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. 2020 Aug 2;12(8):e9523.
doi: 10.7759/cureus.9523.

Long-Term Outcomes of Ventral Hernia Repair: An 11-Year Follow-Up

Nikita Kadakia  1 , Ross Mudgway  2 , Jonathan Vo  3 , Vinson Vong  4 , Tiffany Seto  5 , Pascal Bortz  3 , Aron Depew  6
Affiliations

Long-Term Outcomes of Ventral Hernia Repair: An 11-Year Follow-Up

Nikita Kadakia et al. Cureus. .

Abstract

Background: Ventral hernia repair (VHR) is one of the most common general surgery procedures; however, few studies with long-term follow-up of VHR outcomes exist.

Methods: We performed a retrospective review of VHRs performed from 2000 to 2009 at a single institution. Our primary outcome was recurrence, and secondary outcomes were reoperations and complications including seroma, hematomas, abdominal wall abscess, wound infections, and mesh infections.

Results: Our sample population (n=420; mean age 46.3±11.7 years) included 230 females (54.8%), and cases included laparoscopic (n=31; 7.5%), laparoscopic converted to open (n=7; 1.7%), and open (n=373, 90%). As compared to suture repairs, mesh repair was associated with lower rates of complications (25.7% vs 29.5%, p=0.10) and recurrence (12.8% vs 15.2%, p=0.67). Laparoscopic repairs had lower rates of complications than open repairs (25% vs 26.8%; p=0.70) but similar rates of recurrence (13.8% and 13.6%; p=0.53). After logistic regression, obesity, chronic obstructive pulmonary disease, component separation technique, and prolonged operating time (>75th percentile) were associated with increased complications.

Conclusion: Obesity is a modifiable risk factor and must be addressed in patients undergoing VHRs. Mesh repair does not increase the risk of adverse long-term outcomes and may be performed safely in patients undergoing VHR.

Keywords: abdomen ventral hernia; hernia mesh; ventral wall hernias.

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Conflict of interest statement

The authors have declared that no competing interests exist.

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