کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278372 1611499 2015 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Large and complex ventral hernia repair using “components separation technique” without mesh results in a high recurrence rate
ترجمه فارسی عنوان
تعمیر بزرگ و پیچیده فتق شکمی با استفاده از تکنیک جداسازی قطعات بدون مش در یک نرخ عود بالا است
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundRecurrence rates after component separation technique (CST) are low in the literature but may be underestimated because of inadequate follow-up methods.MethodsProspective patient follow-up was performed of consecutive patients who underwent repair of large and complex ventral hernias using CST without mesh utilization. Primary outcome was recurrent hernia determined by clinical examination at least 1 year after surgery in all living patients. Current literature underwent meta-analysis regarding outcomes and mode of follow-up.ResultsSeventy-five patients were included with a mean age of 52.2 years and a mean defect size of 214.9 cm2, respectively. Twenty-nine patients (38.7%) had a recurrent hernia after a mean of 40.9-month follow-up, and this was significantly higher than in the literature (14.0%, P < .01). Sixty-four percent of studies in the literature were unclear about the method of determining recurrent hernia or included telephone follow-up and questionnaires.ConclusionsCST coincides with a high recurrence rate when clinical follow-up is longer than a year. Reported recurrence rates are probably underestimated because the method and duration of follow-up are inadequate.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 209, Issue 1, January 2015, Pages 170–179
نویسندگان
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