Prospective, multi-institutional surgical and quality-of-life outcomes comparison of heavyweight, midweight, and lightweight mesh in open ventral hernia repair

被引：20
作者：
Groene, Steven A. [1 ]
Prasad, Tanushree [1 ]
Lincourt, Amy E. [1 ]
Augenstein, Vedra A. [1 ]
Sing, Ronald [1 ]
Heniford, Brant Todd [1 ]
机构：
[1] Carolinas Med Ctr, Carolinas Laparoscop & Adv Surg Program, Div Gastrointestinal & Minimally Invas Surg, Charlotte, NC 28204 USA
来源：
AMERICAN JOURNAL OF SURGERY | 2016年 / 212卷 / 06期
关键词：
Ventral hernia; Mesh weight; Quality of life; Carolinas Comfort Scale; Lightweight; Heavyweight; RANDOMIZED CLINICAL-TRIAL; TERM-FOLLOW-UP; INCISIONAL HERNIA; POLYPROPYLENE MESH; INGUINAL-HERNIA; POSTOPERATIVE PAIN; SUTURE; HERNIOPLASTY; METAANALYSIS; RECURRENCE;
D O I：
10.1016/j.amjsurg.2016.09.003
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BACKGROUND: Mesh choice in open ventral hernia repair (OVHR) remains controversial. Our aim was to analyze prospective outcomes among heavyweight, midweight, and lightweight (LW) mesh. METHODS: A study of the International Hernia Mesh Registry was performed for OVHR. Operative details, complications, recurrence, and quality of life (QOL) at 1, 6, 12, 24, and 36 months were evaluated. RESULTS: There were 549 OVHRs, 99 using heavyweight, 262 midweight, and 188 LW mesh. Heavyweight group had larger defects (P <= .008). Midweight patients had fewer superficial surgical site infections (P = .04) and shorter LOS (P < .0001). Recurrence rates were equal (6.1% vs 6.1% vs 8.0%; P = .71). After controlling for surgical location, component separation, and preoperative pain with multivariate analysis, LW mesh was associated with an overall worse QOL at 6 months and pain at 1 year. CONCLUSIONS: MW mesh had fewer superficial surgical site infections and shorter LOS. After controlling for potential confounding variables, LW mesh had a worse QOL at 6 and 12 months. Published by Elsevier Inc.
引用
收藏
页码：1054 / 1062
页数：9
相关论文
共 44 条
  • [1] Jean-Paul Chevrel (1933-2006).
    Alexandre J.H.
    [J]. Hernia, 2007, 11 (4) : 293 - 296
  • [2] Prospective, Comparative Study of Postoperative Quality of Life in TEP, TAPP, and Modified Lichtenstein Repairs
    Belyansky, Igor
    Tsirline, Victor B.
    Klima, David A.
    Walters, Amanda L.
    Lincourt, Amy E.
    Heniford, Todd B.
    [J]. ANNALS OF SURGERY, 2011, 254 (05) : 709 - 715
  • [3] Comparable results with 3-year follow-up for large-pore versus small-pore meshes in open incisional hernia repair
    Berrevoet, Frederik
    Maes, Leander
    De Baerdemaeker, Luc
    Rogiers, Xavier
    Troisi, Roberto
    de Hemptinne, Bernard
    [J]. SURGERY, 2010, 148 (05) : 969 - 975
  • [4] Black N, 1991, Int J Technol Assess Health Care, V7, P533
  • [5] Blair LJ, 2015, ANN ACS M O IN PRESS
  • [6] Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia
    Bringman, S.
    Wollert, S.
    Osterberg, J.
    Smedberg, S.
    Granlund, H.
    Heikkinen, T. -J.
    [J]. BRITISH JOURNAL OF SURGERY, 2006, 93 (09) : 1056 - 1059
  • [7] Early results of a randomized multicenter trial comparing Prolene and VyproII mesh in bilateral endoscopic extraperitoneal hernioplast (TEP)
    Bringman, S
    Wollert, S
    Osterberg, J
    Heikkinen, T
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2005, 19 (04): : 536 - 540
  • [8] Hernia repair: the search for ideal meshes
    Bringman, S.
    Conze, J.
    Cuccurullo, D.
    Deprest, J.
    Junge, K.
    Klosterhalfen, B.
    Parra-Davila, E.
    Ramshaw, B.
    Schumpelick, V.
    [J]. HERNIA, 2010, 14 (01) : 81 - 87
  • [9] Burger JWA, 2004, ANN SURG, V240, P578
  • [10] Burger JWA, 2004, ANN SURG, V240, P583
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