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Outcomes after Ventral Hernia Repair Using the Rives-Stoppa, Endoscopic, and Open Component Separation Techniques.

Publication ,  Journal Article
Muse, TO; Zwischenberger, BA; Miller, MT; Borman, DA; Davenport, DL; Roth, JS
Published in: Am Surg
March 1, 2018

Complex ventral hernias remain a challenge for general surgeons despite advances in minimally invasive surgical techniques. This study compares outcomes following Rives-Stoppa (RS) repair, components separation technique with mesh (CST-M) or without mesh (CST), and endoscopic components separation technique (ECST). A retrospective review of patients undergoing open ventral hernia repair between 2006 and 2011 was performed. Analysis included patient demographics, surgical site occurrences, hernia recurrence, hospital readmission, and mortality. The search was limited to open repairs, specifically the RS, CST-M, CST, and ECST with mesh techniques. A total of 362 patients underwent repair with RS (66), CST-M (126), CST (117), or ECST (53). The groups were demographically similar. ECST was more frequently used for patients with a history of two or more recurrences (P < 0.001). The RS method had the lowest rate of recurrence (9.1%) compared with CST and CST-M with 28 and 25 per cent recurrences, respectively (P = 0.011). The RS recurrence rate was not significantly different than ECST (15%). There were no significant differences between groups for surgical site occurrences (P = 0.305), hospital readmission (P = 0.288), or death (P = 0.197). When components separation is necessary for complex ventral hernia repair, ECST is a viable option without added morbidity or mortality.

Duke Scholars

Published In

Am Surg

EISSN

1555-9823

Publication Date

March 1, 2018

Volume

84

Issue

3

Start / End Page

433 / 437

Location

United States

Related Subject Headings

  • Wound Infection
  • Surgical Mesh
  • Surgery
  • Retrospective Studies
  • Recurrence
  • Postoperative Complications
  • Patient Readmission
  • Middle Aged
  • Male
  • Length of Stay
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Muse, T. O., Zwischenberger, B. A., Miller, M. T., Borman, D. A., Davenport, D. L., & Roth, J. S. (2018). Outcomes after Ventral Hernia Repair Using the Rives-Stoppa, Endoscopic, and Open Component Separation Techniques. Am Surg, 84(3), 433–437.
Muse, Thomas O., Brittany A. Zwischenberger, M Troy Miller, Daniel A. Borman, Daniel L. Davenport, and J Scott Roth. “Outcomes after Ventral Hernia Repair Using the Rives-Stoppa, Endoscopic, and Open Component Separation Techniques.Am Surg 84, no. 3 (March 1, 2018): 433–37.
Muse TO, Zwischenberger BA, Miller MT, Borman DA, Davenport DL, Roth JS. Outcomes after Ventral Hernia Repair Using the Rives-Stoppa, Endoscopic, and Open Component Separation Techniques. Am Surg. 2018 Mar 1;84(3):433–7.
Muse, Thomas O., et al. “Outcomes after Ventral Hernia Repair Using the Rives-Stoppa, Endoscopic, and Open Component Separation Techniques.Am Surg, vol. 84, no. 3, Mar. 2018, pp. 433–37.
Muse TO, Zwischenberger BA, Miller MT, Borman DA, Davenport DL, Roth JS. Outcomes after Ventral Hernia Repair Using the Rives-Stoppa, Endoscopic, and Open Component Separation Techniques. Am Surg. 2018 Mar 1;84(3):433–437.

Published In

Am Surg

EISSN

1555-9823

Publication Date

March 1, 2018

Volume

84

Issue

3

Start / End Page

433 / 437

Location

United States

Related Subject Headings

  • Wound Infection
  • Surgical Mesh
  • Surgery
  • Retrospective Studies
  • Recurrence
  • Postoperative Complications
  • Patient Readmission
  • Middle Aged
  • Male
  • Length of Stay