Effect of mesh fixation in incisional hernia repair using the open sublay technique: results from the herniamed-registry
Rattachement africain : ch, de, fr. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE: Incisional hernias reflect a common complication after abdominal surgery. Main treatment consists of defect closure and mesh insertion using the sublay method. The aim of the present study was to assess the association of mesh fixation to patients' outcome. METHODS: Using the Herniamed registry, data from 13'452 incisional hernia repairs were analyzed retrospectively. Three groups of patients were compared: those with mesh fixation (n = 9'986), those with self-fixing meshes (n = 2'725), and those without mesh fixation (n = 741). Postoperative complications, recurrence and postoperative pain scores were assessed over a follow-up period of one year postoperatively. RESULTS: Taking into account that patients without mesh fixation had smaller defects and were treated with smaller meshes indicating non-equivalent groups, postoperative complications (general, intra- and postoperative complications, as well as complication-related reoperations), were similar among groups except that self-fixing meshes showed a lower general complication rate compared to fixed meshes (OR = 0.733 [0.579; 0.929]; p = 0.010). Mesh fixation had no relation to recurrence rate. Self-fixating meshes were associated with increased pain at rest rate (OR = 1.325 [1.156; 1.518]; p < 0.001), pain on exertion rate (OR = 1.255 [1.125; 1.400], p < 0.001) and chronic pain requiring treatment (OR = 1.271 [1.086; 1.488], p = 0.003) compared to fixed meshes. Self-fixating (OR = 1.675 [1.322; 2.120], p < 0.001) and fixed meshes (OR = 1.334 [1.069; 1.666], p = 0.011) were associated to increased pain on exertion rate compared to non-fixed meshes. CONCLUSION: It appears that mesh fixation can be omitted during sublay incisional hernia repair.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Effect of mesh fixation in incisional hernia repair using the open sublay technique: results from the herniamed-registry
- Date Crossref
- 23/04/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Lucerne pays non établi dans la noticeUniversité ou école supérieure
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University Children’s Hospital Basel pays non établi dans la noticeÉtablissement de santé
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Vivantes Klinikum pays non établi dans la noticeÉtablissement de santé
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Charité - Universitätsmedizin Berlin pays non établi dans la noticeÉtablissement de santé
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InfoConsult (Germany) pays non établi dans la noticeEntreprise
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Laboratoire d'Hydraulique Saint-Venant pays non établi dans la noticeStructure de recherche
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Lucerne University of Applied Sciences and Arts pays non établi dans la noticeUniversité ou école supérieure
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University Children’s Hospital of Basel Department of Pediatric Surgery pays non établi dans la noticeUniversité ou école supérieure
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Academic Teaching Hospital of Charité University Medicine Vivantes Humbold Hospital pays non établi dans la noticeUniversité ou école supérieure
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StatConsult GmbH pays non établi dans la noticeEntreprise
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Ventravis- Practice for Abdominal Surgery pays non établi dans la noticeInstitution
University of Lucerne, University Children’s Hospital Basel et Vivantes Klinikum, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.