OBJECTIVE: To find out the rates of recurrence after repair of incisional hernias with or without the implantation of a PTFE-patch. DESIGN: Open and retrospective study. SETTING: University hospital, Austria. SUBJECTS: 26 patients who had their incisional hernias repaired with a polytetrafluoroethylene (PTFE) patch and 70 for whom conventional methods were used. MAIN OUTCOME MEASURES: Absolute recurrence rate and the Kaplan-Meier estimate 24 months after the operation. Presence of risk factors. RESULTS: Three patients developed recurrences by 24 months in the PTFE group and 41 in the conventional group. The Kaplan-Meier estimate for the PTFE group was 13% and for the conservative group 63%. Women had significantly fewer recurrences than men (p < 0.05). Age, body mass index, and diameter of the defect were not significantly associated with an increased risk of failure. CONCLUSIONS: Insertion of a prosthesis can improve the results of surgical repair of incisional hernias.
OBJECTIVE: To find out the rates of recurrence after repair of incisional hernias with or without the implantation of a PTFE-patch. DESIGN: Open and retrospective study. SETTING: University hospital, Austria. SUBJECTS: 26 patients who had their incisional hernias repaired with a polytetrafluoroethylene (PTFE) patch and 70 for whom conventional methods were used. MAIN OUTCOME MEASURES: Absolute recurrence rate and the Kaplan-Meier estimate 24 months after the operation. Presence of risk factors. RESULTS: Three patients developed recurrences by 24 months in the PTFE group and 41 in the conventional group. The Kaplan-Meier estimate for the PTFE group was 13% and for the conservative group 63%. Women had significantly fewer recurrences than men (p < 0.05). Age, body mass index, and diameter of the defect were not significantly associated with an increased risk of failure. CONCLUSIONS: Insertion of a prosthesis can improve the results of surgical repair of incisional hernias.
Authors: David Nguyen; Samuel Szomstein; Alex Ordonez; Fernando Dip; Meenakshi Rajan; Emanuele Lo Menzo; Raul J Rosenthal Journal: Surg Endosc Date: 2015-06-24 Impact factor: 4.584
Authors: Corey W Iqbal; Tuan H Pham; Anthony Joseph; Jane Mai; Geoffrey B Thompson; Michael G Sarr Journal: World J Surg Date: 2007-12 Impact factor: 3.352