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Lateral Incisional Hernia After Renal Transplantation: A Comparative Study

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Because of the lack of published data and the relative rarity of lateral incisional hernias (LIHs), especially after renal transplantation, mesh repair of LIH remains a challenge for surgeons. The aim of the present study was to evaluate the outcomes of LIH treated by mesh repair after renal transplantation.


All consecutive patients who had undergone LIH mesh repair after renal transplantation were compared with patients who had undergone LIH mesh repair without renal transplantation. Demographic data, incisional hernia characteristics, operative data, and postoperative outcomes were prospectively recorded. Early complications and recurrence rates were evaluated.


Altogether, 112 patients were treated for LIH with mesh repair. Among these patients, 61 (54.4 %) underwent LIH after renal transplantation. The early complications were similar for the patients with and without renal transplantation (24.5 vs. 23.5 %, respectively; p = 0.896). The recurrence rates also were similar for the patients with and without renal transplantation (9.8 vs. 9.8 %, respectively; p = 1).


Mesh graft repair is feasible in patients with LIH after renal transplantation. Postoperative complications and recurrences were not more frequent in renal transplantation patients than in those without renal transplantation.

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  1. Korenkov M, Paul A, Sauerland S et al (2001) Classification and surgical treatment of incisional hernia: results of an experts’ meeting. Langenbecks Arch Surg 386:65–73

    Article  PubMed  CAS  Google Scholar 

  2. Muysoms FE, Miserez M, Berrevoet F et al (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13:407–414

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  3. Israelsson LA, Jonsson T (1996) Incisional hernia after midline laparotomy: a prospective study. Eur J Surg 162:125–129

    PubMed  CAS  Google Scholar 

  4. Osther PJ, Gjode P, Mortensen BB et al (1995) Randomized comparison of polyglycolic acid and polyglyconate sutures for abdominal fascia closure after laparotomy in patients with suspected impaired wound healing. Br J Surg 82:1080–1082

    Article  PubMed  CAS  Google Scholar 

  5. Luijendijk RW, Hop WC, van den Tol MP et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398

    Article  PubMed  CAS  Google Scholar 

  6. Halm JA, Lip H, Schmitz PI et al (2009) Incisional hernia after upper abdominal surgery: a randomised controlled trial of midline versus transverse incision. Hernia 13:275–280

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  7. Burger JW, van ‘t Riet M, Jeekel J (2002) Abdominal incisions: techniques and postoperative complications. Scand J Surg 91:315–321

    PubMed  CAS  Google Scholar 

  8. Greenall MJ, Evans M, Pollock AV (1980) Midline or transverse laparotomy? A random controlled clinical trial. Part I. Influence on healing. Br J Surg 67:188–190

    Article  PubMed  CAS  Google Scholar 

  9. Kendall SW, Brennan TG, Guillou PJ (1991) Suture length to wound length ratio and the integrity of midline and lateral paramedian incisions. Br J Surg 78:705–707

    Article  PubMed  CAS  Google Scholar 

  10. Cassar K, Munro A (2002) Surgical treatment of incisional hernia. Br J Surg 89:534–545

    Article  PubMed  CAS  Google Scholar 

  11. Burger JW, Luijendijk RW, Hop WC et al (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578–583

    PubMed  PubMed Central  Google Scholar 

  12. Sanjay P, Reid TD, Davies EL et al (2005) Retrospective comparison of mesh and sutured repair for adult umbilical hernias. Hernia 9:248–251

    Article  PubMed  CAS  Google Scholar 

  13. Veyrie N, Poghosyan T, Corigliano N et al (2013) Lateral incisional hernia repair by the retromuscular approach with polyester standard mesh: topographic considerations and long-term follow-up of 61 consecutive patients. World J Surg 37:538–544

    Article  PubMed  Google Scholar 

  14. Varga M, Matia I, Kucera M et al (2011) Polypropylene mesh repair of incisional hernia after kidney transplantation: single-center experience and review of the literature. Ann Transpl 16:121–125

    CAS  Google Scholar 

  15. Mazzucchi E, Nahas WC, Antonopoulos I et al (2001) Incisional hernia and its repair with polypropylene mesh in renal transplant recipients. J Urol 166:816–819

    Article  PubMed  CAS  Google Scholar 

  16. Li EN, Silverman RP, Goldberg NH (2005) Incisional hernia repair in renal transplantation patients. Hernia 9:231–237

    Article  PubMed  Google Scholar 

  17. Birolini C, Mazzucchi E, Utiyama EM et al (2001) Prosthetic repair of incisional hernia in kidney transplant patients: a technique with onlay polypropylene mesh. Hernia 5:31–35

    Article  PubMed  CAS  Google Scholar 

  18. Mahdavi R, Mehrabi M (2004) Incisional hernia after renal transplantation and its repair with propylene mesh. Urol J 1:259–262

    PubMed  CAS  Google Scholar 

  19. Antonopoulos IM, Nahas WC, Mazzucchi E et al (2005) Is polypropylene mesh safe and effective for repairing infected incisional hernia in renal transplant recipients? Urology 66:874–877

    Article  PubMed  Google Scholar 

  20. Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213

    Article  PubMed  PubMed Central  Google Scholar 

  21. Anthony T, Bergen PC, Kim LT et al (2000) Factors affecting recurrence following incisional herniorrhaphy. World J Surg 24:95–100. doi:10.1007/s002689910018

    Article  PubMed  CAS  Google Scholar 

  22. Jezupors A, Mihelsons M (2006) The analysis of infection after polypropylene mesh repair of abdominal wall hernia. World J Surg 30:2270–2278. doi:10.1007/s00268-006-0130-5

    Article  PubMed  Google Scholar 

  23. Foda M, Carlson MA (2009) Enterocutaneous fistula associated with ePTFE mesh: case report and review of the literature. Hernia 13:323–326

    Article  PubMed  CAS  Google Scholar 

  24. Gronnier C, Wattier JM, Favre H et al (2012) Risk factors for chronic pain after open ventral hernia repair by underlay mesh placement. World J Surg 36:1548–1554. doi:10.1007/s00268-012-1523-2

    Article  PubMed  Google Scholar 

  25. Den Hartog D, Dur AHM, Tuinebreijer WE et al (2008) Open surgical procedures for incisional hernia. Cochrane Database Sys Rev 16:006438

    Google Scholar 

  26. Gleysteen JJ (2009) Mesh-reinforced ventral hernia repair. Arch Surg 144:740–745

    Article  PubMed  Google Scholar 

  27. Stremitzer S, Bachleitner-Hofman T, Gradl B et al (2010) Mesh graft infection following abdominal hernia repair: risk factor evaluation and strategies of mesh graft preservation: a retrospective analysis of 476 operations. World J Surg 34:1702–1709. doi:10.1007/s00268-010-0543-z

    Article  PubMed  Google Scholar 

  28. Gurusamy KS, Allen VB (2013) Wound drains after incisional hernia repair. Cochrane Database Syst Rev 12:CD005570

    PubMed  Google Scholar 

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Correspondence to Guillaume Luc.

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Luc, G., David, A., Couzi, L. et al. Lateral Incisional Hernia After Renal Transplantation: A Comparative Study. World J Surg 38, 2791–2796 (2014).

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