caa a22 4500 475801423 CHVBK 20180406123738.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s002689910018 doi (NATIONALLICENCE)springer-10.1007/s002689910018 Factors Affecting Recurrence following Incisional Herniorrhaphy [Elektronische Daten] [Thomas Anthony, Patricia C. Bergen, Lawrence T. Kim, Mark Henderson, Thomas Fahey, Robert V. Rege, Richard H. Turnage] The purpose of this study was to determine the influence of chronic illness, obesity, and type of repair on the likelihood of recurrence following incisional herniorrhaphy. The medical records of 77 patients who underwent elective repair of a midline incisional hernia at the Dallas Veterans Affairs Medical Center between 1991 and 1995 were reviewed. Demographic data, presence of chronic illnesses, type of repair, and presence of recurrence were noted. Ninety-six percent of the patients were men, with an average age of 59 years. More than 50% of the patients had chronic lung or cardiac diseases and more than 40% weighed ≥120% of their ideal body weight and had a body mass index (BMI) ≥30. Sixty-two percent of the patients underwent primary reapproximation of the fascia (tissue repair), whereas 38% underwent repair with prosthetic material (prosthetic repair). The overall recurrence rate was 45%, with a median follow-up of 45 months (range 6-73). Seventy-four percent of the recurrences presented within 3 years of repair. The recurrence rate for those patients undergoing a tissue repair was 54%, whereas the recurrence rate following prosthetic repair was 29%. The incidence of recurrence for patients with pulmonary or cardiac disease or diabetes mellitus was similar to that of patients without these illnesses. The percent ideal body weight and BMI of patients who developed a recurrent hernia, particularly following a prosthetic repair, were significantly greater than those of patients whose repairs remained intact. These data strongly support the use of prosthetic repairs for incisional hernias, particularly in patients who are overweight. by the Société Internationale de Chirurgie, 2000 Anthony Thomas Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut Bergen Patricia C. Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut Kim Lawrence T. Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut Henderson Mark Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut Fahey Thomas Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut Rege Robert V. Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut Turnage Richard H. Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut World Journal of Surgery Springer-Verlag 24/1(2000-01-01), 95-101 0364-2313 24:1<95 2000 24 268 https://doi.org/10.1007/s002689910018 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910018 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Anthony Thomas Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut NATIONALLICENCE 700 1- Bergen Patricia C. Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut NATIONALLICENCE 700 1- Kim Lawrence T. Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut NATIONALLICENCE 700 1- Henderson Mark Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut NATIONALLICENCE 700 1- Fahey Thomas Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut NATIONALLICENCE 700 1- Rege Robert V. Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut NATIONALLICENCE 700 1- Turnage Richard H. Department of Surgery, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, Texas 75235, USA Veterans Affairs North Texas Health Care System, 4500 South Lancaster Road, Dallas, Texas 75216, USA, US aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/1(2000-01-01), 95-101 0364-2313 24:1<95 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer