The American Journal of Surgery
Volume 196, Issue 2 , Pages 201-206 , August 2008

Variation in mesh placement for ventral hernia repair: an opportunity for process improvement?

  • Stephen H. Gray, M.D.

      Affiliations

    • Deep South Center for Effectiveness Research, Birmingham Veterans Affairs (VA) Medical Center, Birmingham, AL, USA
    • Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
    • Health Services and Outcomes Research Training Program, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL
    • ,
  • Catherine C. Vick, M.S.

      Affiliations

    • Deep South Center for Effectiveness Research, Birmingham Veterans Affairs (VA) Medical Center, Birmingham, AL, USA
    • Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Laura A. Graham, M.P.H.

      Affiliations

    • Deep South Center for Effectiveness Research, Birmingham Veterans Affairs (VA) Medical Center, Birmingham, AL, USA
    • ,
  • Kelly R. Finan, M.D., M.S.P.H.

      Affiliations

    • Deep South Center for Effectiveness Research, Birmingham Veterans Affairs (VA) Medical Center, Birmingham, AL, USA
    • Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Leigh A. Neumayer, M.D., M.S.

      Affiliations

    • VA Medical Center and Department of Surgery, University of Utah, Salt Lake City, UT, USA
    • ,
  • Mary T. Hawn, M.D., M.P.H., F.A.C.S.

      Affiliations

    • Deep South Center for Effectiveness Research, Birmingham Veterans Affairs (VA) Medical Center, Birmingham, AL, USA
    • Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-205-975-1932; fax: +1-205-996-4959.

Received 15 August 2007 ,Revised 30 August 2007

References 

  1. Birkmeyer JD, Sharp SM, Finlayson SR, et al. Variation profiles of common surgical procedures. Surgery. 1998;124:917–923
  2. Wennberg JE, Freeman JL, Culp WJ. Are hospital services rationed in New Haven or over-utilised in Boston?. Lancet. 1987;1:1185–1189
  3. Barry MJ, Mulley AG, Fowler FJ, et al. Watchful waiting vs immediate transurethral resection for symptomatic prostatism (The importance of patients' preferences). JAMA. 1988;259:3010–3017
  4. Israelsson LA. The surgeon as a risk factor for complications of midline incisions. Eur J Surg. 1998;164:353–359
  5. de Vries Reilingh TS, van Goor H, Rosman C, et al. “Components separation technique” for the repair of large abdominal wall hernias. J Am Coll Surg. 2003;196:32–37
  6. Dumanian GA, Denham W. Comparison of repair techniques for major incisional hernias. Am J Surg. 2003;185:61–65
  7. Dunne JR, Malone DL, Tracy JK, et al. Abdominal wall hernias: risk factors for infection and resource utilization. J Surg Res. 2003;111:78–84
  8. Flum DR, Horvath K, Koepsell T. Have outcomes of incisional hernia repair improved with time? (A population-based analysis). Ann Surg. 2003;237:129–135
  9. Gecim IE, Kocak S, Ersoz S, Bumin C, et al. Recurrence after incisional hernia repair: results and risk factors. Surg Today. 1996;26:607–609
  10. George CD, Ellis H. The results of incisional hernia repair: a twelve year review. Ann R Coll Surg Engl. 1986;68:185–187
  11. Goodney PP, Birkmeyer CM, Birkmeyer JD. Short-term outcomes of laparoscopic and open ventral hernia repair: a meta-analysis. Arch Surg. 2002;137:1161–1165
  12. Koehler RH, Voeller G. Recurrences in laparoscopic incisional hernia repairs: a personal series and review of the literature. JSLS. 1999;3:293–304
  13. Manninen MJ, Lavonius M, Perhoniemi VJ. Results of incisional hernia repair (A retrospective study of 172 unselected hernioplasties). Eur J Surg. 1991;157:29–31
  14. McGreevy JM, Goodney PP, Birkmeyer CM, et al. A prospective study comparing the complication rates between laparoscopic and open ventral hernia repairs. Surg Endosc. 2003;10:10
  15. Paul A, Korenkov M, Peters S, et al. Unacceptable results of the Mayo procedure for repair of abdominal incisional hernias. Eur J Surg. 1998;164:361–367
  16. Raftopoulos I, Vanuno D, Khorsand J, et al. Comparison of open and laparoscopic prosthetic repair of large ventral hernias. JSLS. 2003;7:227–232
  17. Vrijland WW, Jeekel J. Prosthetic mesh repair should be used for any defect in the abdominal wall. Curr Med Res Opin. 2003;19:1–3
  18. Luijendijk RW, Hop WC, van den Tol MP, et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343:392–398
  19. Vidovic D, Jurisic D, Franjic BD, et al. Factors affecting recurrence after incisional hernia repair. Hernia. 2006;10:322–325
  20. Rios A, Rodriguez JM, Munitiz V, et al. Factors that affect recurrence after incisional herniorrhaphy with prosthetic material. Eur J Surg. 2001;167:855–859
  21. Sauerland S, Korenkov M, Kleinen T, et al. Obesity is a risk factor for recurrence after incisional hernia repair. Hernia. 2004;8:42–46
  22. Anthony T, Bergen PC, Kim LT, et al. Factors affecting recurrence following incisional herniorrhaphy. World J Surg. 2000;24:95–100
  23. Hesselink VJ, Luijendijk RW, de Wilt JH, et al. An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet. 1993;176:228–234
  24. Leber GE, Garb JL, Alexander AI, et al. Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg. 1998;133:378–382
  25. Courtney CA, Lee AC, Wilson C, et al. Ventral hernia repair: a study of current practice. Hernia. 2003;7:44–46
  26. Khuri SF, Daley J, Henderson W, et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care (National VA Surgical Quality Improvement Program). Ann Surg. 1998;228:491–507
  27. Khuri SF, Daley J, Henderson WG. The comparative assessment and improvement of quality of surgical care in the Department of Veterans Affairs. Arch Surg. 2002;137:20–27
  28. Finan KR, Vick CC, Kiefe CI, et al. Predictors of wound infection in ventral hernia repair. Am J Surg. 2005;190:676–681
  29. Gray S, Vick C, Graham L, et al. Enterotomy or unplanned bowel resection during elective hernia repair increases complications. Arch Surg (in press).
  30. Witherspoon P, O'Dwyer PJ. Surgeon perspectives on options for ventral abdominal wall hernia repair: results of a postal questionnaire. Hernia. 2005;9:259–262
  31. Lamont PM, Ellis H. Incisional hernia in re-opened abdominal incisions: an overlooked risk factor. Br J Surg. 1988;75:374–376
  32. van der Linden FT, van Vroonhoven TJ. Long-term results after surgical correction of incisional hernia. Neth J Surg. 1988;40:127–129
  33. Franklin ME, Gonzalez JJ, Glass JL, et al. Laparoscopic ventral and incisional hernia repair: an 11-year experience. Hernia. 2004;8:23–27
  34. Goodney PP, Birkmeyer CM, Birkmeyer JD. Short-term outcomes of laparoscopic and open ventral hernia repair: a meta-analysis. Arch Surg. 2002;137:1161–1165
  35. Heniford BT, Park A, Ramshaw BJ. Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias. Ann Surg. 2003;238:391–399
  36. LeBlanc KA, Whitaker JM, Bellanger DE, et al. Laparoscopic incisional and ventral hernioplasty: lessons learned from 200 patients. Hernia. 2003;7:118–124
  37. Perrone JM, Soper NJ, Eagon JC, et al. Perioperative outcomes and complications of laparoscopic ventral hernia repair. Surgery. 2005;138:708–715

 Supported by the Health Services Research and Development Program of the Department of Veterans Affairs Office of Research and Development and Grant No. 5 T32 HS013852 from the Agency for Healthcare Research and Quality.

PII: S0002-9610(08)00249-3

doi: 10.1016/j.amjsurg.2007.09.041

The American Journal of Surgery
Volume 196, Issue 2 , Pages 201-206 , August 2008

Article Tools

* Image Usage & Resolution