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Title of Journal: Hernia

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Abbravation: Hernia

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Springer Paris

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DOI

10.1002/ange.19360490109

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1248-9204

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Proper mesh overlap is a key determinant in hernia

Authors: K LeBlanc
Publish Date: 2015/07/05
Volume: 20, Issue: 1, Pages: 85-99
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Abstract

Ventral hernia can be repaired through either an open or laparoscopic approach A major problem following hernia repair is recurrence and the technique used for hernia repair influences the rate of hernia recurrence Data from individual studies show that the area of mesh overlap used during hernia repair correlates with hernia recurrence but no metaanalyses have previously been published The aim of this review was to perform a metaanalysis to determine if the area of mesh overlap correlates with the rate of hernia recurrence after ventral and incisional hernia repairStudies from 1990 to 2013 that used a mesh in open or laparoscopic procedures and that reported both the area of mesh overlap beyond the fascial defect and the recurrence rate were assessed for inclusion in the final analysis A pooled estimation of combined overall risk was calculated according to a random effect modelA total of 95 articles with 111 study populations met all criteria and were included in the final analysis For open procedures results showed no correlation between the pooled estimation of risk for recurrence of ventral hernia and area of mesh overlap used for hernia repair 3 cm incidence rate 0065 3–5 cm incidence rate 0070 5 cm incidence rate 0060 In laparoscopic procedures the pooled estimation of risk for recurrence of hernia decreased with increasing area of mesh overlap 3 cm incidence rate 0086 3–5 cm incidence rate 0046 5 cm incidence rate 0014Editorial support was provided by Covidien Kamna Aggarwal PhD Patrice Becker Caroline Ritchie PhD and Ming Teng The literature search and data extraction was conducted by the Covidien Information Resource Center and statistical analyses were performed by Ming Teng

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Other Papers In This Journal:
  1. Classification of groin hernia: Milestones
  2. Modified laparoscopic intraperitoneal onlay mesh in complicated inguinal hernia surgery
  3. A comparison of Progrip ® and Adhesix ® self-adhering hernia meshes in an onlay model in the rat
  4. Comparison of Permacol™ and Strattice™ for the repair of abdominal wall defects
  5. Archaic terms and dogmas impeding care of abdominal and pelvic herniation
  6. Laparoscopic management of urachal cyst associated with umbilical hernia
  7. Inguinal hernia is a common complication in lower midline incision surgery
  8. Incisional hernia in patients at risk: can it be prevented?
  9. Groin hernia repair in young males: mesh or sutured repair?
  10. Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience
  11. Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen
  12. Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN
  13. An enigma of spontaneous combined transdiaphragmatic, intercostal and abdominal wall hernia
  14. De Garengeot’s hernia: the importance of early diagnosis and its complications
  15. Late bilateral diaphragmatic rupture: Challenging diagnostic and surgical repair
  16. Genetic analysis of the TBX2 gene promoter in indirect inguinal hernia
  17. Prognostic value of age for chronic postoperative inguinal pain
  18. Operation Hernia to Ghana
  19. Schley’s inguinal hernia repair: a single unit’s experience of a forgotten technique
  20. Commentary on: low-cost mesh for inguinal hernia repair in resource-limited settings
  21. Incisional pubic hernia: treatment of a case with congenital malformation of the pelvis
  22. Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data
  23. One-year results of a prospective, randomised clinical trial comparing four meshes in laparoscopic inguinal hernia repair (TAPP)
  24. An evaluation of hernia education in surgical residency programs
  25. Irreducible inguinal hernia due to crossed testicular ectopia in an infant
  26. New Editor-in-Chief
  27. New Editor-in-Chief
  28. Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients
  29. Tissue expanders: early experience of a novel treatment option for perineal herniation
  30. What happens to the rectus abdominus fascia after laparoscopic ventral hernia repair?
  31. Abdominoscrotal hydrocele in a 9-month old infant
  32. Creation of a novel risk score for surgical site infection and occurrence after ventral hernia repair
  33. Are there any predictive factors of metachronous inguinal hernias in children with unilateral inguinal hernia?
  34. Letter to the editor
  35. Watchful waiting as a treatment strategy for patients with a ventral hernia appears to be safe
  36. Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields
  37. Epigastric hernia and its etiology
  38. Quality of life and outcomes for femoral hernia repair: does laparoscopy have an advantage?
  39. Evaluation of crosslinked and non-crosslinked biologic prostheses for abdominal hernia repair
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