Author/Editor		Rems, Miran; Tušar, Sandra; Dolenc, Matej
Title		Pozni rezultati zdravljenja pooperativnih kil z retromuskularno položeno mrežico
Translated title		Long-term results of incisional hernia repair with retromuscular mesh
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 80, št. 4
Publication year		2011
Volume		str. 268-75
Language		slo
Abstract		Background: Post-operative hernia is the most frequent complication following abdominal surgery. Hernia repair used to be done by direct suture of the abdominal wall, but nowadays mesh placement is the method of choice. It has been demonstrated that the retromuscular position of the mesh is most appropriate. The treatment results and the patients' views of the treatment are presented. Methods: Treatment results were analyzed retrospectively, and the patients who had been operated on for postoperative hernia were interviewed. Results: Between January 2004 and December 2008, 150 patients with postoperative hernia were operated on. The analysis includes 121 interviewed patients (80.7 %), 16 patients (10.7 %) were unavailable, 6 patients (4 %) moved away 2 (1.3 %) refused to cooperate, and 5 patients (3.3 %) died. The mean age of the interviewees was 64.4 years and the mean hospital stay was 4.2 days. During hospital stay, 14 patients out of the total of 121 interviewed patients (11.6 %) experienced complications and 6 patients (4.9 %) had a wound infection. During the mean observation period of 36 months, 5 patients (4.1 %) presented with recurrences. The mean duration of postoperative pain was 6.6 weeks; 35 patients (28.9 %) continued taking analgesics at home; 22 patients (18.2 %) still felt pain in the wound during the interview. The mean recovery to normal, daily activities took 8 weeks. Nearly one quarter of the patients (23.9%) reported still being careful about engaging in daily activities. The majority of the patients, i.e. 116 patients (95.9 %), were satisfied with the surgical procedure and would recommend it to a relative in the same situation. Conclusions: The retromuscular mesh placement for postoperative hernia repair results in a low rate of recurrences and postoperative complications. (Abstract truncated at 2000 characters)
Descriptors		ABDOMEN POSTOPERATIVE COMPLICATIONS HERNIA, VENTRAL SURGICAL MESH PAIN TREATMENT OUTCOME RETROSPECTIVE STUDIES