Long-term recurrence and chronic pain after repair for small umbilical or epigastric hernias: a regional cohort study

被引：72
|
作者：
Christoffersen, Mette W. [1 ]
Helgstrand, Frederik [2 ,3 ]
Rosenberg, Jacob [2 ,4 ]
Kehlet, Henrik [2 ,5 ]
Strandfelt, Pernille [1 ]
Bisgaard, Thue [1 ,2 ]
机构：
[1] Univ Copenhagen, Hvidovre Hosp, Div Surg, Gastro Unit, DK-2650 Hvidovre, Denmark
[2] Danish Hernia Database, Copenhagen, Denmark
[3] Univ Copenhagen, Rigshosp, Dept Gastrointestinal Surg, DK-2200 Copenhagen, Denmark
[4] Univ Copenhagen, Herlev Hosp, Div Surg, Gastro Unit, DK-2730 Copenhagen, Denmark
[5] Univ Copenhagen, Rigshosp, Sect Surg Pathophysiol, DK-2200 Copenhagen, Denmark
来源：
AMERICAN JOURNAL OF SURGERY | 2015年 / 209卷 / 04期
关键词：
Primary ventral hernia repair; Mesh repair; Sutured repair; Recurrence; Chronic pain; RANDOMIZED CONTROLLED-TRIAL; SUTURED ELECTIVE REPAIR; LOWER REOPERATION RATE; INCISIONAL HERNIA; FOLLOW-UP; PROSPECTIVE NATIONWIDE; MESH REPAIR; OUTCOMES; COMPLAINTS; REGISTER;
D O I：
10.1016/j.amjsurg.2014.05.021
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BACKGROUND: Mesh repair reduces the risk of reoperation for recurrence in patients with primary ventral hernias. However, reoperation for recurrence underestimates total recurrence (reoperation + clinical) and mesh reinforcement may induce chronic pain. This study investigated the total recurrence and risk of chronic pain in small primary ventral hernias. METHODS: A cohort study with questionnaire and clinical follow-up was conducted. Patients with primary, elective, open mesh or sutured repair for a small umbilical or epigastric hernia (<= 2 cm) were included. RESULTS: One thousand three hundred thirteen patients completed the questionnaire. The total cumulated recurrence rate after primary repair was 10% for mesh repair and 21% for sutured repair (P - .001). The incidence of chronic pain was 6% after mesh repair and 5% after sutured repair (P = .711). CONCLUSIONS: Mesh repair halved long-term risk of recurrence after repair for small ventral hernias without increased risk of chronic pain. (C) 2015 Elsevier Inc. All rights reserved.
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页码：725 / 732
页数：8
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