Klein Ganseij, H.J. (2018) Short- and long-term results after a modified Chevrel procedure for open midline incisional hernia repair: a single center, retrospective cohort study. thesis, Medicine.
Full text available on request.Abstract
Background Incisional hernia is a serious complication after an abdominal surgical procedure, decreasing quality of life. Open surgical repair is indicated for patients with a symptomatic incisional hernia for whom laparoscopic repair is unsuitable. A lot of different open surgical techniques have been described, each with its advantages and disadvantages. The aim of this study was to describe the results of a modified Chevrel procedure of which we hypothesize it has acceptable results in terms of recurrence, with a low rate of severe complications due to the superficial positioning of the mesh. Methods A single-center, retrospective cohort study was performed in the Medical Spectrum Twente, the Netherlands. The operation database was searched for operation codes corresponding with incisional hernia repair between 1st of January 2005 and 31st of December 2015. All patients who had undergone open midline incisional hernia repair, using a (modified) Chevrel technique, were included. Results 92 patients were included. Mean age was 55±12 years, and mean body mass index 29.2±5.8 kg/m². Eight patients (8.7%) had a recurrence of an incisional hernia. The median time to recurrence was 22.1 (IQR 12.5-49.3) months. Patient characteristics associated with recurrence could not be statistically identified. 50 patients (54%) developed wound complications, mostly seroma and surgical site infection. 46 of these complications were mild and 3 patient required surgical reintervention. No enterocutaneous fistula, intra-abdominal or life-threatening complications were seen. Previous surgical site infection and Physio mesh placement increased risk for postoperative surgical site infection. Conclusion The modified Chevrel procedure has acceptable results in terms of recurrence, but has high rates of wound complications. Though these wound complications were very common, no intra-abdominal complications or life-threatening complications occurred.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Supervisor: and Hogeboom, Dr. W.R. trauma surgeon and Location: Department of surgery, Medical Spectrum Twente (MS |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:00 |
| Last Modified: | 25 Jun 2020 11:00 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2073 |
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