Yıl: 2018 Cilt: 34 Sayı: 1 Sayfa Aralığı: 17 - 20 Metin Dili: İngilizce DOI: 10.5152/turkjsurg.2017.3712 İndeks Tarihi: 09-01-2019

Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia

Öz:
Objective: Incisional hernia is a significant problem after laparotomy, and there is still no consensus on an idealtreatment method. The aim of this study was to compare the results of onlay and sublay mesh repair techniques.Material and Methods: In this randomized prospective trial, 100 patients were divided into two groups: onlay andsublay groups. Recurrences were evaluated by performing a physical examination.Results: The median follow-up was 37.1 (26.6 to 46.5) months. In the onlay group, the mean operation time wassignificantly shorter. However, in terms of postoperative pain and wound complications, the sublay group had significantlybetter results. The recurrence rates were found to be similar in both groups (6% in the onlay group and2% in the sublay group).Conclusion: In the treatment of incisional hernia, sublay mesh repair is superior to onlay mesh repair in terms ofpostoperative pain and wound complications. Both techniques have similar recurrence rates.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet 2003; 362: 1561-1571. [CrossRef]
  • Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg 1985; 70: 70-71. [CrossRef]
  • Burger J, van ‘tRiet M, Jeekel J. Abdominal incisions: techniques and postoperative complications. Scand J Surg 2003; 91: 315-321. [CrossRef]
  • Kurzer M, Kark A, Selouk S, Belsham P. Open mesh repair of incisional hernia using a sublay technique: long-term follow up. World J Surg 2008; 32: 31-36. [CrossRef]
  • Burger JW, Liujendijk RW, Hop WC Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 2004; 240: 578-583. [CrossRef]
  • Cassar K, Munro A. Surgical treatment of incisional hernia. Br J Surg 2002; 89: 534-545. [CrossRef]
  • Luijendjik R, Hop WCJ, van den Tol P, de Lange DC, Braaksma MM, IJzermans JN. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 2000; 343: 392-398. [CrossRef]
  • Paul A, Korenkov M, Peters S. Unacceptable results of the Mayo procedure for repair of abdominal incisional hernias. Eur J Surg 1998; 164: 361-367. [CrossRef]
  • Israelson LA, Smedberg S, Montgomery A, Nordin P, Spangen L. Incisional hernia repair in Sweden 2002. Hernia 2006; 10: 258- 261. [CrossRef]
  • Korenkov M, Paul A, Sauerland E, Neugebauer E, Arndt M, Chevrel JP, et al. Classification and surgical treatment of incisional hernia: results of an expert’s meeting. Langenbecks Arch Surg 2001; 386: 65-73. [CrossRef]
  • De Vries Reilingh TS, van Geldere D, Langenhorst B, de Jong D, van der Wilt GJ, vanGoor H, et al. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia 2004; 8: 56-59. [CrossRef]
  • Langer C, Schaper A, Liersch T, Kulle B, Flosman M, Füzesi L, et al. Prognosis factors in incisional hernia surgery: 25 years of experience. Hernia 2005; 9: 16-21. [CrossRef]
  • Kokotovic D, Gögenur I, Helgstrand F. Substantial variation among hernia experts in the decision for treatment of patients with incisional hernia: a descriptive study on agreement. Hernia 2017; 21: 271-278. [CrossRef]
  • Sauerland S, Schmedt CG, Lein S, Leibl BJ, Reinhard Bittner R. Primary incisional hernia repair with or without polypropylene mesh: a report on 384 patients with 5-year follow-up. Langenbecks Arch Surg 2005; 390: 408-412. [CrossRef]
  • Basoglu M, Yildirgan MI, Yilmaz I, Balik A, Celebi F, Atamanalp SS, et al. Late complications of incisional hernias following prosthetic mesh repair. Acta Chir Belg 2004; 104: 425-428.
  • Vidovic D, Jurisic D, Franjic B D, Glavan E, Ledinsky M, Beslin MB. Factors affecting recurrence after incisional hernia repair. Hernia 2006; 10: 322-325. [CrossRef]
  • Gleysteen J.J. Mesh-Reinforced Ventral Hernia Repair, Preference for 2 Techniques. Arch Surg 2009; 144: 740-745. [CrossRef]
  • Venclauskas L, Maleckas A, Kiudelis M. One-year follow-up after incisional hernia treatment: results of a prospective randomized study. Hernia 2010; 14: 575-582. [CrossRef]
  • Holihan JL, Nguyen DH, Nguyen MT, Mo J, Kao LS, Liang MK. Mesh Location in Open Ventral Hernia Repair: A Systematic Review and Network Meta-analysis. World J Surg 2016; 40: 89-99. [CrossRef]
  • Den Hartog D, Dur AH, Tuinebreijer WE, Kreis RW. Open surgical procedures for incisional hernias. Cochrane Database Syst Rev 2008; 16: CD006438. [CrossRef]
  • Wéber G, Baracs J, Horváth OP. “Onlay” mesh provides significantly beter results than “sublay” reconstruction. Prospective randomized multicenter study of abdominal wall reconstruction with sutures only, or with surgical mesh--results of a five-years follow-up. Magy Seb.2010; 63: 302-311. [CrossRef]
  • Mathes T, Walgenbach M, Siegel R. Suture Versus Mesh Repair in Primary and Incisional Ventral Hernias: A Systematic Review and Meta-Analysis. World J Surg 2016; 40: 826-835. [CrossRef]
APA Sevinç B, OKUŞ A, AY A, Aksoy Sönmez n, Karahan Ö (2018). Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. , 17 - 20. 10.5152/turkjsurg.2017.3712
Chicago Sevinç Barış,OKUŞ Ahmet,AY ABDÜLHALİM SERDEN,Aksoy Sönmez nergis,Karahan Ömer Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. (2018): 17 - 20. 10.5152/turkjsurg.2017.3712
MLA Sevinç Barış,OKUŞ Ahmet,AY ABDÜLHALİM SERDEN,Aksoy Sönmez nergis,Karahan Ömer Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. , 2018, ss.17 - 20. 10.5152/turkjsurg.2017.3712
AMA Sevinç B,OKUŞ A,AY A,Aksoy Sönmez n,Karahan Ö Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. . 2018; 17 - 20. 10.5152/turkjsurg.2017.3712
Vancouver Sevinç B,OKUŞ A,AY A,Aksoy Sönmez n,Karahan Ö Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. . 2018; 17 - 20. 10.5152/turkjsurg.2017.3712
IEEE Sevinç B,OKUŞ A,AY A,Aksoy Sönmez n,Karahan Ö "Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia." , ss.17 - 20, 2018. 10.5152/turkjsurg.2017.3712
ISNAD Sevinç, Barış vd. "Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia". (2018), 17-20. https://doi.org/10.5152/turkjsurg.2017.3712
APA Sevinç B, OKUŞ A, AY A, Aksoy Sönmez n, Karahan Ö (2018). Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. Turkish Journal of Surgery, 34(1), 17 - 20. 10.5152/turkjsurg.2017.3712
Chicago Sevinç Barış,OKUŞ Ahmet,AY ABDÜLHALİM SERDEN,Aksoy Sönmez nergis,Karahan Ömer Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. Turkish Journal of Surgery 34, no.1 (2018): 17 - 20. 10.5152/turkjsurg.2017.3712
MLA Sevinç Barış,OKUŞ Ahmet,AY ABDÜLHALİM SERDEN,Aksoy Sönmez nergis,Karahan Ömer Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. Turkish Journal of Surgery, vol.34, no.1, 2018, ss.17 - 20. 10.5152/turkjsurg.2017.3712
AMA Sevinç B,OKUŞ A,AY A,Aksoy Sönmez n,Karahan Ö Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. Turkish Journal of Surgery. 2018; 34(1): 17 - 20. 10.5152/turkjsurg.2017.3712
Vancouver Sevinç B,OKUŞ A,AY A,Aksoy Sönmez n,Karahan Ö Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia. Turkish Journal of Surgery. 2018; 34(1): 17 - 20. 10.5152/turkjsurg.2017.3712
IEEE Sevinç B,OKUŞ A,AY A,Aksoy Sönmez n,Karahan Ö "Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia." Turkish Journal of Surgery, 34, ss.17 - 20, 2018. 10.5152/turkjsurg.2017.3712
ISNAD Sevinç, Barış vd. "Randomized prospective comparison of long-term results of onlay and sublay mesh repair techniques for incisional hernia". Turkish Journal of Surgery 34/1 (2018), 17-20. https://doi.org/10.5152/turkjsurg.2017.3712