Page 166 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials

Chapter 8
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Table 2. Overview of di erent LIH repair techniques and results.
Technique
Open without mesh 460
Complex LIH (%)
Wound complications (%)
Mesh infection (%) Recurrences (%)
Mean FU
CST(9, 11, 31-35)
Aponeuroplasty(10, 36, 37) Langenskiöld(38)
Open with mesh 3002
±40 55 ?
41 13 33
- 16 - 12 -44
1-4 years 4-10 years 6 years
Sublay(10, 39-48)
Aponeuroplasty + IPOM(49, 50)
IPOM (bridging)(11, 15, 46, 51-57) MCST(47, 58-64)
Onlay(53, 65-69)
Sandwich(53, 70-73)
Laparoscopy 483
26
27 9 19 48 31 19
4.7 1.3 3.7 0.6 1.7 0.8
3.6 3.2 8.3 10.0 11.1 0.8
1-8 years 3-8 years 1-6 years 1-5 years 1-6 years 1-7 years
IPOM (bridging) (74-81)
483 100 0 8
0.4
5.6
1-5 years
# Simple LIH (%)
219 ±60 195 45 46 ?
762 74
630 ?? 514 ±85 ±15 511 43 57 454 96 4 131 ±90 ±10