Repair of incisional hernias with expanded polytetrafluoroethylene
- PMID: 9161823
Repair of incisional hernias with expanded polytetrafluoroethylene
Abstract
Objective: To find out the rates of recurrence after repair of incisional hernias with or without the implantation of a PTFE-patch.
Design: Open and retrospective study.
Setting: University hospital, Austria.
Subjects: 26 patients who had their incisional hernias repaired with a polytetrafluoroethylene (PTFE) patch and 70 for whom conventional methods were used.
Main outcome measures: Absolute recurrence rate and the Kaplan-Meier estimate 24 months after the operation. Presence of risk factors.
Results: Three patients developed recurrences by 24 months in the PTFE group and 41 in the conventional group. The Kaplan-Meier estimate for the PTFE group was 13% and for the conservative group 63%. Women had significantly fewer recurrences than men (p < 0.05). Age, body mass index, and diameter of the defect were not significantly associated with an increased risk of failure.
Conclusions: Insertion of a prosthesis can improve the results of surgical repair of incisional hernias.