Open repair of flank and lumbar hernias: 142 consecutive repairs at a high-volume hernia center.
Am J Surg
; 234: 136-142, 2024 Aug.
Article
en En
| MEDLINE
| ID: mdl-38627142
ABSTRACT
BACKGROUND:
Flank and lumbar hernias (FLH) are challenging to repair. This study aimed to establish a reproducible management strategy and analyze elective flank and lumbar repair (FLHR) outcomes from a single institution.METHODS:
A prospective analysis using a hernia-specific database was performed examining patients undergoing open FLHR between 2004 and 2021. Variables included patient demographics and operative characteristics.RESULTS:
Of 142 patients, 106 presented with flank hernias, and 36 with lumbar hernias. Patients, primarily ASA Class 2 or 3, exhibited a mean age of 57.0 â± â13.4 years and BMI of 30.2 â± â5.7 âkg/m2. Repairs predominantly utilized synthetic mesh in the preperitoneal space (95.1 â%). After 29.9 â± â13.1 months follow-up, wound infections occurred in 8.3 â%; hernia recurrence was 3.5 â%. At 6 months postoperatively, 21.2 â% of patients reported chronic pain with two-thirds of these individuals having preoperative pain.CONCLUSIONS:
Open preperitoneal FLHR provides a durable repair with low complication and hernia recurrence rates over 2.5 years of follow-up.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Mallas Quirúrgicas
/
Herniorrafia
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos