Top

Hernia

Published in:

01-04-2019 | Laparotomy | Original Article

Hernia prevention: practice patterns and surgeons’ attitudes about abdominal wall closure and the use of prophylactic mesh

Authors: J. P. Fischer, H. W. Harris, M. López-Cano, W. W. Hope

Published in: Hernia | Issue 2/2019

Abstract

Purpose

The penetration of hernia prevention techniques into surgical practice remains unknown.

Methods

A survey about knowledge/attitudes on hernia prevention was sent to the members of hernia societies.

Results

The 497 respondents were mostly from the US (47%) or Europe (40%). Most reported practicing, but not measuring their suture-to-wound length closure of > 4:1 (63%) and practicing but not measuring the number of stitches (58%). Reasons for not using short stitch closure were: does not apply to patient population (19%), not familiar enough with methods to correctly execute (25%), takes too long (13%), not reimbursed (4%), concerned about closure-related complications (27%), and other (22%). Regarding prophylactic mesh, respondents stated they were not familiar with literature (11%), familiar with literature but would not use (24%), familiar with literature and interested in use (45%), familiar with literature and using (15%), and other (5%).

Conclusions

There appears to be some application of hernia prevention principles related to fascial closure; however, the use of prophylactic mesh still appears to be controversial.

Cobb WS, Kercher KW, Heniford BT (2005) Laparoscopic repair of incisional hernias. Surg Clin North Am 85:91–103. https://doi.org/10.1016/j.suc.2004.09.006 ix.CrossRefPubMed

Mudge M, Hughes LE (1985) Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg 72:70–71CrossRef

Osther PJ, Gjode P, Mortensen BB, Mortensen PB, Bartholin J, Gottrup F (1995) Randomized comparison of polyglycolic acid and polyglyconate sutures for abdominal fascial closure after laparotomy in patients with suspected impaired wound healing. Br J Surg 82:1080–1082CrossRefPubMed

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

Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD (2012) Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia 16:179–183. https://doi.org/10.1007/s10029-011-0879-9 CrossRefPubMed

Lopez-Cano M, Brandsma HT, Bury K, Hansson B, Kyle-Leinhase I, Alamino JG, Muysoms F (2017) Prophylactic mesh to prevent parastomal hernia after end colostomy: a meta-analysis and trial sequential analysis. Hernia 21:177–189. https://doi.org/10.1007/s10029-016-1563-x CrossRefPubMed

Antoniou SA, Agresta F, Garcia Alamino JM, Berger D, Berrevoet F, Brandsma HT, Bury K, Conze J, Cuccurullo D, Dietz UA, Fortelny RH, Frei-Lanter C, Hansson B, Helgstrand F, Hotouras A, Janes A, Kroese LF, Lambrecht JR, Kyle-Leinhase I, Lopez-Cano M, Maggiori L, Mandala V, Miserez M, Montgomery A, Morales-Conde S, Prudhomme M, Rautio T, Smart N, Smietanski M, Szczepkowski M, Stabilini C, Muysoms FE (2017) European Hernia Society guidelines on prevention and treatment of parastomal hernias. Hernia. https://doi.org/10.1007/s10029-017-1697-5 CrossRefPubMed

Muysoms FE, Antoniou SA, Bury K, Campanelli G, Conze J, Cuccurullo D, de Beaux AC, Deerenberg EB, East B, Fortelny RH, Gillion JF, Henriksen NA, Israelsson L, Jairam A, Janes A, Jeekel J, Lopez-Cano M, Miserez M, Morales-Conde S, Sanders DL, Simons MP, Smietanski M, Venclauskas L, Berrevoet F, European Hernia S (2015) European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia 19:1–24. https://doi.org/10.1007/s10029-014-1342-5 CrossRefPubMed

Muysoms FE, Detry O, Vierendeels T, Huyghe M, Miserez M, Ruppert M, Tollens T, Defraigne JO, Berrevoet F (2016) Prevention of incisional hernias by prophylactic mesh-augmented reinforcement of midline laparotomies for abdominal aortic aneurysm treatment: a randomized controlled trial. Ann Surg 263:638–645. https://doi.org/10.1097/SLA.0000000000001369 CrossRefPubMed

10.

Jairam AP, Timmermans L, Eker HH, Pierik R, van Klaveren D, Steyerberg EW, Timman R, van der Ham AC, Dawson I, Charbon JA, Schuhmacher C, Mihaljevic A, Izbicki JR, Fikatas P, Knebel P, Fortelny RH, Kleinrensink GJ, Lange JF, Jeekel HJ, Group PT (2017) Prevention of incisional hernia with prophylactic onlay and sublay mesh reinforcement versus primary suture only in midline laparotomies (PRIMA): 2-year follow-up of a multicentre, double-blind, randomised controlled trial. Lancet 390:567–576. https://doi.org/10.1016/S0140-6736(17)31332-6 CrossRefPubMed

11.

Deerenberg EB, Harlaar JJ, Steyerberg EW, Lont HE, van Doorn HC, Heisterkamp J, Wijnhoven BP, Schouten WR, Cense HA, Stockmann HB, Berends FJ, Dijkhuizen FP, Dwarkasing RS, Jairam AP, van Ramshorst GH, Kleinrensink GJ, Jeekel J, Lange JF (2015) Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial. Lancet 386:1254–1260. https://doi.org/10.1016/S0140-6736(15)60459-7 CrossRefPubMed

12.

Israelsson LA (2015) Abdominal incision closure: small but important bites. Lancet 386:1216–1218. https://doi.org/10.1016/S0140-6736(15)60687-0 CrossRefPubMed

13.

Janes A, Cengiz Y, Israelsson LA (2009) Preventing parastomal hernia with a prosthetic mesh: a 5-year follow-up of a randomized study. World J Surg 33:118–121. https://doi.org/10.1007/s00268-008-9785-4 (discussion 122–113) CrossRefPubMed

14.

Israelsson LA, Millbourn D (2013) Prevention of incisional hernias: how to close a midline incision. Surg Clin North Am 93:1027–1040. https://doi.org/10.1016/j.suc.2013.06.009 CrossRefPubMed

15.

Williams ZF, Tenzel P, Hooks WB 3rd, Hope WW (2017) Suture to wound length ratio in abdominal wall closure: how well are we doing? Hernia 21:869–872. https://doi.org/10.1007/s10029-017-1667-y CrossRefPubMed

16.

Muysoms FE, Jairam A, López-Cano M, Śmietański M, Woeste G, Kyle-Leinhase I, Antoniou SA, Köckerling F, Köckerling BSG, Antoniou F, Fortelny S, Granderath R, Heiss FA, Mayer M, Miserez F, Montgomery M, Morales-Conde A, Muysoms S, Petter-Puchner F, Pointner A, Smart R, Smietanski N, Stechemesser M B (2016) Prevention of incisional hernias with biological mesh: a systematic review of the literature. Front Surg. https://doi.org/10.3389/fsurg.2016.00053 CrossRefPubMedPubMedCentral

17.

Walhberg A, Poom L (2015) An empirical test of nonresponse bias in internet surveys. Basic Appl Soc Psychol 37:336–347. https://doi.org/10.1080/01973533.2015.1111212 CrossRef

Title: Hernia prevention: practice patterns and surgeons’ attitudes about abdominal wall closure and the use of prophylactic mesh
Authors: J. P. Fischer
H. W. Harris
M. López-Cano
W. W. Hope
Publication date: 01-04-2019
Publisher: Springer Paris
Keywords: Laparotomy
Laparotomy
Incisional Hernia
Published in: Hernia / Issue 2/2019
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-019-01894-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Hernia prevention: practice patterns and surgeons’ attitudes about abdominal wall closure and the use of prophylactic mesh

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 2/2019

One-year outcome after repair of giant incisional hernia using synthetic mesh or full-thickness skin graft: a randomised controlled trial

Hemodynamic effects of anesthesia type in patients undergoing laparoscopic transabdominal preperitoneal inguinal hernia repair under spinal vs general anesthesia

Laparoscopic repair of type III/IV giant para-oesophageal herniae with biological prosthesis: a single centre experience

Predictors of ischemic bowel in patients with incarcerated hernias

Conservative treatment of infected mesh by use of gentamycin impregnated calcium sulphate antibiotic beads: a report of two cases

Complex abdominal wall reconstruction, harnessing the power of a specialized multidisciplinary team to improve pain and quality of life