A comparative study in elective repair of large incisional hernias using on-lay mesh vs. sub-lay mesh: a meta-analysis
Ventral abdominal wall incisional hernia is defined as a defect in the musculo-fascial layers of the abdominal wall in the region of the postoperative scar. There is a slight increase in the incidence of incisional hernia in the female gender. The higher percentage of incisional hernia in females mi...
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| Veröffentlicht in: | Updates in surgery 2024-09, Vol.76 (5), p.1685-1697 |
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| creator | Hassan, Basma Hussein Abdelaziz Kamel, Kirollos Adel Louiz Awad, Philobater Bahgat Adly Awad, Kerolos Bahgat Adly Maaty, Sameh Abdallah Fawzi, Fawzi Salah El-Shayeb, Bassem Helmy |
| description | Ventral abdominal wall incisional hernia is defined as a defect in the musculo-fascial layers of the abdominal wall in the region of the postoperative scar. There is a slight increase in the incidence of incisional hernia in the female gender. The higher percentage of incisional hernia in females might be due to laxity of abdominal wall muscles after multiple pregnancies and also an increased incidence of obesity in females. To assess incisional hernia repair using two different techniques: on-lay mesh and sub-lay mesh, as regards operative time, postoperative recurrence, wound infection, seroma, hematoma, and flap necrosis. Pubmed, Web of Science, and Scopus were searched on 15 March 2022. The keywords incisional hernia, sub-lay mesh on-lay mesh, retromuscular mesh, and polypropylene. According to our results, there is a statistical difference between onlay and sublay regarding intra-operative time as sublay mesh is more time-consuming. Regarding postoperative complications, there is no statistical difference in recurrence, seroma, hematoma, flap necrosis, and infection but there is a statistical difference regarding in hospital stay as patients with sub-lay repair stays less than only. |
| doi_str_mv | 10.1007/s13304-024-01755-0 |
| format | Article |
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There is a slight increase in the incidence of incisional hernia in the female gender. The higher percentage of incisional hernia in females might be due to laxity of abdominal wall muscles after multiple pregnancies and also an increased incidence of obesity in females. To assess incisional hernia repair using two different techniques: on-lay mesh and sub-lay mesh, as regards operative time, postoperative recurrence, wound infection, seroma, hematoma, and flap necrosis. Pubmed, Web of Science, and Scopus were searched on 15 March 2022. The keywords incisional hernia, sub-lay mesh on-lay mesh, retromuscular mesh, and polypropylene. According to our results, there is a statistical difference between onlay and sublay regarding intra-operative time as sublay mesh is more time-consuming. Regarding postoperative complications, there is no statistical difference in recurrence, seroma, hematoma, flap necrosis, and infection but there is a statistical difference regarding in hospital stay as patients with sub-lay repair stays less than only.</description><identifier>ISSN: 2038-131X</identifier><identifier>ISSN: 2038-3312</identifier><identifier>EISSN: 2038-3312</identifier><identifier>DOI: 10.1007/s13304-024-01755-0</identifier><identifier>PMID: 38372955</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Wall - surgery ; Elective Surgical Procedures - adverse effects ; Elective Surgical Procedures - methods ; Female ; Hematoma - epidemiology ; Hematoma - etiology ; Hernia, Ventral - surgery ; Herniorrhaphy - adverse effects ; Herniorrhaphy - methods ; Humans ; Incisional Hernia - surgery ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Operative Time ; Original ; Original Article ; Polypropylenes ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Recurrence ; Seroma - epidemiology ; Seroma - etiology ; Surgery ; Surgical Mesh ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - etiology</subject><ispartof>Updates in surgery, 2024-09, Vol.76 (5), p.1685-1697</ispartof><rights>The Author(s) 2024</rights><rights>2024. 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There is a slight increase in the incidence of incisional hernia in the female gender. The higher percentage of incisional hernia in females might be due to laxity of abdominal wall muscles after multiple pregnancies and also an increased incidence of obesity in females. To assess incisional hernia repair using two different techniques: on-lay mesh and sub-lay mesh, as regards operative time, postoperative recurrence, wound infection, seroma, hematoma, and flap necrosis. Pubmed, Web of Science, and Scopus were searched on 15 March 2022. The keywords incisional hernia, sub-lay mesh on-lay mesh, retromuscular mesh, and polypropylene. According to our results, there is a statistical difference between onlay and sublay regarding intra-operative time as sublay mesh is more time-consuming. Regarding postoperative complications, there is no statistical difference in recurrence, seroma, hematoma, flap necrosis, and infection but there is a statistical difference regarding in hospital stay as patients with sub-lay repair stays less than only.</description><subject>Abdominal Wall - surgery</subject><subject>Elective Surgical Procedures - adverse effects</subject><subject>Elective Surgical Procedures - methods</subject><subject>Female</subject><subject>Hematoma - epidemiology</subject><subject>Hematoma - etiology</subject><subject>Hernia, Ventral - surgery</subject><subject>Herniorrhaphy - adverse effects</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Incisional Hernia - surgery</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Operative Time</subject><subject>Original</subject><subject>Original Article</subject><subject>Polypropylenes</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Recurrence</subject><subject>Seroma - epidemiology</subject><subject>Seroma - etiology</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - etiology</subject><issn>2038-131X</issn><issn>2038-3312</issn><issn>2038-3312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9UU1rGzEQXUpLE9L8gR6Kjr1sopGs9aqXEkI_AoFeWuhNzMqztsKu5Gp2Df73lWPXtJcKRjPMe_NG6FXVW5A3IOXylkFruailKgFLY2r5orpUUre11qBenmrQ8POiumZ-kuVoe7hfVxe61UtljbmsdnfCp3GLGaewI8HTvNqLEAUN5J87mbYYski9GDCvqWA-cEgRB7GhHAOymDnEtUixHnAvRuKN2PGN4Lk7Nz4ILHnCGsvcngO_qV71ODBdn_JV9ePzp-_3X-vHb18e7u8ea69tO9Urs-ob2XhjDVhFBqEnA0o21ChAA11j2kXbLa0H39mFAgDSCMo3nZZGgr6qPh51t3M30spTnDIObpvDiHnvEgb3LxLDxq3TzgEsjGmsLArvTwo5_ZqJJzcG9jQMGCnN7JRVrWmNbE2hqiPV58ScqT_vAekOprmjaa6Y5p5Ncwf9d3-_8Dzyx6JC0EcCFyiuKbunNOfyj_w_2d-1z6ME</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Hassan, Basma Hussein Abdelaziz</creator><creator>Kamel, Kirollos Adel Louiz</creator><creator>Awad, Philobater Bahgat Adly</creator><creator>Awad, Kerolos Bahgat Adly</creator><creator>Maaty, Sameh Abdallah</creator><creator>Fawzi, Fawzi Salah</creator><creator>El-Shayeb, Bassem Helmy</creator><general>Springer International Publishing</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240901</creationdate><title>A comparative study in elective repair of large incisional hernias using on-lay mesh vs. sub-lay mesh: a meta-analysis</title><author>Hassan, Basma Hussein Abdelaziz ; Kamel, Kirollos Adel Louiz ; Awad, Philobater Bahgat Adly ; Awad, Kerolos Bahgat Adly ; Maaty, Sameh Abdallah ; Fawzi, Fawzi Salah ; El-Shayeb, Bassem Helmy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-d5df606c595192e5a1fe51206e621a51b65848b79c1cb942111e3a12c6b305013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdominal Wall - surgery</topic><topic>Elective Surgical Procedures - adverse effects</topic><topic>Elective Surgical Procedures - methods</topic><topic>Female</topic><topic>Hematoma - epidemiology</topic><topic>Hematoma - etiology</topic><topic>Hernia, Ventral - surgery</topic><topic>Herniorrhaphy - adverse effects</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Incisional Hernia - surgery</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Operative Time</topic><topic>Original</topic><topic>Original Article</topic><topic>Polypropylenes</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Recurrence</topic><topic>Seroma - epidemiology</topic><topic>Seroma - etiology</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hassan, Basma Hussein Abdelaziz</creatorcontrib><creatorcontrib>Kamel, Kirollos Adel Louiz</creatorcontrib><creatorcontrib>Awad, Philobater Bahgat Adly</creatorcontrib><creatorcontrib>Awad, Kerolos Bahgat Adly</creatorcontrib><creatorcontrib>Maaty, Sameh Abdallah</creatorcontrib><creatorcontrib>Fawzi, Fawzi Salah</creatorcontrib><creatorcontrib>El-Shayeb, Bassem Helmy</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Updates in surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hassan, Basma Hussein Abdelaziz</au><au>Kamel, Kirollos Adel Louiz</au><au>Awad, Philobater Bahgat Adly</au><au>Awad, Kerolos Bahgat Adly</au><au>Maaty, Sameh Abdallah</au><au>Fawzi, Fawzi Salah</au><au>El-Shayeb, Bassem Helmy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparative study in elective repair of large incisional hernias using on-lay mesh vs. sub-lay mesh: a meta-analysis</atitle><jtitle>Updates in surgery</jtitle><stitle>Updates Surg</stitle><addtitle>Updates Surg</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>76</volume><issue>5</issue><spage>1685</spage><epage>1697</epage><pages>1685-1697</pages><issn>2038-131X</issn><issn>2038-3312</issn><eissn>2038-3312</eissn><abstract>Ventral abdominal wall incisional hernia is defined as a defect in the musculo-fascial layers of the abdominal wall in the region of the postoperative scar. There is a slight increase in the incidence of incisional hernia in the female gender. The higher percentage of incisional hernia in females might be due to laxity of abdominal wall muscles after multiple pregnancies and also an increased incidence of obesity in females. To assess incisional hernia repair using two different techniques: on-lay mesh and sub-lay mesh, as regards operative time, postoperative recurrence, wound infection, seroma, hematoma, and flap necrosis. Pubmed, Web of Science, and Scopus were searched on 15 March 2022. The keywords incisional hernia, sub-lay mesh on-lay mesh, retromuscular mesh, and polypropylene. According to our results, there is a statistical difference between onlay and sublay regarding intra-operative time as sublay mesh is more time-consuming. 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| ispartof | Updates in surgery, 2024-09, Vol.76 (5), p.1685-1697 |
| issn | 2038-131X 2038-3312 2038-3312 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Abdominal Wall - surgery Elective Surgical Procedures - adverse effects Elective Surgical Procedures - methods Female Hematoma - epidemiology Hematoma - etiology Hernia, Ventral - surgery Herniorrhaphy - adverse effects Herniorrhaphy - methods Humans Incisional Hernia - surgery Length of Stay Male Medicine Medicine & Public Health Operative Time Original Original Article Polypropylenes Postoperative Complications - epidemiology Postoperative Complications - etiology Recurrence Seroma - epidemiology Seroma - etiology Surgery Surgical Mesh Surgical Wound Infection - epidemiology Surgical Wound Infection - etiology |
| title | A comparative study in elective repair of large incisional hernias using on-lay mesh vs. sub-lay mesh: a meta-analysis |
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