Is the sublay self-gripping mesh effective for incisional ventral hernia repair? Our experience and a systematic review of the literature.
Sublay mesh repair seems to be the most effective method for treating incisional hernias (IHs). The aim of this study was to report our experience with retromuscular repair and self-gripping mesh for the treatment of midline IHs. In addition, we provided a systematic review of the literature regarding the use of this novel combination. All patients undergoing elective IH repair from June 2016 to November 2018 were included. The self-gripping mesh was placed in the sublay position. Demographic data, defect sizes, postoperative complications and follow-up durations were collected. A systematic review of the available literature was conducted in January 2020 using main databases. A total of 37 patients (20/17M/F) were included in this study, and the mean age and body mass index (BMI) were 58 years and 27 kg/m2, respectively. Minor complications occurred in six patients. Long-term follow-up demonstrated recurrence in three patients. Regarding the review, five publications were considered relevant. The highest complication rate was 28.6%, and the recurrence rate varied from 0 to 5.1%. This is the first review of the literature regarding sublay IH repair using a self-gripping mesh. The low rates of postoperative complications and recurrence in our experience and those reported by most of the reviewed articles demonstrate that this is a safe and effective method for repairing IHs.
['Schembari|Elena|E|http://orcid.org/0000-0003-1393-2707', 'Sofia|Maria|M|', 'Lombardo|Rosario|R|', 'Randazzo|Valentina|V|', 'Coco|Ornella|O|', 'Mattone|Edoardo|E|', 'La Greca|Gaetano|G|', 'Russello|Domenico|D|', 'Latteri|Saverio|S|']
D017558:Elective Surgical Procedures D005260:Female D006555:Hernia, Ventral D059685:Herniorrhaphy D006801:Humans D000069290:Incisional Hernia D008297:Male D008875:Middle Aged D011183:Postoperative Complications D012008:Recurrence D013526:Surgical Mesh D016896:Treatment Outcome
Sublay Self-gripping mesh Incisional hernia