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Introduction and Epidemiology of Incisional Hernias and the Argument for Mesh in Incisional Hernia Repair

  • Diya I. Alaedeen
Chapter

Abstract

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.

Keywords

History Prevalence Cost Risk factors Epidemiology Mesh 

References

  1. 1.
    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
  2. 2.
    Sanders DL, Kingsnorth AN. From ancient to contemporary times: a concise history of incisional hernia repair. Hernia. 2012;16:1–7.CrossRefPubMedGoogle Scholar
  3. 3.
    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
  4. 4.
    Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg. 1985;72:70–1.CrossRefPubMedGoogle Scholar
  5. 5.
    Flum DR, Horvath K, Koepsell T. Have outcomes of incisional hernia repair improved with time? A population-based analysis. Ann Surg. 2003;237:129–35.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    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
  7. 7.
    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.
  8. 8.
    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
  9. 9.
    Frangou, C. New app predicts complications, cost of ventral hernia repair. 2014. http://www.generalsurgerynews.com. Accessed 12 Aug 2014.
  10. 10.
    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
  11. 11.
    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
  12. 12.
    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
  13. 13.
    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
  14. 14.
    Yang GP, Longaker MT. Abstinence from smoking reduces incisional wound infection: a randomized controlled trial. Ann Surg. 2003;238:6–8.PubMedPubMedCentralGoogle Scholar
  15. 15.
    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
  16. 16.
    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
  17. 17.
    Frangou, C. U.S. panel of surgeons says ‘No’ to noncompliant hernia patients. 2014. http://www.generalsurgerynews.com. Accessed 12 Aug 2014.
  18. 18.
    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
  19. 19.
    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
  20. 20.
    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
  21. 21.
    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
  22. 22.
    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
  23. 23.
    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
  24. 24.
    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
  25. 25.
    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
  26. 26.
    American Society of Health-System Pharmacists. Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery. 2015. http://ashp.org/surgical-guidelines. Accessed 14 Oct 2015.
  27. 27.
    Lichtenstein IL, Shulman AG. Ambulatory outpatient hernia surgery. Including a new concept, introducing tension-free repair. Int Surg. 1986;71:1–4.PubMedGoogle Scholar
  28. 28.
    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
  29. 29.
    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
  30. 30.
    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
  31. 31.
    Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg. 1989;13:545–54.CrossRefPubMedGoogle Scholar
  32. 32.
    Rives J. Major incisional hernia. In: Chevrel JP, editor. Surgery of the abdominal wall. New York: Springer; 1987. p. 116–44.Google Scholar
  33. 33.
    Jin J, Rosen MJ. Laparoscopic versus open ventral hernia repair. Surg Clin North Am. 2008;88:1083–100.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of General Surgery, Digestive Disease and SurgeryInstitute, Cleveland Clinic Lerner College of Medicine, Cleveland ClinicClevelandUSA

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