What question did this study set out to answer?

To determine the optimal surgical approach for midline incisional hernia by comparing long-term recurrence, complication rates, discomfort, and patient satisfaction between suture and mesh repair.

September 21, 2004Annals of SurgeryOpen Access

Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia

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Authors

JBJacobus W. A. Burger RLRoland W. Luijendijk WHWim C.J. Hop

Discussion

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Overview

Randomized trial demonstrates lower long-term recurrence and abdominal pain with mesh versus suture repair in incisional hernia, indicating suture repair should be abandoned.

Key Points

To determine the optimal surgical approach for midline incisional hernia by comparing long-term recurrence, complication rates, discomfort, and patient satisfaction between suture and mesh repair.
Multicenter randomized controlled trial enrolled 181 eligible patients with primary or first-time recurrent midline incisional hernia randomly assigned to suture or mesh repair between 1992 and 1998.
Follow-up was updated in 2003 with a median follow-up duration of 75 months for suture repair and 81 months for mesh repair (126 patients completed long-term follow-up at a median of 98 months).
Ten-year cumulative recurrence was significantly lower after mesh repair compared with suture repair (32% vs 63%, P < 0.001), including in the subgroup with small hernias (17% vs 67%, P = 0.003).
Complication rates did not differ significantly between mesh and suture repair groups (17% vs 8%, P = 0.17), while suture repair resulted in significantly more abdominal pain (P = 0.01) with no differences in scar pain, cosmetic results, or satisfaction.

Cite This Study

Burger et al. (2004) studied this question.

synapsesocial.com/papers/69ffbc94ef8139f8ff776ed3 https://doi.org/10.1097/01.sla.0000141193.08524.e7

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September 21, 2004Annals of SurgeryOpen Access

Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia

View Full Paper

Ask AI

Bookmark

Authors

JBJacobus W. A. Burger RLRoland W. Luijendijk WHWim C.J. Hop

Discussion

Member takes

Overview

Randomized trial demonstrates lower long-term recurrence and abdominal pain with mesh versus suture repair in incisional hernia, indicating suture repair should be abandoned.

Key Points

To determine the optimal surgical approach for midline incisional hernia by comparing long-term recurrence, complication rates, discomfort, and patient satisfaction between suture and mesh repair.
Multicenter randomized controlled trial enrolled 181 eligible patients with primary or first-time recurrent midline incisional hernia randomly assigned to suture or mesh repair between 1992 and 1998.
Follow-up was updated in 2003 with a median follow-up duration of 75 months for suture repair and 81 months for mesh repair (126 patients completed long-term follow-up at a median of 98 months).
Ten-year cumulative recurrence was significantly lower after mesh repair compared with suture repair (32% vs 63%, P < 0.001), including in the subgroup with small hernias (17% vs 67%, P = 0.003).
Complication rates did not differ significantly between mesh and suture repair groups (17% vs 8%, P = 0.17), while suture repair resulted in significantly more abdominal pain (P = 0.01) with no differences in scar pain, cosmetic results, or satisfaction.

Cite This Study

Burger et al. (2004) studied this question.

synapsesocial.com/papers/69ffbc94ef8139f8ff776ed3 https://doi.org/10.1097/01.sla.0000141193.08524.e7

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