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Long-Term Outcomes of Abdominal Wall Reconstruction. What are the Real Numbers?

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Abstract

Introduction

Advances in the acute management of the severely injured and critically ill patients have had a significant impact in survival and have increased our exposure to complex repair of large abdominal wall defects. The purpose of this article was to review the long-term (5-year or greater) outcomes of reconstruction of abdominal wall defects and the different modalities and materials currently available in the management of this challenging clinical condition.

Methods

A review of published literature.

Results

Our review of literature, in English language from 1984 to May 2011, identified six studies. The minimum average follow-up of the studies examined was 63 months. The hernia recurrence rate ranged from 1.1 to 16% at 5 years. A 10-year cumulative recurrence rate of 63% has been reported for suture repair and a 32% for prosthetic repair in incisional hernia.

Conclusions

There is a need for long-term studies of complex abdominal wall reconstruction, using biologic prosthetics mesh.

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Authors and Affiliations

  1. Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Doha, Qatar

    Ruben Peralta & Rifat Latifi

  2. Department of Surgery, Trauma Division, University of Arizona, Tucson, AZ, USA

    Rifat Latifi

Authors
  1. Ruben Peralta
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  2. Rifat Latifi
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Correspondence to Ruben Peralta.

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Peralta, R., Latifi, R. Long-Term Outcomes of Abdominal Wall Reconstruction. What are the Real Numbers?. World J Surg 36, 534–538 (2012). https://doi.org/10.1007/s00268-012-1454-y

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  • DOI: https://doi.org/10.1007/s00268-012-1454-y

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