Incisional Hernia Recurrence following “Vest‐Over‐Pants” or Vertical Mayo Repair of Primary Hernias of the Midline

World Journal of Surgery - Tập 21 Số 1 - Trang 62-66 - 1997
Roland W. Luijendijk1, M. H. M. Lemmen2, Wim C. J. Hop3, J.C.J. Wereldsma4
1Department of General Surgery Leyenburg Hospital Leyweg 275 2545CH Den Haag The Netherlands<!--<country1>NL</country1>-->
2Department of Plastic Surgery University Hospital Rotterdam Dijkzigt, Dr. Molewaterplein 40 3015 GD Rotterdam The Netherlands<!--<country1>NL</country1>-->
3Department of Epidemiology and Biostatistics Medical School Erasmus University Dr. Molewaterplein 50 3000 DR Rotterdam The Netherlands<!--<country1>NL</country1>-->
4Department of General Surgery Sint Franciscus Gasthuis Kleiweg 500 3045 PM Rotterdam The Netherlands<!--<country1>NL</country1>-->

Tóm tắt

AbstractA series of 68 primary midline incisional hernias with a vertical Mayo repair was evaluated retrospectively. Patients without documented hernia recurrence following this repair were invited for physical examination. Life‐table methods were used for statistical analysis. The 1‐, 3‐, 5‐, and 10‐year cumulative recurrence rates were 35%, 46%, 48%, and 54%, respectively. Also, generally accepted risk factors were studied. Multivariate analysis identified the size of the hernia (p= 0.02) and the use of steroids (p= 0.04) as the most important independent risk factors of first time recurrent incisional hernia. Considering the high recurrence rates found, the results of this study strongly suggest that the vest‐over‐pants repair should no longer be used for closure of midline incisional hernias.

Từ khóa


Tài liệu tham khảo

Thông tin
Thông tin xuất bản

World Journal of Surgery

Tập 21 Số 1

62-66

Thông tin tác giả