Open AccessFactors that affect recurrence after incisional herniorrhaphy with prosthetic material
Author(s) -
Ríos A.,
Rodríguez J. M.,
Munitiz V.,
Alcaraz P.,
Pérez D.,
Parrilla P.
Publication year - 2001
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/11024150152717706
Subject(s) - medicine , surgery , incisional hernia , hernia , retrospective cohort study , surgical mesh
Objective: To evaluate the risk factors for recurrence after prosthetic incisional herniorrhaphy. Design: Retrospective study Setting: Tertiary referral centre, Spain. Patients: 246 patients who had incisional herniorrhaphy with a prosthetic material (polypropylene) between 1990 and 1997 Interventions: A reinforcement mesh was inserted when the hernia was more than 5 cm. In incisional hernias less than 5 cm the reinforcement mesh was inserted when the repair was under tension or when tissues were noted to be weak during the operation. Main outcome measures: Age, sex, obesity, the presence of bronchial disease, previous repair of the incisional hernia, type of surgery, size and site of hernia and presence of local complications during the immediate postoperative period. Results: Mean (SD) follow‐up was 77 (6) months (minimum follow up two years). The hernia recurred in 43 cases (17%) (mean time of recurrence 10 (8) months). Age over 60 years, previous herniorrhaphy, size of hernia, and postoperative local complications were significant risk factors ( p < 0.01) in both the univariate and multivariate analyses. Conclusions: Patients at the greater risk of recurrence are those aged over 60 years, with large, recurrent hernias and who develop local complications during the postoperative period. Copyright © 2001 Taylor and Francis Ltd.