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Complex incisional hernias repaired in conjunction with the Bony Anchoring Reinforcement System (BARS) prevents hernia recurrence

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Abstract

Background

Complex abdominal wall reconstruction and incisional hernia repair have been plagued by high recurrence rates, especially after multiple repair attempts and in those patients with high body mass index. We present an adjunct technique to validated procedures of hernia repair.

Methods

This study is a retrospective analysis of 63 patients between January 2006 and August 2012. Patients had bony suture anchoring of synthetic polypropylene mesh to the anterior superior iliac spine bilaterally, and the pubic symphysis after the abdominal fascia was reconstructed.

Results

Patient mean follow-up was 3.1 years (range 6 months to 6 years). None of the 63 patients had recurrent abdominal wall hernias. One patient, from early in the series, had post-operative bulging, which was retreated successfully using the current revised bone anchoring protocol. Five patients developed mesh infections; none of whom required radical debridement or removal of mesh.

Conclusions

The BARS technique for abdominal wall reconstruction provides an excellent reinforcement of fascial reconstruction with decreased hernia recurrence rates.

Level of Evidence: Level IV, therapeutic study.

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Conflict of Interest

None

Ethical standards

The study has been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All persons gave their informed consent prior to their inclusion in the study.

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Authors and Affiliations

  1. The Plastic Surgery Center, The Institute for Advanced Reconstruction, 535 Sycamore Avenue, Shrewsbury, NJ, 07702, USA

    Andrew I. Elkwood, Russell L. Ashinoff, Matthew R. Kaufman, Michael I. Rose, John Cece, Tushar R. Patel & Leo R. Otake

  2. 10 Industrial Way E, Suite 104, Eatontown, NJ, 07724, USA

    Frank J. Borao & Steven J. Binenbaum

  3. 901 West Main Street, Suite 101, Freehold, NJ, 07728, USA

    Amit S. Kharod

  4. Surgery Drexel University College of Medicine, Philadelphia, PA, USA

    Andrew I. Elkwood

Authors
  1. Andrew I. Elkwood
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  2. Frank J. Borao
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  3. Russell L. Ashinoff
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  4. Matthew R. Kaufman
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  5. Michael I. Rose
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  6. Amit S. Kharod
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  7. Steven J. Binenbaum
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  8. John Cece
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  9. Tushar R. Patel
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  10. Leo R. Otake
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Corresponding author

Correspondence to Andrew I. Elkwood.

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Cite this article

Elkwood, A.I., Borao, F.J., Ashinoff, R.L. et al. Complex incisional hernias repaired in conjunction with the Bony Anchoring Reinforcement System (BARS) prevents hernia recurrence. Eur J Plast Surg 37, 431–436 (2014). https://doi.org/10.1007/s00238-014-0961-5

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  • DOI: https://doi.org/10.1007/s00238-014-0961-5

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