Importance of mesh overlap on hernia recurrence after open umbilical hernia repair with bilayer prosthesis

被引：6
作者：
Porrero, Jose L. [1 ]
Cano-Valderrama, Oscar [2 ]
Castillo, Maria J. [1 ]
Marcos, Alberto [1 ]
Tejerina, Gabriel [1 ]
Cendrero, Manuel [3 ]
Porrero, Belen [4 ]
Alonso, Maria T. [1 ]
Torres, Antonio J. [2 ]
机构：
[1] Hosp Univ Santa Cristina, Dept Surg, Madrid, Spain
[2] Hosp Univ Clin San Carlos, Dept Surg, C Profesor Martin Lagos SN, Madrid 28040, Spain
[3] Hosp Univ Getafe, Dept Surg, Getafe, Spain
[4] Hosp Univ Rey Juan Carlos, Dept Surg, Madrid, Spain
来源：
AMERICAN JOURNAL OF SURGERY | 2018年 / 216卷 / 05期
关键词：
Umbilical hernia; Bilayer prosthesis; Hernia recurrence; Mesh overlap; EXPANDED POLYTETRAFLUOROETHYLENE MESH; FOLLOW-UP; SHRINKAGE; ONLAY;
D O I：
10.1016/j.amjsurg.2018.01.041
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: importance of mesh overlap on recurrence after open umbilical hernia repair has been poorly studied. Methods: a retrospective cohort study was performed with patients who underwent open umbilical hernia repair with bilayer prosthesis between 2004 and 2015. Results: 1538 patients were included. Fifty patients (3.3%) had a mesh overlap lower than 1 cm. After a mean follow-up of 4.1 years 53 patients (3.5%) developed a recurrence. Recurrence was associated with a mesh overlap smaller than 1 cm (10.2% vs. 3.3%, p = 0.010, OR = 3.3). In the logistic regression model an overlap smaller than 1 cm was not statistically associated with recurrence (OR = 2.5, p = 0.123). Female gender, postoperative complications and prosthesis size were associated with hernia recurrence. Conclusions: mesh overlap seems to be an important factor for hernia recurrence. A mesh overlap of at least 1 cm should be used until more studies are performed about this issue. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码：919 / 922
页数：4
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