Repair of giant incisional hernias: Comparison of separation technique with and without mesh

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dc.authoridBenek, Suat/0000-0003-0774-7695
dc.authoridPeduk, Sevki/0000-0002-7476-384X
dc.contributor.authorBenek, Suat
dc.contributor.authorPeduk, Sevki
dc.contributor.authorDuran, Yasin
dc.date.accessioned2024-10-29T17:59:30Z
dc.date.available2024-10-29T17:59:30Z
dc.date.issued2022
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractBACKGROUND: Incisional hernias are one of the most common postoperative complications encountered by surgeons in daily practice. In our study, we compared the component separation technique (CST) with and without synthetic mesh in large incisional hernia surgery. MATERIALS AND METHODS: The files of 79 patients who underwent surgery for giant incisional hernia between January 2016 and November 2020 were reviewed retrospectively. The patients were divided into two groups: CST with mesh reinforcement (mesh+ group) and CST without mesh reinforcement (non-mesh group). The groups were compared in terms of recurrence, complications, and other clinical features. RESULTS: There were 36 patients in the mesh+ group and 38 patients in the non-mesh group. There was no significant difference between the two groups in terms of demographic parameters and clinical features. There was a statistically significant difference between the groups in terms of recurrence rate (P = 0.007, OR = 0.17). In addition, there was a significant difference between the two groups in terms of mean operation times (2.8 h and 1.9 h for mesh+ and non-mesh, respectively) (P = 0.000, 95% CI). Regardless of the use of mesh, recurrence was significantly higher in the presence of high body mass index (BMI) (P = 0.003, 95% CI) and comorbidity (P = 0.031, OR = 3.4). CONCLUSION: Repair of giant incisional hernias with mesh-reinforced CST is superior to the non-mesh technique in terms of hernia recurrence. Although CST without mesh reinforcement seems advantageous in terms of complications and operation time, we believe that the mesh-reinforced CST should be applied in suitable patients when the total cost, recurrence, and patient satisfaction are taken into account.
dc.identifier.doi10.4103/IJAWhs.ijawhs_74_21
dc.identifier.endpage115
dc.identifier.issn2589-8736
dc.identifier.issn2589-8078
dc.identifier.issue3en_US
dc.identifier.startpage110
dc.identifier.urihttps://doi.org/10.4103/IJAWhs.ijawhs_74_21
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14757
dc.identifier.volume5
dc.identifier.wosWOS:001104899000001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofInternational Journal of Abdominal Wall and Hernia Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectComponent separation technique
dc.subjectincisional hernia
dc.subjectrecurrence
dc.titleRepair of giant incisional hernias: Comparison of separation technique with and without mesh
dc.typeArticle

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