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A systematic review of the surgical treatment of large incisional hernia

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A Comment to this article was published on 30 May 2015

Abstract

Purpose

Incisional hernia (IH) is one of the most frequent postoperative complications. Of all patients undergoing IH repair, a vast amount have a hernia which can be defined as a large incisional hernia (LIH). The aim of this study is to identify the preferred technique for LIH repair.

Methods

A systematic review of the literature was performed and studies describing patients with IH with a diameter of 10 cm or a surface of 100 cm2 or more were included. Recurrence hazards per year were calculated for all techniques using a generalized linear model.

Results

Fifty-five articles were included, containing 3,945 LIH repairs. Mesh reinforced techniques displayed better recurrence rates and hazards than techniques without mesh reinforcement. Of all the mesh techniques, sublay repair, sandwich technique with sublay mesh and aponeuroplasty with intraperitoneal mesh displayed the best results (recurrence rates of <3.6 %, recurrence hazard <0.5 % per year). Wound complications were frequent and most often seen after complex LIH repair.

Conclusions

The use of mesh during LIH repair displayed the best recurrence rates and hazards. If possible mesh in sublay position should be used in cases of LIH repair.

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References

  1. Hoer J, Lawong G, Klinge U et al (2002) Factors influencing the development of incisional hernia. A retrospective study of 2,983 laparotomy patients over a period of 10 years Einflussfaktoren der Narbenhernienentstehung. Retrospektive Untersuchung an 2.983 laparotomierten Patienten uber einen Zeitraum von 10 Jahren. Chirurg 73(5):474–480. doi:10.1007/s00104-002-0425-5 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  2. Millbourn D, Cengiz Y, Israelsson LA (2009) Effect of stitch length on wound complications after closure of midline incisions: a randomized controlled trial. Arch Surg 144(11):1056–1059. doi:10.1001/archsurg.2009.189 pii 144/11/1056 (published online first: epub date)

    Article  PubMed  Google Scholar 

  3. Mudge M, Hughes LE (1985) Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg 72(1):70–71

    Article  CAS  PubMed  Google Scholar 

  4. Adye B, Luna G (1998) Incidence of abdominal wall hernia in aortic surgery. Am J Surg 175(5):400–402

    CAS  PubMed  Google Scholar 

  5. Stevick CA, Long JB, Jamasbi B et al (1988) Ventral hernia following abdominal aortic reconstruction. Am Surg 54(5):287–289

    CAS  PubMed  Google Scholar 

  6. de Vries Reilingh TS, Bodegom ME, van Goor H et al (2007) Autologous tissue repair of large abdominal wall defects. Br J Surg 94(7):791–803. doi:10.1002/bjs.5817 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  7. Helgstrand F, Rosenberg J, Kehlet H et al (2013) Nationwide prospective study of outcomes after elective incisional hernia repair. J Am Coll Surg 216(2):217–228. doi:10.1016/j.jamcollsurg.2012.10.013 pii S1072-7515(12)01294-X (published online first: epub date)

    Article  PubMed  Google Scholar 

  8. Ramirez OM, Ruas E, Dellon AL (1990) “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg 86(3):519–526

    Article  CAS  PubMed  Google Scholar 

  9. Shestak KC, Edington HJ, Johnson RR (2000) The separation of anatomic components technique for the reconstruction of massive midline abdominal wall defects: anatomy, surgical technique, applications, and limitations revisited. Plast Reconstr Surg 105(2):731–738 quiz 39

    Article  CAS  PubMed  Google Scholar 

  10. Rives J, Pire JC, Flament JB (1985) Reflections on large eventrations. Results of our experience (322 cases) and new therapeutic indications. Chirurgie, Memoires de l’Academie de Chirurgie 111(3):215–225

    CAS  Google Scholar 

  11. de Vries Reilingh TS, van Goor H, Charbon JA et al (2007) Repair of giant midline abdominal wall hernias: “components separation technique” versus prosthetic repair: interim analysis of a randomized controlled trial. World J Surg 31(4):756–763. doi:10.1007/s00268-006-0502-x (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  12. Dragu A, Klein P, Unglaub F et al (2009) Tensiometry as a decision tool for abdominal wall reconstruction with component separation. World J Surg 33(6):1174–1180. doi:10.1007/s00268-009-9991-8 (published online first: epub date)

    Article  PubMed  Google Scholar 

  13. Borud LJ, Grunwaldt L, Janz B et al (2007) Components separation combined with abdominal wall plication for repair of large abdominal wall hernias following bariatric surgery. Plast Reconstr Surg 119(6):1792–1798. doi:10.1097/01.prs.0000259096.99745.cf pii 00006534-200705000-00024 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  14. Hesselink VJ, Luijendijk RW, de Wilt JH et al (1993) An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 176(3):228–234

    CAS  PubMed  Google Scholar 

  15. Oussoultzoglou E, Baulieux J, De la Roche E et al (1999) Long-term results of 186 patients with large incisional abdominal wall hernia treated by intraperitoneal mesh (Cure chirurgicale des grandes eventrations par prothese intra-peritoneale. A propos d’une serie de 186 patients avec un long recul). Ann Chir 53(1):33–40

    CAS  PubMed  Google Scholar 

  16. Halm JA, deWall LL, Steyerberg EW et al (2007) Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery. World J Surg 31(2):423–429. doi:10.1007/s00268-006-0317-9 discussion 30 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  17. Luijendijk RW, Hop WC, van den Tol MP et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343(6):392–398. doi:10.1056/NEJM200008103430603 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  18. den Hartog D, Dur AH, Tuinebreijer WE et al (2008) Open surgical procedures for incisional hernias. Cochrane Database Syst Rev 3:CD006438. doi:10.1002/14651858.CD006438.pub2 (published online first: epub date)

    PubMed  Google Scholar 

  19. Burger JW, Luijendijk RW, Hop WC et al (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240(4):578–583 pii 00000658-200410000-00003 (published online first: epub date discussion 83–85)

    PubMed Central  PubMed  Google Scholar 

  20. Forbes SS, Eskicioglu C, McLeod RS et al (2009) Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg 96(8):851–858. doi:10.1002/bjs.6668 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  21. Muysoms FE, Miserez M, Berrevoet F et al (2009) Classification of primary and incisional abdominal wall hernias. Hernia J Hernias Abdom Wall Surg 13(4):407–414. doi:10.1007/s10029-009-0518-x (published online first: epub date)

    Article  CAS  Google Scholar 

  22. Slater NJ, Montgomery A, Berrevoet F et al (2014) Criteria for definition of a complex abdominal wall hernia. Hernia J Hernias Abdom Wall Surg 18(1):7–17. doi:10.1007/s10029-013-1168-6 (published online first: epub date)

    Article  CAS  Google Scholar 

  23. Dobson AJ, Barnett AG (2008) An introduction to generalized linear model, 3rd edn. CRC Press, New York

    Google Scholar 

  24. Team RDC (2011) R: a language and environment for statistical computing. R Foundation for Statistical Computing, Vienna

    Google Scholar 

  25. Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. doi:10.1371/journal.pmed.1000097 (published Online First: Epub Date)

    Article  PubMed Central  PubMed  Google Scholar 

  26. Albanese AR (1951) (Gigantic median xipho-umbilical eventration; method for treatment) Eventracion mediana xifoumbilical gigante; metodo para su tratamiento. Rev Asoc Med Argent 65(709–710):376–378

    CAS  PubMed  Google Scholar 

  27. Saulis AS, Dumanian GA (2002) Periumbilical rectus abdominis perforator preservation significantly reduces superficial wound complications in “separation of parts” hernia repairs. Plast Reconstr Surg 109(7):2275–2280 discussion 81–82

    Article  PubMed  Google Scholar 

  28. de Vries Reilingh TS, van Goor H, Rosman C et al (2003) “Components separation technique” for the repair of large abdominal wall hernias. J Am Coll Surg 196(1):32–37 pii: S1072-7515(02)01478-3 (published online first: epub date)

    Article  PubMed  Google Scholar 

  29. Espinosa-de-los-Monteros A, Dominguez I, Zamora-Valdes D et al (2013) Closure of midline contaminated and recurrent incisional hernias with components separation technique reinforced with plication of the rectus muscles. Hernia 17(1):75–79. doi:10.1007/s10029-012-1012-4 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  30. Mazzocchi M, Dessy LA, Ranno R et al (2011) “Component separation” technique and panniculectomy for repair of incisional hernia. Am J Surg 201(6):776–783. doi:10.1016/j.amjsurg.2010.04.013 (published online first: epub date)

    Article  PubMed  Google Scholar 

  31. Yegiyants S, Tam M, Lee DJ et al (2012) Outcome of components separation for contaminated complex abdominal wall defects. Hernia 16(1):41–45. doi:10.1007/s10029-011-0857-2 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  32. Welti H, Eudel F (1941) Un Procede de cure radicale des eventrations postoperatoires par auto-etalement des muscles grands droits apres incision du feuillet anterieur de leur gaine. Chirurgie, Memoires de l’Academie de Chirurgie 12:791–798

    Google Scholar 

  33. Loh A, Rajkumar JS, South LM (1992) Anatomical repair of large incisional hernias. Ann R Coll Surg Engl 74(2):100–105

    PubMed Central  CAS  PubMed  Google Scholar 

  34. Sturniolo G, Versace GA, Gagliano E et al (1994) Actuality of the overlapping suture in the therapy of aponeurotic and incisional hernias. Chirurgie, Memoires de l’Academie de Chirurgie 120(6–7):320–324

    Google Scholar 

  35. Smitten VK, Heikel HVA, Sundell B (1982) Repair of incisional hernias by F. Langenskiold’s operation. Acta Chirurgica Scandinavica 148(3):257–261

    Google Scholar 

  36. Stoppa R (1973) Les plasties de la paroi abdominale. Table ronde du 75eme Congres Francais de Chirurgie. Avec la participation de R Bourgeon, Ph Detrie Cl gautier-Benoit, A Milhaud, H Neidhardt, J Poilleux, J Rives, J Visset. In: Actualites Chirurgicales, Masson Paris, pp 662–736

  37. Rives J, Lardennois B, Pire JC et al (1973) Large incisional hernias. The importance of flail abdomen and of subsequent respiratory disorders (Les grandes eventrations. Importance du “volet abdominal” et des troubles respiratoires qui lui sont secondaires). Chirurgie 99(8):547–563

    CAS  PubMed  Google Scholar 

  38. Berry MF, Paisley S, Low DW et al (2007) Repair of large complex recurrent incisional hernias with retromuscular mesh and panniculectomy. Am J Surg 194(2):199–204

    Article  PubMed  Google Scholar 

  39. Campanelli G, Bastazza M, Ruca A et al (2000) Surgical treatment of incisional hernias with marked loss of substance. Hernia 4(4):202–205

    Article  Google Scholar 

  40. Fernandez Lobato R, Fernandez Luengas D, Serantes A et al (2000) Use of Histoatryl (registered trademark) for incisional hernia repair. Hernia 4(2):99–103

    Article  Google Scholar 

  41. Heisterkamp J, den Hoed PT, Kluin J et al (2005) Long-term results after modified Gallie technique for incisional hernia repair: results in 19 patients. Hernia 9(1):12–15

    Article  CAS  PubMed  Google Scholar 

  42. Tonante A, Lo Schiavo MG, Bonanno L et al (2004) Complications of open prosthetic surgery for large incisional hernias (Le complicanze della chirurgia protesica “open” dei grandi laparoceli). Chir Ital 56(5):629–637

    PubMed  Google Scholar 

  43. Toniato A, Pagetta C, Bernante P et al (2002) Incisional hernia treatment with progressive pneumoperitoneum and retromuscular prosthetic hernioplasty. Langenbecks Arch Surg 387(5–6):246–248

    Article  PubMed  Google Scholar 

  44. Trivellini G, Bagni CM, Sollini A et al (2001) Repair of giant hernias using more prosthesis. Hernia 5(3):124–128

    Article  CAS  PubMed  Google Scholar 

  45. Alexandre JH, Dupin P (1983) Surgical treatment of complex abdominal wall hernias. Medecine et Chirurgie Digestives 12(6):423–426

    Google Scholar 

  46. Rosen MJ, Reynolds HL, Champagne B et al (2010) A novel approach for the simultaneous repair of large midline incisional and parastomal hernias with biological mesh and retrorectus reconstruction. Am J Surg 199(3):416–420 discussion 20–11

    Article  PubMed  Google Scholar 

  47. Ladurner R, Chiapponi C, Linhuber Q et al (2011) Long term outcome and quality of life after open incisional hernia repair–light versus heavy weight meshes. BMC Surgery 11:25. doi:10.1186/1471-2482-11-25 (published online first: epub date)

    Article  PubMed Central  PubMed  Google Scholar 

  48. Briennon X, Lermite E, Meunier K et al (2011) Surgical treatment of large incisional hernias by intraperitoneal insertion of Parietex(R) composite mesh with an associated aponeurotic graft (280 cases). J Visc Surg 148(1):54–58

    Article  CAS  PubMed  Google Scholar 

  49. Hamy A, Pessaux P, Mucci-Hennekinne S et al (2003) Surgical treatment of large incisional hernias by an intraperitoneal Dacron mesh and an aponeurotic graft. J Am Coll Surg 196(4):531–534

    Article  PubMed  Google Scholar 

  50. Ammaturo C, Bassi UA, Bassi G (2010) Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases. Updates Surg 62(1):55–61

    Article  PubMed  Google Scholar 

  51. Bernard C, Polliand C, Mutelica L et al (2007) Repair of giant incisional abdominal wall hernias using open intraperitoneal mesh. Hernia 11(4):315–320

    Article  CAS  PubMed  Google Scholar 

  52. Martinez DA, Vazquez JL, Pellicer E et al (1999) Results of expanded polytetrafluoroethylene patches in moderate and large incisional hernias. Hernia 3(3):149–152

    Article  Google Scholar 

  53. Moreno-Egea A, Mengual-Ballester M, Cases-Baldo MJ et al (2010) Repair of complex incisional hernias using double prosthetic repair: single-surgeon experience with 50 cases. Surgery 148(1):140–144

    Article  PubMed  Google Scholar 

  54. Liu F, Li J (2011) Repair of large abdominal wall defects using the proceed surgical mesh with open intra-peritonium onlay method. Saudi Med J 32(5):504–509

    CAS  PubMed  Google Scholar 

  55. Lo Monte AI, Damiano G, Palumbo VD et al (2011) Eight-point compass rose underlay technique in 72 consecutive elderly patients with large incisional hernia. Int J Gerontol 5:161–165

    Article  Google Scholar 

  56. Shaikh FM, Giri SK, Durrani S et al (2007) Experience with porcine acellular dermal collagen implant in one-stage tension-free reconstruction of acute and chronic abdominal wall defects. World J Surg 31(10):1966–1972 discussion 73–64, 75

    Article  PubMed  Google Scholar 

  57. Butler CE, Campbell KT (2011) Minimally invasive component separation with inlay bioprosthetic mesh (MICSIB) for complex abdominal wall reconstruction. Plast Reconstr Surg 128(3):698–709. doi:10.1097/PRS.0b013e318221dcce (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  58. Ghali S, Turza KC, Baumann DP et al (2012) Minimally invasive component separation results in fewer wound-healing complications than open component separation for large ventral hernia repairs. J Am Coll Surg 214(6):981–989. doi:10.1016/j.jamcollsurg.2012.02.017 (published online first: epub date)

    Article  PubMed Central  PubMed  Google Scholar 

  59. Harth KC, Rosen MJ (2010) Endoscopic versus open component separation in complex abdominal wall reconstruction. Am J Surg 199(3):342–346. doi:10.1016/j.amjsurg.2009.09.015 discussion 46–47 (published online first: epub date)

    Article  PubMed  Google Scholar 

  60. Krpata DM, Blatnik JA, Novitsky YW et al (2012) Posterior and open anterior components separations: a comparative analysis. Am J Surg 203(3):318–322. doi:10.1016/j.amjsurg.2011.10.009 discussion 22 (published online first: epub date)

    Article  PubMed  Google Scholar 

  61. Itani KM, Rosen M, Vargo D et al (2012) Prospective study of single-stage repair of contaminated hernias using a biologic porcine tissue matrix: the RICH Study. Surgery 152(3):498–505. doi:10.1016/j.surg.2012.04.008 (published online first: epub date)

    Article  PubMed  Google Scholar 

  62. Picazo-Yeste J, Morandeira-Rivas A, Moreno-Sanz C (2013) Multilayer myofascial-mesh repair for giant midline incisional hernias: a novel advantageous combination of old and new techniques. J Gastrointest Surg Off J Soc Surg Aliment Tract 17(9):1665–1672. doi:10.1007/s11605-013-2285-3 (published online first: epub date)

    Article  Google Scholar 

  63. Carbonell Tatay F, Bonafe Diana S, Garcia Pastor P et al (2009) New surgical technique in complex incisional hernias: component separation technique (CST) with prosthesis and new muscle insertions (Nuevo metodo de operar en la eventracion compleja: separacion anatomica de componentes con protesis y nuevas inserciones musculares). Cir Esp 86(2):87–93

    Article  PubMed  Google Scholar 

  64. Chevrel JP (1979) The treatment of large midline incisional hernias by “overcoat” plasty and prothesis (author’s transl) (Traitement des grandes eventrations medianes par plastie en paletot et prothese). Nouv Presse Med 8(9):695–696

    CAS  PubMed  Google Scholar 

  65. Rios A, Rodriguez JM, Munitiz V et al (2001) Factors that affect recurrence after incisional herniorrhaphy with prosthetic material. Eur J Surg 167(11):855–859

    Article  CAS  PubMed  Google Scholar 

  66. Rohr S, Vogt F, Thiry CL et al (1993) Parietal prosthetic mesh in the treatment of large incisional hernias (Le pontage prothetique parietal dans le traitement des grandes eventrations). J Chir (Paris) 130(1):37–40

    CAS  Google Scholar 

  67. Kingsnorth AN, Shahid MK, Valliattu AJ et al (2008) Open onlay mesh repair for major abdominal wall hernias with selective use of components separation and fibrin sealant. World J Surg 32(1):26–30. doi:10.1007/s00268-007-9287-9 [published Online First: Epub Date]

    Article  PubMed  Google Scholar 

  68. Memon AA, Khan A, Zafar H et al (2013) Repair of large and giant incisional hernia with onlay mesh: perspective of a tertiary care hospital of a developing country. Int J Surg 11(1):41–45. doi:10.1016/j.ijsu.2012.11.006 (published online first: epub date)

    Article  PubMed  Google Scholar 

  69. Tuveri M, Tuveri A, Nicolo E (2011) Repair of large abdominal incisional hernia by reconstructing the midline and use of an onlay of biological material. Am J Surg 202(1):e7–e11. doi:10.1016/j.amjsurg.2010.06.005 (published online first: epub date)

    Article  PubMed  Google Scholar 

  70. Bracci F, Pollicita S, Carnuccio P (2008) “Open” abdominal surgery for large incisional hernias: proposal of a personal technique. Chir Ital 60(3):439–443

    PubMed  Google Scholar 

  71. Matapurkar BG, Gupta AK, Agarwal AK (1991) A new technique of “Marlex-peritoneal sandwich” in the repair of large incisional hernias. World J Surg 15(6):768–770

    Article  CAS  PubMed  Google Scholar 

  72. Katsaragakis S, Manouras A, Stamou KM et al (2001) Modified technique for repairing large incisional hernias. Eur J Surg 167(6):458–460

    Article  CAS  PubMed  Google Scholar 

  73. Malik A, Macdonald AD, de Beaux AC et al (2014) The peritoneal flap hernioplasty for repair of large ventral and incisional hernias. Hernia J Hernias Abdom Wall Surg 18(1):39–45. doi:10.1007/s10029-013-1086-7 (published online first: epub date)

    Article  CAS  Google Scholar 

  74. Ferrari GC, Miranda A, Sansonna F et al (2008) Laparoscopic management of incisional hernias > or = 15 cm in diameter. Hernia 12(6):571–576

    Article  CAS  PubMed  Google Scholar 

  75. Perrone JM, Soper NJ, Eagon JC et al (2005) Perioperative outcomes and complications of laparoscopic ventral hernia repair. Surgery 138(4):708–715 discussion 15-06

    Article  PubMed  Google Scholar 

  76. Raftopoulos I, Vanuno D, Khorsand J et al (2002) Outcome of laparoscopic ventral hernia repair in correlation with obesity, type of hernia, and hernia size. J Laparoendosc Adv Surg Tech A 12(6):425–429

    Article  PubMed  Google Scholar 

  77. Baccari P, Nifosi J, Ghirardelli L et al (2012) Short- and mid-term outcome after laparoscopic repair of large incisional hernia. Hernia. doi:10.1007/s10029-012-1026-y (published online first: epub date)

    PubMed  Google Scholar 

  78. Ferrari G, Bertoglio C, Magistro C et al (2013) Laparoscopic repair for recurrent incisional hernias: a single institute experience of 10 years. Hernia J Hernias Abdom Wall Surg 17(5):573–580. doi:10.1007/s10029-013-1098-3 (published online first: epub date)

    Article  CAS  Google Scholar 

  79. Ji Y, Zhan X, Wang Y et al (2013) Combined laparoscopic and open technique for the repair of large complicated incisional hernias. Surg Endosc 27(5):1778–1783. doi:10.1007/s00464-012-2680-y [published Online First: Epub Date]

    Article  PubMed  Google Scholar 

  80. Moreno-Egea A, Carrillo-Alcaraz A (2012) Management of non-midline incisional hernia by the laparoscopic approach: results of a long-term follow-up prospective study. Surg Endosc 26(4):1069–1078. doi:10.1007/s00464-011-2001-x (published online first: epub date)

    Article  PubMed  Google Scholar 

  81. Wormer BA, Walters AL, Bradley JF 3rd et al (2013) Does ventral hernia defect length, width, or area predict postoperative quality of life? Answers from a prospective, international study. J Surg Res 184(1):169–177. doi:10.1016/j.jss.2013.04.034 (published online first: epub date)

    Article  PubMed  Google Scholar 

  82. Sharma A, Mehrotra M, Khullar R et al (2011) Laparoscopic ventral/incisional hernia repair: a single centre experience of 1,242 patients over a period of 13 years. Hernia 15(2):131–139. doi:10.1007/s10029-010-0747-z (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  83. Clarke JM (2010) Incisional hernia repair by fascial component separation: results in 128 cases and evolution of technique. Am J Surg 200(1):2–8. doi:10.1016/j.amjsurg.2009.07.029 pii S0002-9610(09)00536-4 (published online first: epub date)

    Article  PubMed  Google Scholar 

  84. Bisgaard T, Kehlet H, Bay-Nielsen MB et al (2009) Nationwide study of early outcomes after incisional hernia repair. Br J Surg 96(12):1452–1457. doi:10.1002/bjs.6728 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  85. de Vries Reilingh TS, van Geldere D, Langenhorst B et al (2004) Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia 8(1):56–59. doi:10.1007/s10029-003-0170-9 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  86. Agnew SP, Small W Jr, Wang E et al (2010) Prospective measurements of intra-abdominal volume and pulmonary function after repair of massive ventral hernias with the components separation technique. Ann Surg 251(5):981–988. doi:10.1097/SLA.0b013e3181d7707b (published online first: epub date)

    Article  PubMed  Google Scholar 

  87. Zielinski MD, Goussous N, Schiller HJ et al (2013) Chemical components separation with botulinum toxin A: a novel technique to improve primary fascial closure rates of the open abdomen. Hernia 17(1):101–107. doi:10.1007/s10029-012-0995-1 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  88. Ibarra-Hurtado TR, Nuno-Guzman CM, Echeagaray-Herrera JE et al (2009) Use of botulinum toxin type a before abdominal wall hernia reconstruction. World J Surg 33(12):2553–2556. doi:10.1007/s00268-009-0203-3 (published online first: epub date)

    Article  PubMed  Google Scholar 

  89. Sabbagh C, Dumont F, Fuks D et al (2012) Progressive preoperative pneumoperitoneum preparation (the Goni Moreno protocol) prior to large incisional hernia surgery: volumetric, respiratory and clinical impacts: a prospective study. Hernia 16(1):33–40. doi:10.1007/s10029-011-0849-2 (published online first: epub date)

    Article  CAS  PubMed  Google Scholar 

  90. den Hartog D, Dur AH, Kamphuis AG et al (2009) Comparison of ultrasonography with computed tomography in the diagnosis of incisional hernias. Hernia 13(1):45–48. doi:10.1007/s10029-008-0420-y (published online first: epub date)

    Article  Google Scholar 

  91. Dindo D, Hahnloser D, Clavien PA (2010) Quality assessment in surgery: riding a lame horse. Ann Surg 251(4):766–771. doi:10.1097/SLA.0b013e3181d0d211 (published online first: epub date)

    Article  PubMed  Google Scholar 

  92. Eriksson A, Rosenberg J, Bisgaard T (2013) Surgical treatment for giant incisional hernia: a qualitative systematic review. Hernia. doi:10.1007/s10029-013-1066-y (published online first: epub date)

    PubMed  Google Scholar 

  93. Muysoms F, Campanelli G, Champault GG et al (2012) EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair. Hernia. doi:10.1007/s10029-012-0912-7 (published online first: epub date)

    PubMed Central  PubMed  Google Scholar 

  94. Leber GE, Garb JL, Alexander AI et al (1998) Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133(4):378–38295

    Article  CAS  PubMed  Google Scholar 

  95. Tanaka EY, Yoo JH, Rodrigues AJ, Jr., Utiyama EM, Birolini D, Rasslan S (2010) A computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain. Hernia 14(1):63–69

  96. Ammaturo C, Bassi G (2005) The ratio between anterior abdominal wall surface/wall defect surface: a new parameter to classify abdominal incisional hernias. Hernia 9(4):316–321

  97. Dumanian GA, Denham W (2003) Comparison of repair techniques for major incisional hernias. Am J Surg 185(1):61–65

  98. Korenkov M, Paul A, Sauerland S, Neugebauer E, Arndt M, Chevrel JP, Corcione F, Fingerhut A, Flament JB, Kux M et al (2001) Classification and surgical treatment of incisional hernia. Langenbecks Arch Surg 386(1):65–73

  99. Chevrel JP, Rath AM (2000) Classification of incisional hernias of the abdominal wall. Hernia 4:7–11

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Acknowledgments

We would like to thank Berend-Jan Kompanje for drawing the illustrations and Wichor M. Bramer for assistance in the literature search.

Conflict of interest

ED, LT, DH, JS, PE, JJ and JL declare no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, Erasmus University Medical Center Rotterdam, ErasmusMC, Room Ee-173, Postbus 2400, 3000 CA, Rotterdam, The Netherlands

    E. B. Deerenberg, L. Timmermans, D. P. Hogerzeil & J. F. Lange

  2. Department of Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

    J. C. Slieker

  3. Department of Biostatistics, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands

    P. H. C. Eilers

  4. Department of Neuroscience, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands

    J. Jeekel

Authors
  1. E. B. Deerenberg
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  2. L. Timmermans
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  3. D. P. Hogerzeil
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  4. J. C. Slieker
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  5. P. H. C. Eilers
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  6. J. Jeekel
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  7. J. F. Lange
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Corresponding author

Correspondence to E. B. Deerenberg.

Additional information

A summary of a selection of this paper has been orally presented at the American Hernia Society in New York, March 28–31, 2012.

Appendix

Appendix

Literature search strategy

In PubMed the following search strategy was performed (giant*[tw] OR complex*[tw] OR large*[tw] OR ((orifice[tw] OR defect*[tw]) AND (size[tw] OR measure*[tw] OR width[tw] OR length[tw] OR transverse*[tw]))) AND ((incisional hernia*[tw] OR incisional ventral hernia*[tw] OR incisional abdominal hernia*[tw] OR incisional abdominal wall hernia*[tw]) OR ((hernia, ventral[mesh] OR hernia, abdominal[mesh]) AND incisional[tw])) AND (Watchful waiting[tw] OR conservative*[tw] OR surger*[tw] OR surgical*[tw]) NOT (animals[mesh] NOT humans[mesh]) NOT (child[mesh] NOT adult[mesh]) .

The search performed on May 2nd, 2014 identified 737 records.

In EMBASE the following search strategy was performed ((giant* OR complex* OR large* ):de,ti,ab OR ((orifice OR defect* ) NEAR/3 (size OR measure* OR width OR length OR transverse* )):de,ti,ab) AND (incisional NEXT/5 hernia* ):de,ti,ab AND (‘Watchful waiting’ OR conservative* OR surger* OR surgical* ):de,ti,ab NOT ([animals]/lim NOT [humans]/lim) NOT ([child]/lim NOT [adult]/lim).

The search performed on May 2nd, 2014 identified 898 records.

In the Cochrane Central Register of Controlled Trials the following search strategy with MeSH terms was performed [(Hernia, Abdominal) OR (Hernia, Ventral) AND (Herniorrhaphy)].

The search performed on May 2nd, 2014 identified 114 records.

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Deerenberg, E.B., Timmermans, L., Hogerzeil, D.P. et al. A systematic review of the surgical treatment of large incisional hernia. Hernia 19, 89–101 (2015). https://doi.org/10.1007/s10029-014-1321-x

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