Comparison of the outcomes of ‘component separation with mesh’, ‘component separation without mesh’ and ‘primary prosthetic repair’ methods in complex abdominal wall reconstruction

Authors : Ufuk ARSLAN, Umut Eren ERDOGDU
Pages : 297-303
Doi:10.18621/eurj.710303
View : 115 | Download : 10
Publication Date : 2021-05-04
Article Type : Research Paper
Abstract :Objectives: The aim of this study is to compare the results of different surgical methods used in giant midline incision hernias. Methods: The records of 90 patients operated on for a midline abdominal incisional hernia were reviewed retrospectively. The patients were divided into three groups based on the surgical method used primary prosthetic repair insert ignore into journalissuearticles values(PPR);, component separation with mesh insert ignore into journalissuearticles values(CSM); and component separation without mesh insert ignore into journalissuearticles values(CS);. Two-year follow-up results were compared. Results: A statistically significant difference was noted between the groups in the transverse diameter measurement of the defect insert ignore into journalissuearticles values( p = 0.003);. Subgroup analyses revealed that the median transverse diameter was higher in the CSM group than in the CS group insert ignore into journalissuearticles values( p = 0.003);. There was also a statistically significant difference in the duration of surgery insert ignore into journalissuearticles values( p < 0.001);, with a subgroup analysis revealing that the duration of surgery was longer in the CSM group than in the PPR and CS groups insert ignore into journalissuearticles values(PPR-CSM; p = 0.008, CSM-CS; p < 0.001);. Recurrent incisional hernia, smoking and postoperative morbidity development were found to be statistically and significantly associated with recurrence insert ignore into journalissuearticles values( p = 0.005, p = 0.002, p < 0.001; respectively);. Conclusions: The use of the CSM method for the repair of giant incisional hernias may reduce recurrence.
Keywords : Component separation, incisional hernia, mesh, recurrence

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