Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a 5-10-year follow-up of the randomized controlled multicenter study.
Chronic pain
Hybrid
Incisional hernia
Incisional ventral hernia
Laparoscopy
Quality of life
Recurrence
Journal
Hernia : the journal of hernias and abdominal wall surgery
ISSN: 1248-9204
Titre abrégé: Hernia
Pays: France
ID NLM: 9715168
Informations de publication
Date de publication:
18 Aug 2023
18 Aug 2023
Historique:
received:
25
04
2023
accepted:
23
07
2023
medline:
18
8
2023
pubmed:
18
8
2023
entrez:
18
8
2023
Statut:
aheadofprint
Résumé
In this long-term follow-up of a prospective, randomized, and multicenter study, we compare the results of a group receiving laparoscopic incisional ventral hernia repair using intraperitoneal onlay mesh (LG) to a group receiving a hybrid hernia repair where open closure of fascial defect was added to intraperitoneal mesh placement (HG). Originally, 193 patients with 2-7 cm incisional hernias were randomly assigned to either the LG or HG during the 30-month recruitment period in 2012 to 2015. Long-term follow-up was conducted 5-10 years after surgery to evaluate hernia recurrence rate and quality of life (QoL). In all, 65 patients in the LG and 60 in the HG completed the long-term follow-up with a median follow-up period of 87 months. Recurrent hernia was detected in 11 of 65 patients (16.9%) in the LG and 10 of 60 patients (16.7%) in the HG (p > 0.9). Kaplan-Meier analysis demonstrated a recurrence rate approaching 20% in both groups, with similar curves. Three patients in the LG (4.6% and five patients in the HG (8.1%) had undergone re-operation due to recurrence (p = 0.48). There was no difference in patient-reported QoL measured using the SF-36 questionnaire. Mean pain scores were similar between groups, mean numeric rating scale (NRS) 0 to 10 being 1.1 in the LG and 0.7 in the HG (p = 0.43). Fascial closure did not reduce hernia recurrence rate in this study population, even though it has been shown to be beneficial and recommended in surgery guidelines. In the long term, recurrence rate for both groups is similar.
Identifiants
pubmed: 37594636
doi: 10.1007/s10029-023-02849-1
pii: 10.1007/s10029-023-02849-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s).
Références
le Huu NR, Mege D, Ouaïssi M et al (2012) Incidence and prevention of ventral incisional hernia. J Visc Surg 149:e3–e14. https://doi.org/10.1016/j.jviscsurg.2012.05.004
doi: 10.1016/j.jviscsurg.2012.05.004
Kössler-Ebs JB, Grummich K, Jensen K et al (2016) Incisional hernia rates after laparoscopic or open abdominal surgery—a systematic review and meta-analysis. World J Surg 40:2319–2330. https://doi.org/10.1007/s00268-016-3520-3
doi: 10.1007/s00268-016-3520-3
pubmed: 27146053
Köckerling F, Simon T, Adolf D et al (2019) Laparoscopic IPOM versus open sublay technique for elective incisional hernia repair: a registry-based, propensity score-matched comparison of 9907 patients. Surg Endosc 33:3361–3369. https://doi.org/10.1007/s00464-018-06629-2
doi: 10.1007/s00464-018-06629-2
pubmed: 30604264
pmcid: 6722046
Schoenmaeckers EJP, Wassenaar EB, Raymakers JTFJ, Rakic S (2011) Bulging of the mesh after laparoscopic repair of Ventral and Incisional Hernias. J Soc Laparoendosc Surg 14:541–546. https://doi.org/10.4293/108680810X12924466008240
doi: 10.4293/108680810X12924466008240
Bernardi K, Olavarria OA, Holihan JL et al (2020) Primary fascial closure during laparoscopic ventral hernia repair improves patient quality of life: a multicenter, blinded randomized controlled trial. Ann Surg 271:434–439. https://doi.org/10.1097/SLA.0000000000003505
doi: 10.1097/SLA.0000000000003505
pubmed: 31365365
van den Dop LM, de Smet GHJ, Kleinrensink GJ et al (2021) Hybrid operation technique for incisional hernia repair: a systematic review and meta-analysis of intra- and postoperative complications. Brit J Surg. https://doi.org/10.1093/bjs/znab395.123
doi: 10.1093/bjs/znab395.123
Ahonen-Siirtola M, Nevala T, Vironen J et al (2020) Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomised multicentre study, 1-year results. Surg Endosc 34:88–95. https://doi.org/10.1007/s00464-019-06735-9
doi: 10.1007/s00464-019-06735-9
pubmed: 30941550
Ahonen-Siirtola M, Nevala T, Vironen J et al (2018) Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomized multicenter study of 1-month follow-up results. Hernia 22:1015–1022. https://doi.org/10.1007/s10029-018-1784-2
doi: 10.1007/s10029-018-1784-2
pubmed: 29882170
Ware JE, Sherbourne CD (1992) The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Henriksen NA, Montgomery A, Kaufmann R et al (2020) Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society. Br J Surg 107:171–190
doi: 10.1002/bjs.11489
pubmed: 31916607
Martin-del-Campo LA, Miller HJ, Elliott HL, Novitsky YW (2018) Laparoscopic ventral hernia repair with and without defect closure: comparative analysis of a single-institution experience with 783 patients. Hernia 22:1061–1065. https://doi.org/10.1007/s10029-018-1812-2
doi: 10.1007/s10029-018-1812-2
pubmed: 30168007
Tandon A, Pathak S, Lyons NJR et al (2016) Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair. Br J Surg 103:1598–1607
doi: 10.1002/bjs.10268
pubmed: 27546188
Lambrecht JR, Vaktskjold A, Trondsen E et al (2015) Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure. Hernia 19:479–486. https://doi.org/10.1007/s10029-015-1345-x
doi: 10.1007/s10029-015-1345-x
pubmed: 25663605
Kallinowski F, Ludwig Y, Gutjahr D et al (2021) Biomechanical Influences on mesh-related complications in incisional hernia repair. Front Surg. https://doi.org/10.3389/fsurg.2021.763957
doi: 10.3389/fsurg.2021.763957
pubmed: 34977141
pmcid: 8714753
Kallinowski F, Ludwig Y, Löffler T et al (2021) Biomechanics applied to incisional hernia repair–considering the critical and the gained resistance towards impacts related to pressure. Clin Biomech. https://doi.org/10.1016/j.clinbiomech.2020.105253
doi: 10.1016/j.clinbiomech.2020.105253
Kallinowski F, Gutjahr D, Harder F et al (2021) The grip concept of incisional hernia repair—dynamic bench test, CT abdomen with Valsalva and 1-year clinical results. Front Surg. https://doi.org/10.3389/fsurg.2021.602181
doi: 10.3389/fsurg.2021.602181
pubmed: 34977141
pmcid: 8714753
Köckerling F (2019) Recurrent incisional hernia repair—an overview. Front Surg. https://doi.org/10.3389/fsurg.2019.00026
doi: 10.3389/fsurg.2019.00026
pubmed: 31139632
pmcid: 6527885
Köckerling F, Lammers B (2018) Open intraperitoneal onlay mesh (IPOM) technique for Incisional Hernia Repair. Front Surg. https://doi.org/10.3389/fsurg.2018.00066
doi: 10.3389/fsurg.2018.00066
pubmed: 30538992
pmcid: 6277585
Christoffersen MW, Brandt E, Helgstrand F et al (2015) Recurrence rate after absorbable tack fixation of mesh in laparoscopic incisional hernia repair. Br J Surg 102:541–547. https://doi.org/10.1002/bjs.9750
doi: 10.1002/bjs.9750
pubmed: 25703637
Baker JJ, Öberg S, Andresen K, Rosenberg J (2018) Decreased re-operation rate for recurrence after defect closure in laparoscopic ventral hernia repair with a permanent tack fixated mesh: a nationwide cohort study. Hernia 22:577–584. https://doi.org/10.1007/s10029-018-1776-2
doi: 10.1007/s10029-018-1776-2
pubmed: 29748724
Mathes T, Prediger B, Walgenbach M, Siegel R (2021) Mesh fixation techniques in primary ventral or incisional hernia repair. Cochrane Database Syst Rev 2021:011563