Article ID Journal Published Year Pages File Type
4278372 The American Journal of Surgery 2015 10 Pages PDF
Abstract

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.

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