
Authors: F Köckerling; W Brunner; R Fortelny; F Mayer; D Adolf; H Niebuhr; R Lorenz; W Reinpold; K Zarras; D Weyhe Journal: Hernia Date: 2020-11-25 Impact factor: 4.739
Authors: F Köckerling; W Brunner; F Mayer; R Fortelny; D Adolf; H Niebuhr; R Lorenz; W Reinpold; K Zarras; D Weyhe Journal: Hernia Date: 2020-09-20 Impact factor: 4.739
Authors: J E H Ponten; B J M Leenders; W K G Leclercq; T Lettinga; J Heemskerk; J L M Konsten; P S S Castelijns; S W Nienhuijs Journal: World J Surg Date: 2018-05 Impact factor: 3.352