Sarac Benjamin A, Hackenberger Paige, Janis Jeffrey E
From The Ohio State University Department of Plastic and Reconstructive Surgery, Columbus, Ohio.
Northwestern University Division of Plastic and Reconstructive Surgery, Chicago, Ill.
Plast Reconstr Surg Glob Open. 2024 Mar 20;12(3):e5643. doi: 10.1097/GOX.0000000000005643. eCollection 2024 Mar.
Polypropylene mesh strip repair is a novel method of hernia closure. Currently, there is limited representation in the literature regarding both the reproducibility of this method and its outcomes. The present study sought to analyze a second institution's experience with fascial closure using the mesh strip technique with long-term follow-up.
A retrospective review of all patients undergoing abdominal wall reconstruction by the senior author was performed. Patients undergoing midline ventral hernia repair with mesh strip only fascial closure and greater than 1 year follow-up were including for analysis. Demographic data; operative details; and outcomes, specifically presence and timing of hernia recurrence, were recorded.
Eighteen patients met inclusion criteria. Average follow-up was 860 ± 307 days. Nine patients (50%) had recurrence of their hernia after repair. Average time to recurrence was 602 ± 406 days, with the earliest recurrence occurring at 126 days postoperatively. Seven patients (39%) underwent concurrent anterior component separation (four unilateral, three bilateral), of which there were three recurrences, all occurring in patients with bilateral anterior component separation.
The mesh strip repair is a novel technique that shows uncertain reproducibility of outcomes, specifically with concurrent component separation techniques. With the recent Food and Drug Administration approval of a mesh suture, further multi-institutional analysis will allow for better characterization of the outcomes and indications for this technique.
聚丙烯网带修补术是一种新型的疝修补方法。目前，关于该方法的可重复性及其结果的文献报道有限。本研究旨在分析另一机构使用网带技术进行筋膜闭合的经验，并进行长期随访。
对资深作者进行的所有腹壁重建患者进行回顾性研究。纳入仅采用网带进行筋膜闭合且随访时间超过1年的中线腹疝修补患者进行分析。记录人口统计学数据、手术细节以及结果，特别是疝复发的情况和时间。
18例患者符合纳入标准。平均随访时间为860±307天。9例患者（50%）修补后疝复发。复发的平均时间为602±406天，最早复发发生在术后126天。7例患者（39%）同时进行了前入路成分离断术（4例单侧，3例双侧），其中3例复发，均发生在双侧前入路成分离断术患者中。
网带修补术是一种新技术，其结果的可重复性不确定，特别是与同时进行的成分离断技术相关。随着美国食品药品监督管理局最近批准了一种网片缝线，进一步的多机构分析将有助于更好地描述该技术的结果和适应证。
