Background Incisional hernia repair with mesh improves long-term outcomes, but the ideal mesh position remains unclear. This study compared intraperitoneal versus retromuscular or preperitoneal sublay (RPS) mesh positions for open incisional hernia repairs. Methods All patients who had elective open incisional hernia repairs were identified retrospectively in the Americas Hernia Society Quality Collaborative database. The primary outcome was the rate of 30-day surgical-site infection (SSI). Other outcomes of interest included 30-day surgical-site occurrences requiring procedural intervention (SSOPI), hernia-related quality-of-life survey (HerQLes) scores and long-term recurrence. A logistic model was used to generate propensity scores for mesh position using several clinically relevant co-variables. Regression models adjusting for propensity score and baseline characteristics were developed to assess the effect of mesh placement. Results A total of 4211 patients were included in the study population: 587 had intraperitoneal mesh and 3624 had RPS mesh. Analysis with propensity score adjustment provided no evidence for differences in SSOPI (odds ratio (OR) 0 center dot 79, 95 per cent c.i. 0 center dot 49 to 1 center dot 26) and SSI (OR 0 center dot 91, 0 center dot 50 to 1 center dot 67) rates or HerQLes scores at 30 days (OR 1 center dot 20, 0 center dot 79 to 1 center dot 82), or recurrence rates (hazard ratio 1 center dot 28, 0 center dot 90 to 1 center dot 82). Conclusion Mesh position had no effect on short- or long-term outcomes, including SSOPI and SSI rates, HerQLes scores and long-term recurrence rates.
机构:
Washington Univ, Sch Med, Sect Minimally Invas Surg, Dept Surg, 660 S Euclid Ave,Box 8109, St Louis, MO 63110 USAWashington Univ, Sch Med, Sect Minimally Invas Surg, Dept Surg, 660 S Euclid Ave,Box 8109, St Louis, MO 63110 USA
Blatnik, Jeffrey A.
;
Brunt, L. Michael
论文数: 0引用数: 0
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机构:
Washington Univ, Sch Med, Sect Minimally Invas Surg, Dept Surg, 660 S Euclid Ave,Box 8109, St Louis, MO 63110 USAWashington Univ, Sch Med, Sect Minimally Invas Surg, Dept Surg, 660 S Euclid Ave,Box 8109, St Louis, MO 63110 USA
机构:
Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Blatnik, Jeffrey A.
;
Krpata, David M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Krpata, David M.
;
Jacobs, Michael R.
论文数: 0引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Sch Med, Dept Microbiol, Cleveland, OH USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Jacobs, Michael R.
;
Gao, Yue
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Gao, Yue
;
Novitsky, Yuri W.
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Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Novitsky, Yuri W.
;
Rosen, Michael J.
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Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Criss, Cory N.
;
Petro, Clayton C.
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h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Petro, Clayton C.
;
Krpata, David M.
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h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Krpata, David M.
;
Seafter, Christina M.
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机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Seafter, Christina M.
;
Lai, Nicola
论文数: 0引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Dept Biomed Engn, Cleveland, OH 44106 USA
Rainbow Babies & Childrens Hosp, Dept Pediat, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Lai, Nicola
;
Fiutem, Justin
论文数: 0引用数: 0
h-index: 0
机构:
Rainbow Babies & Childrens Hosp, Dept Pediat, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Fiutem, Justin
;
Novitsky, Yuri W.
论文数: 0引用数: 0
h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Novitsky, Yuri W.
;
Rosen, Michael J.
论文数: 0引用数: 0
h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
机构:
Washington Univ, Sch Med, Sect Minimally Invas Surg, Dept Surg, 660 S Euclid Ave,Box 8109, St Louis, MO 63110 USAWashington Univ, Sch Med, Sect Minimally Invas Surg, Dept Surg, 660 S Euclid Ave,Box 8109, St Louis, MO 63110 USA
Blatnik, Jeffrey A.
;
Brunt, L. Michael
论文数: 0引用数: 0
h-index: 0
机构:
Washington Univ, Sch Med, Sect Minimally Invas Surg, Dept Surg, 660 S Euclid Ave,Box 8109, St Louis, MO 63110 USAWashington Univ, Sch Med, Sect Minimally Invas Surg, Dept Surg, 660 S Euclid Ave,Box 8109, St Louis, MO 63110 USA
机构:
Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Blatnik, Jeffrey A.
;
Krpata, David M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Krpata, David M.
;
Jacobs, Michael R.
论文数: 0引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Sch Med, Dept Microbiol, Cleveland, OH USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Jacobs, Michael R.
;
Gao, Yue
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Gao, Yue
;
Novitsky, Yuri W.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
Novitsky, Yuri W.
;
Rosen, Michael J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USAUniv Hosp Case Med Ctr, Dept Surg, Case Comprehens Hernia Ctr, Cleveland, OH 44106 USA
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Criss, Cory N.
;
Petro, Clayton C.
论文数: 0引用数: 0
h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Petro, Clayton C.
;
Krpata, David M.
论文数: 0引用数: 0
h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Krpata, David M.
;
Seafter, Christina M.
论文数: 0引用数: 0
h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Seafter, Christina M.
;
Lai, Nicola
论文数: 0引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Dept Biomed Engn, Cleveland, OH 44106 USA
Rainbow Babies & Childrens Hosp, Dept Pediat, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Lai, Nicola
;
Fiutem, Justin
论文数: 0引用数: 0
h-index: 0
机构:
Rainbow Babies & Childrens Hosp, Dept Pediat, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Fiutem, Justin
;
Novitsky, Yuri W.
论文数: 0引用数: 0
h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA
Novitsky, Yuri W.
;
Rosen, Michael J.
论文数: 0引用数: 0
h-index: 0
机构:
Case Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USACase Comprehens Hernia Ctr, Univ Hosp Case Med Ctr, Cleveland, OH 44106 USA