József Baracs
Medical School,
2 Rakóczi u. Pecs, H-7623
Hungary
Research Article
Open Treatment of Abdominal Wall Hernias: Mesh Repair is Superior to Suture Repair and Onlay Mesh is Better than Sublay Mesh Five-Year Multicentric, Prospective, Randomised Clinical Trial
Author(s): József Baracs, G.S.Sajjadi, D. Kelemen, O.P. Horvath, A. Vereczkei and G. WeberJózsef Baracs, G.S.Sajjadi, D. Kelemen, O.P. Horvath, A. Vereczkei and G. Weber
Background: The aim of study was to compare the results of different surgical modalities/mesh (onlay/sublay position) and suture repair in treatment of abdominal hernias.
Methods: According to the size of hernia gate patients were divided into two groups: small hernias (hernia gate between 5-25 cm2) and large hernias (gate > 25 cm2). In these two groups patients were randomized according to the surgical procedure: in group ‘A’ suture vs. mesh repair and in group ‘B’ onlay vs. sublay mesh reconstruction.
Results: n = 734. In small hernia group significantly higher recurrences occurred after suture repair than in mesh repair (27.2% vs. 8.3% – p < 0.001). In large hernia group onlay mesh reconstruction showed significantly better results than sublay mesh repair, recurrence rate was much lower in onlay group (12.2% vs. 20.1% – .. View More»
