Recurrence rate after absorbable tack fixation of mesh in laparoscopic incisional XXXX repair.

@entity1 @entity1118 @entity547
BACKGROUND: The mesh fixation technique in laparoscopic incisional @entity547 repair may influence the rates of @entity547 and @entity1118 . This study investigated the long-term risk of recurrence and @entity1118 in @entity1 undergoing laparoscopic incisional @entity547 repair with either absorbable or non-absorbable tacks for mesh fixation. METHODS: This was a nationwide consecutive cohort study based on data collected prospectively concerning perioperative information and clinical follow-up. @entity1 undergoing primary, elective, laparoscopic incisional @entity547 repair with absorbable or non-absorbable tack fixation during a 4-year interval were included. Follow-up was by a structured questionnaire regarding recurrence and @entity1118 , supplemented by clinical examination, and CT when indicated. Recurrence was defined as either reoperation for recurrence or clinical/radiological recurrence. RESULTS: Of 1037 eligible @entity1 , 84  9 per cent responded to the questionnaire, and 816 were included for analysis. The median observation time for the cohort was 40 (range 0-72) months. The cumulative recurrence-free survival rate was 71  5 and 82  0 per cent after absorbable and non-absorbable tack fixation respectively (P = 0  007). In multivariable analysis, the use of absorbable tacks was an independent risk factor for recurrence (hazard ratio 1  53, 95 per cent c.i. 1  11 to 2  09; P = 0  008). The rate of moderate or severe @entity1118 was 15  3 and 16  1 per cent after absorbable and non-absorbable tack fixation respectively (P = 0  765). CONCLUSION: Absorbable tack fixation of the mesh was associated with a higher risk of recurrence than non-absorbable tacks for laparoscopic mesh repair of incisional @entity547 , but did not influence @entity1118 .
