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. 2001 Dec;167(12):903-8.
doi: 10.1080/110241501753361587.

Incisional hernia repair: tensiometry for the selection of the appropriate procedure

B Reingruber  1 , S Kastl, C Stremmel, P D Klein
Affiliations

Incisional hernia repair: tensiometry for the selection of the appropriate procedure

B Reingruber et al. Eur J Surg. 2001 Dec.

Abstract

Objective: To audit the early and late results of repairs of incisional hernias before and after the introduction of peroperative tensiometry.

Design: Retrospective study.

Setting: University hospital, Germany.

Patients: 675 operations on 553 patients in 18 years.

Interventions: Before we introduced tensiometry we closed 560 incisional hernias by direct suture and 63 by the inlay-onlay technique. Since we took up tensiometry the numbers were 9 and 43, respectively.

Main outcome measures: Postoperative complications including recurrences.

Results: Recurrences developed in 246/560 (44%) after direct suture in the early series, compared with 2/9 (22%) after adoption of tensiometry. After inlay-onlay operations there were 4/63 (6%) recurrences before, and 1/43 (2%) after adoption of tensiometry.

Conclusions: Tensiometry allows the surgeon to tailor his operation to the conditions that he finds during the operation.

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