ArticleHernia : the journal of hernias and abdominal wall surgery2013
Evaluation of surgical outcomes of retro-rectus versus intraperitoneal reinforcement with bio-prosthetic mesh in the repair of contaminated ventral hernias.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Multicenter, Prospective, Observational Evaluation of Repair of Infected or Contaminated Hernias (RICH) Using LTM
The Use of Synthetic Mesh in Contaminated and Infected Abdominal Wall Repairs: Challenging the Dogma of an Absolute Contra-indication. A Long-term Prospective Clinical Trial
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2016Pooled it
- Safety and efficacy of prophylactic resorbable biosynthetic mesh following midline laparotomy in clean/contemned field: preliminary results of a randomized double blind prospective trial.Hernia : the journal of hernias and abdominal wall surgery · 2020Trial
- A Review of Abdominal Meshes for Hernia Repair-Current Status and Emerging Solutions.Materials (Basel, Switzerland) · 2023Review
- Short-term outcomes and healthcare resource utilization following incisional hernia repair with synthetic mesh in patients with Crohn's disease.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Incisional hernia repair by synthetic mesh prosthesis in patients with inflammatory bowel disease: a comparative analysis.BMC surgery · 2021Article
- Retro-rectus placement of bio-absorbable mesh improves patient outcomes.Surgical endoscopy · 2019Article
- "Complex abdominal wall" management: evidence-based guidelines of the Italian Consensus Conference.Updates in surgery · 2019Article
- Indications and Outcomes of a Cross-Linked Porcine Dermal Collagen Mesh (Permacol) for Complex Abdominal Wall Reconstruction: A Multicenter Audit.World journal of surgery · 2019Article
- Long-term clinical, radiological, and histological follow-up after complex ventral incisional hernia repair using urinary bladder matrix graft reinforcement: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2018Observational
- Open Intraperitoneal Onlay Mesh (IPOM) Technique for Incisional Hernia Repair.Frontiers in surgery · 2018Article
- Abdominal wall reinforcement: biologic vs. degradable synthetic devices.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Current Risk Stratification Systems Are Not Generalizable across Surgical Technique in Midline Ventral Hernia Repair.Plastic and reconstructive surgery. Global open · 2017Article
- Multicenter, Prospective, Longitudinal Study of the Recurrence, Surgical Site Infection, and Quality of Life After Contaminated Ventral Hernia Repair Using Biosynthetic Absorbable Mesh: The COBRA Study.Annals of surgery · 2017Observational
- Bacterial adhesion to biological versus polymer prosthetic materials used in abdominal wall defect repair: do these meshes show any differences in vitro?Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- The use of an acellular porcine dermal collagen implant in the repair of complex abdominal wall defects: a European multicentre retrospective study.Techniques in coloproctology · 2015Article
- A retrospective review and observations over a 16-year clinical experience on the surgical treatment of chronic mesh infection. What about replacing a synthetic mesh on the infected surgical field?Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- [Use of biological meshes in abdominal wall reconstruction. Results of a survey in Germany].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Article
- Onlay ventral hernia repairs using porcine non-cross-linked dermal biologic mesh.Hernia : the journal of hernias and abdominal wall surgery · 2014Article
- Improved outcomes in the management of high-risk incisional hernias utilizing biological mesh and soft-tissue reconstruction: a single center experience.World journal of surgery · 2014Article
- Porcine dermis implants in soft-tissue reconstruction: current status.Biologics : targets & therapy · 2014Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHernia repairs in contaminated fields are often reinforced with a bioprosthetic mesh. When choosing which of the multiple musculofascial abdominal wall planes provides the most durable repair, there is little guidance. We hypothesized that the retro-rectus plane would reduce recurrence rates versus intraperitoneal placement due to greater surface area contact of mesh with well-vascularized tissue.
methodsForty-nine of the 80 patients in an ongoing, prospective, multicenter study of contaminated ventral hernia repairs (RICH study, NCT00617357) achieved fascial closure after musculofascial centralization and reinforcement with non-crosslinked porcine acellular dermal matrix (Strattice™, LifeCell, Branchburg, NJ) and were retrospectively analyzed. The Strattice was placed in the retro-rectus position in 23 patients and in the intraperitoneal position in 26.
resultsSubjects were comparable in age, obesity, prior wound infection, presence of a stoma, and infected mesh removal (p > 0.05). More smokers were present in the intraperitoneal group (p = 0.02). Retro-rectus defects were significantly wider and had larger area than the intraperitoneal repairs. At the 1-year follow-up, 44 (90%) of patients were available for review. There was no difference in wound infections, seromas, or hematomas. Recurrent hernias were identified in 10% of retro-rectus repairs and 30% of intraperitoneal repairs (p = 0.14).
conclusionsIn this retrospective analysis of a prospective multicenter study of large, contaminated ventral hernias, despite a larger hernia defect in the retro-rectus group, placement of the mesh in the retro-rectus compartment resulted in a similar recurrence rate to intraperitoneal mesh placement. Ongoing evaluation is important to establish longer-term outcomes and the validity of these findings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.