TY - JOUR
T1 - Abdominal wall reconstruction
T2 - A case series of ventral hernia repair using the component separation technique with biologic mesh
AU - Hood, Keith
AU - Millikan, Keith
AU - Pittman, Troy
AU - Zelhart, Matthew
AU - Secemsky, Brian
AU - Rajan, Meenakshi
AU - Myers, Jonathan
AU - Luu, Minh
PY - 2013/3
Y1 - 2013/3
N2 - Background: Sixty-eight consecutive patients from October 2008 until February 2012 were selected for this retrospective review. Methods: A midline fascial closure with component separation was completed using biologic mesh onlay in all cases. Recurrence rates of the hernias, complication rates, patient satisfaction, and time to return to work/normal activities were investigated. Results: The recurrence rate was 1.5% (n = 65) with ongoing follow-ups (mean = 20 months). The average age was 57 years, and the average body mass index was 36 kg/m2 (range 22 to 60). The average hernia defect was 20 cm (range 12 to 26) transversely. Wound infection and/or breakdown occurred in 32%, and seroma formation occurred in 9% of patients. Patient satisfaction was 3.63 of 4. The average time to return to work/normal activities was 16 weeks (range 1 to 76 weeks). Conclusions: Large complex ventral hernias can be reliably repaired using the component separation technique. The short-term recurrence rate is significantly reduced in this case series using a biologic mesh onlay.
AB - Background: Sixty-eight consecutive patients from October 2008 until February 2012 were selected for this retrospective review. Methods: A midline fascial closure with component separation was completed using biologic mesh onlay in all cases. Recurrence rates of the hernias, complication rates, patient satisfaction, and time to return to work/normal activities were investigated. Results: The recurrence rate was 1.5% (n = 65) with ongoing follow-ups (mean = 20 months). The average age was 57 years, and the average body mass index was 36 kg/m2 (range 22 to 60). The average hernia defect was 20 cm (range 12 to 26) transversely. Wound infection and/or breakdown occurred in 32%, and seroma formation occurred in 9% of patients. Patient satisfaction was 3.63 of 4. The average time to return to work/normal activities was 16 weeks (range 1 to 76 weeks). Conclusions: Large complex ventral hernias can be reliably repaired using the component separation technique. The short-term recurrence rate is significantly reduced in this case series using a biologic mesh onlay.
KW - Biologic mesh onlay
KW - Separation of components
KW - Ventral hernia repair
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U2 - 10.1016/j.amjsurg.2012.10.024
DO - 10.1016/j.amjsurg.2012.10.024
M3 - Article
C2 - 23351508
AN - SCOPUS:84874111388
VL - 205
SP - 322
EP - 328
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 3
ER -