This chapter discusses a brief history of incisional hernia from the first century A.D. to today’s current practices. The epidemiology, cost, and prevalence of incisional hernia repair, especially in the USA, are highlighted according to the most currently available data.
The modifiable risks factors for the development of incisional hernia after any violation of the abdominal wall are discussed, including infection, obesity, smoking, malnourishment, and poorly controlled diabetes. Furthermore, the use of mesh is now considered the standard for incisional hernia repair of larger defects, and the chapter reviews the most validated data for the use of mesh.
History Prevalence Cost Risk factors Epidemiology Mesh
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Papavramidou NS, Christopoulou-Aletras H. Treatment of “hernia” in the writings of Celsus (first century AD). World J Surg. 2005;10:1343–7.CrossRefGoogle Scholar
Sanders DL, Kingsnorth AN. From ancient to contemporary times: a concise history of incisional hernia repair. Hernia. 2012;16:1–7.CrossRefPubMedGoogle Scholar
Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. 2003;5:1045–51.CrossRefGoogle Scholar
Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg. 1985;72:70–1.CrossRefPubMedGoogle Scholar
Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, et al. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012;16:179–83.CrossRefPubMedGoogle Scholar
Gillion JF, Sanders D, Miserez M, Muysoms F. The economic burden of incisional ventral hernia repair: a multicentric cost analysis. Hernia. 2016. doi:10.1007/s10029-016-1480-z.
Millbourn D, Wimo A, Israelsson LA. Cost analysis of the use of small stitches when closing midline abdominal incisions. Hernia. 2014;18:775–80.CrossRefPubMedGoogle Scholar
Bucknall TE, Cox PJ, Ellis H. Burst abdomen and incisional hernia: a prospective study of 1129 major laparotomies. Br Med J (Clin Res Ed). 1982;284:931–3.CrossRefGoogle Scholar
Bickenbach KA, Karanicolas PJ, Ammori JB, Jayaraman S, Winter JM, Fields RC, et al. Up and down or side to side? A systemic review and meta-analysis examining the impact of incision on outcomes after abdominal surgery. Am J Surg. 2013;206:400–9.CrossRefPubMedGoogle Scholar
Sanchez VM, Abi-Haidar YE, Itani KM. Mesh infection in ventral incisional hernia repair: incidence, contributing factors, and treatment. Sug Infect (Larchmt). 2011;12:205–10.CrossRefGoogle Scholar
Murray BW, Cipher DJ, Pham T, Anthony T. The impact of surgical site infection on the development of incisional hernia and small bowel obstruction in colorectal surgery. Am J Surg. 2011;202:558–60.CrossRefPubMedGoogle Scholar
Yang GP, Longaker MT. Abstinence from smoking reduces incisional wound infection: a randomized controlled trial. Ann Surg. 2003;238:6–8.PubMedPubMedCentralGoogle Scholar
Sørensen LT, Hemmingsen UB, Kirkeby LT, Kallehave F, Jørgensen LN. Smoking is a risk factor for incisional hernia. Arch Surg. 2005;140:119–23.CrossRefPubMedGoogle Scholar
Sørensen LT, Karlsmark T, Gottrup F. Abstinence from smoking reduces incisional wound infection: a randomized controlled trail. Ann Surg. 2003;238:1–5.PubMedPubMedCentralGoogle Scholar
Veljkovic R, Protic M, Gluhovic A, Potic Z, Milosevic Z, Stojadinovic A. Prospective clinical trial of factors predicting the early development of incisional hernia after midline laparotomy. J Am Coll Surg. 2010;210:210–9.CrossRefPubMedGoogle Scholar
Sauerland S, Korenkov M, Kleinen T, Arndt M, Paul A. Obesity is a risk factor for recurrence after incisional hernia repair. Hernia. 2004;8:42–6.CrossRefPubMedGoogle Scholar
Sugerman HJ, Kellum Jr JM, Reines HD, DeMaria EJ, Newsome HH, Lowry JW. Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh. Am J Surg. 1996;171:80–4.CrossRefPubMedGoogle Scholar
Daley J, Khuri SF, Henderson W, Hur K, Gibbs JO, Barbour G, et al. Risk adjustment of the postoperative morbidity rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg. 1997;185:328–40.PubMedGoogle Scholar
Spencer RJ, Hayes KD, Rose S, Zhao Q, Rathouz PJ, Rice LW, et al. Risk factors for early-occurring and late-occurring incisional hernias after primary laparotomy for ovarian cancer. Obstr Gynecol. 2015;125:407–13.CrossRefGoogle Scholar
Jie B, Jiang ZM, Nolan MT, Zhu SN, Yu K, Kondrup J. Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk. Nutrition. 2012;28:1022–7.CrossRefPubMedGoogle Scholar
Dronge AS, Perkal MF, Kancir S, Concato J, Aslan M, Rosenthal RA. Long-term glycemic control and postoperative infectious complications. Arch Surg. 2006;141:375–80.CrossRefPubMedGoogle Scholar
Martin ET, Kaye KS, Knott C, Nguyen H, Santarossa M, Evans R, et al. Diabetes and risk of surgical site infection: a systemic review and meta-analysis. Infect Control Hosp Epidemiol. 2015;37:88–99.CrossRefPubMedPubMedCentralGoogle Scholar
American Society of Health-System Pharmacists. Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery. 2015. http://ashp.org/surgical-guidelines. Accessed 14 Oct 2015.
Lichtenstein IL, Shulman AG. Ambulatory outpatient hernia surgery. Including a new concept, introducing tension-free repair. Int Surg. 1986;71:1–4.PubMedGoogle Scholar
Hesselink VJ, Luijendijk RW, de Wilt JH, Heide R, Jeekel J. An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet. 1993;176:228–34.PubMedGoogle Scholar
Luijendijk RW, Hop WC, van del Tol MP, de Lange DC, Braaksma MM, IJzermans JN, et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343:392–8.CrossRefPubMedGoogle Scholar
Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004;240:578–85.PubMedPubMedCentralGoogle Scholar