Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry : factors associated with their use and mesh-related outcomes
© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature..
PURPOSE: The use of open intra-peritoneal onlay mesh repairs (O-IPOMs) for treating medium/large incisional ventral hernias has come into question due to the development of minimally invasive and sublay procedures. This study aimed to identify factors that are associated with the use of O-IPOMs in France.
METHODS: We analysed prospectively collected data from the French Hernia Registry on incisional ventral hernia repairs (IVHR) for hernias ≥ 4 cm in width.
RESULTS: We obtained data for 2261 IVHR (from 11/09/2011 to 30/03/2020): 733 O-IPOMs and 1,528 other techniques. We found that the O-IPOMs were performed on patients with more patient-related risk factors compared with the other techniques. Specifically, there was a higher proportion of patients with ASA III/IV (40.47% vs. 28.02%; p < 0.00001) and at least one patient-related risk factor (66.17% vs. 58.51%; p = 0.0005). Of the 733 O-IPOMs, 195 used Ventrio ST™ (VST), the most commonly used mesh for such IPOMs in our database; the other 538 O-IPOMs used other meshes (OM). The VST subgroup had a higher proportion of patients with ASA III/IV (52.58% vs. 36.07%; p < 0.0001) and on anticoagulants (26.04% vs. 18.41%; p = 0.0229) compared with the OM subgroup; they also had a lower recurrence rate after 2 years (5.83% vs. 15.41%; p = 0.008). However, large (≥ 10 cm) or lateral defects were more common in the OM subgroup, and their mesh/defect area ratio was lower.
CONCLUSION: O-IPOMs were performed on patients with more comorbidities and/or complex incisional hernias compared with other techniques.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
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| Enthalten in: |
Hernia : the journal of hernias and abdominal wall surgery - (2023) vom: 15. Aug. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Gillion, J-F [VerfasserIn] |
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| Links: |
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| Themen: |
Comorbidities |
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| Anmerkungen: |
Date Revised 15.08.2023 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1007/s10029-023-02853-5 |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 245 | 1 | 0 | |a Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry |b factors associated with their use and mesh-related outcomes |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Revised 15.08.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a © 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature. | ||
| 520 | |a PURPOSE: The use of open intra-peritoneal onlay mesh repairs (O-IPOMs) for treating medium/large incisional ventral hernias has come into question due to the development of minimally invasive and sublay procedures. This study aimed to identify factors that are associated with the use of O-IPOMs in France | ||
| 520 | |a METHODS: We analysed prospectively collected data from the French Hernia Registry on incisional ventral hernia repairs (IVHR) for hernias ≥ 4 cm in width | ||
| 520 | |a RESULTS: We obtained data for 2261 IVHR (from 11/09/2011 to 30/03/2020): 733 O-IPOMs and 1,528 other techniques. We found that the O-IPOMs were performed on patients with more patient-related risk factors compared with the other techniques. Specifically, there was a higher proportion of patients with ASA III/IV (40.47% vs. 28.02%; p < 0.00001) and at least one patient-related risk factor (66.17% vs. 58.51%; p = 0.0005). Of the 733 O-IPOMs, 195 used Ventrio ST™ (VST), the most commonly used mesh for such IPOMs in our database; the other 538 O-IPOMs used other meshes (OM). The VST subgroup had a higher proportion of patients with ASA III/IV (52.58% vs. 36.07%; p < 0.0001) and on anticoagulants (26.04% vs. 18.41%; p = 0.0229) compared with the OM subgroup; they also had a lower recurrence rate after 2 years (5.83% vs. 15.41%; p = 0.008). However, large (≥ 10 cm) or lateral defects were more common in the OM subgroup, and their mesh/defect area ratio was lower | ||
| 520 | |a CONCLUSION: O-IPOMs were performed on patients with more comorbidities and/or complex incisional hernias compared with other techniques | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Comorbidities | |
| 650 | 4 | |a Incisional hernia | |
| 650 | 4 | |a Intraperitoneal | |
| 650 | 4 | |a Mesh repair | |
| 650 | 4 | |a Open IPOM | |
| 650 | 4 | |a Ventral hernia | |
| 700 | 1 | |a Fromont, G |e verfasserin |4 aut | |
| 700 | 1 | |a Verhaeghe, R |e verfasserin |4 aut | |
| 700 | 1 | |a Tiry, P |e verfasserin |4 aut | |
| 700 | 1 | |a Binot, D |e verfasserin |4 aut | |
| 700 | 1 | |a Dugué, T |e verfasserin |4 aut | |
| 700 | 1 | |a Dabrowski, A |e verfasserin |4 aut | |
| 700 | 0 | |a Hernia Club members |e verfasserin |4 aut | |
| 700 | 1 | |a Arnalsteen, L |e investigator |4 oth | |
| 700 | 1 | |a Atger, J |e investigator |4 oth | |
| 700 | 1 | |a Beck, M |e investigator |4 oth | |
| 700 | 1 | |a Belhassen, A |e investigator |4 oth | |
| 700 | 1 | |a Bensignor, T |e investigator |4 oth | |
| 700 | 1 | |a Bernard, P |e investigator |4 oth | |
| 700 | 1 | |a Bousquet, J |e investigator |4 oth | |
| 700 | 1 | |a Blazquez, D |e investigator |4 oth | |
| 700 | 1 | |a Bonan, A |e investigator |4 oth | |
| 700 | 1 | |a Bousquet, J |e investigator |4 oth | |
| 700 | 1 | |a Cahais, J |e investigator |4 oth | |
| 700 | 1 | |a Cas, O |e investigator |4 oth | |
| 700 | 1 | |a Champault-Fezais, A |e investigator |4 oth | |
| 700 | 1 | |a Chastan, P |e investigator |4 oth | |
| 700 | 1 | |a Chollet, J-M |e investigator |4 oth | |
| 700 | 1 | |a Christou, N |e investigator |4 oth | |
| 700 | 1 | |a Cossa, J-P |e investigator |4 oth | |
| 700 | 1 | |a Couchard, A C |e investigator |4 oth | |
| 700 | 1 | |a Crespy, T |e investigator |4 oth | |
| 700 | 1 | |a Delaunay, T |e investigator |4 oth | |
| 700 | 1 | |a Démaret, S |e investigator |4 oth | |
| 700 | 1 | |a Derieux, S |e investigator |4 oth | |
| 700 | 1 | |a Drissi, F |e investigator |4 oth | |
| 700 | 1 | |a Dubuisson, V |e investigator |4 oth | |
| 700 | 1 | |a Duchamp, C |e investigator |4 oth | |
| 700 | 1 | |a Fara, R |e investigator |4 oth | |
| 700 | 1 | |a Frey, S |e investigator |4 oth | |
| 700 | 1 | |a Goasguen, N |e investigator |4 oth | |
| 700 | 1 | |a Guéroult, P |e investigator |4 oth | |
| 700 | 1 | |a Guillaud, A |e investigator |4 oth | |
| 700 | 1 | |a Jacquin, C |e investigator |4 oth | |
| 700 | 1 | |a Jurczak, F |e investigator |4 oth | |
| 700 | 1 | |a Khalil, H |e investigator |4 oth | |
| 700 | 1 | |a Hoch, G |e investigator |4 oth | |
| 700 | 1 | |a Kupéras, C |e investigator |4 oth | |
| 700 | 1 | |a Lamblin, A |e investigator |4 oth | |
| 700 | 1 | |a Ledaguenel, P |e investigator |4 oth | |
| 700 | 1 | |a Lepère, M |e investigator |4 oth | |
| 700 | 1 | |a Lépront, D |e investigator |4 oth | |
| 700 | 1 | |a Longeville, J H |e investigator |4 oth | |
| 700 | 1 | |a Le Toux, N |e investigator |4 oth | |
| 700 | 1 | |a Magne, E |e investigator |4 oth | |
| 700 | 1 | |a Maillot, N |e investigator |4 oth | |
| 700 | 1 | |a Mensier, A |e investigator |4 oth | |
| 700 | 1 | |a Moszkowicz, D |e investigator |4 oth | |
| 700 | 1 | |a Ngo, P |e investigator |4 oth | |
| 700 | 1 | |a Oberlin, O |e investigator |4 oth | |
| 700 | 1 | |a Passot, G |e investigator |4 oth | |
| 700 | 1 | |a Pavis d'Escurac, X |e investigator |4 oth | |
| 700 | 1 | |a Putinier, J B |e investigator |4 oth | |
| 700 | 1 | |a Renard, Y |e investigator |4 oth | |
| 700 | 1 | |a Romain, B |e investigator |4 oth | |
| 700 | 1 | |a Sebbar, D |e investigator |4 oth | |
| 700 | 1 | |a Soler, M |e investigator |4 oth | |
| 700 | 1 | |a Roos, S |e investigator |4 oth | |
| 700 | 1 | |a Thillois, J-M |e investigator |4 oth | |
| 700 | 1 | |a Vu, P |e investigator |4 oth | |
| 700 | 1 | |a Warlaumont, M |e investigator |4 oth | |
| 700 | 1 | |a Zaranis, C |e investigator |4 oth | |
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