University of Texas Southwestern, 5323 Harry Hines Blvd, E5-810, Dallas, TX, 75390, USA.
University of Texas Southwestern, 5323 Harry Hines Blvd, E7-100, Dallas, TX, 75390, USA.
Hernia. 2019 Apr;23(2):235-243. doi: 10.1007/s10029-019-01898-9. Epub 2019 Jan 30.
This study reviewed the literature regarding mesh migration in abdominal hernia repair. The aim of this study is to interrogate incidence, common type of abdominal hernia repair leading to migration, patterns of mesh migration, and materials associated with migration.
A comprehensive literature review was conducted. PubMed and MEDLINE were searched for relevant articles in the English literature. We employed Ovid syntax from 1949 to January 2010, the Cochrane Library, Google and Google Scholar. The clinical trial database Clinicaltrials.gov was reviewed. Letters to the editor were reviewed to extract cross-references. Multiple keywords were used alone and in combination to extract all relevant articles.
In total, 287 unique English citations were reviewed. Of these, 84 articles were selected and consisted of 3 case series, 77 case reports, 2 literature reviews, 1 retrospective study, and 1 prospective, observational study. In an analysis of available cases, the average age was 59.8 ± 13.8 years with a male predominance (76.2%). The index hernia repair was inguinal in 62.9%, incisional/ventral in 28.1%, umbilical in 6.7%, and other in 2.2%. Within the inguinal hernia group, 51.8% were open repairs, 42.9% were laparoscopic, and 1.8% were robotic. Implicated mesh materials included polypropylene, PTFE, and composite mesh. Migration commonly affected multiple organs (31.5%).
It is likely that more cases of mesh migration will appear in the literature. Reports are heterogeneous and highlight the diversity of this complication. A standardized method of reporting is needed to develop guidelines and recommendations for this presentation.
本研究回顾了关于腹疝修补术中补片迁移的文献。本研究旨在探讨迁移的发生率、导致迁移的常见腹疝修补类型、补片迁移的模式以及与迁移相关的材料。
进行了全面的文献回顾。在英文文献中，我们在 PubMed 和 MEDLINE 上搜索了相关文章。我们使用了 Ovid 语法从 1949 年到 2010 年 1 月，Cochrane 图书馆，Google 和 Google Scholar。审查了临床试验数据库 Clinicaltrials.gov。我们审查了给编辑的信件以提取交叉引用。使用了多个关键词单独和组合来提取所有相关文章。
总共审查了 287 篇独特的英文引文。其中，选择了 84 篇文章，包括 3 个病例系列、77 个病例报告、2 个文献综述、1 个回顾性研究和 1 个前瞻性观察研究。在对现有病例的分析中，平均年龄为 59.8 ± 13.8 岁，男性占优势（76.2%）。索引疝修补术是腹股沟疝占 62.9%，切口/腹疝占 28.1%，脐疝占 6.7%，其他疝占 2.2%。在腹股沟疝组中，51.8%为开放式修复，42.9%为腹腔镜，1.8%为机器人。涉及的补片材料包括聚丙烯、PTFE 和复合补片。迁移通常影响多个器官（31.5%）。
可能会有更多的补片迁移病例出现在文献中。报告存在异质性，突出了这种并发症的多样性。需要一种标准化的报告方法来制定针对这种表现的指南和建议。
