Article
Long-Term Outcomes of Abdominal Wall Reconstruction. What are the Real Numbers?
Ruben Peralta,
Rifat Latifi,
Corresponding Author
Ruben Peralta
Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Doha, Qatar
[email protected]Search for more papers by this authorRifat Latifi
Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Doha, Qatar
Department of Surgery, Trauma Division, University of Arizona, Tucson, AZ, USA
Search for more papers by this authorRuben Peralta,
Rifat Latifi,
Corresponding Author
Ruben Peralta
Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Doha, Qatar
[email protected]Search for more papers by this authorRifat Latifi
Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Doha, Qatar
Department of Surgery, Trauma Division, University of Arizona, Tucson, AZ, USA
Search for more papers by this authorAbstract
Introduction
Advances in the acute management of the severely injured and critically ill patients have had a significant impact in survival and have increased our exposure to complex repair of large abdominal wall defects. The purpose of this article was to review the long-term (5-year or greater) outcomes of reconstruction of abdominal wall defects and the different modalities and materials currently available in the management of this challenging clinical condition.
Methods
A review of published literature.
Results
Our review of literature, in English language from 1984 to May 2011, identified six studies. The minimum average follow-up of the studies examined was 63 months. The hernia recurrence rate ranged from 1.1 to 16% at 5 years. A 10-year cumulative recurrence rate of 63% has been reported for suture repair and a 32% for prosthetic repair in incisional hernia.
Conclusions
There is a need for long-term studies of complex abdominal wall reconstruction, using biologic prosthetics mesh.
References
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