Journal article
Complex incisional hernias repaired in conjunction with the Bony Anchoring Reinforcement System (BARS) prevents hernia recurrence
European journal of plastic surgery, v 37(8), pp 431-436
2014
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
Complex abdominal wall reconstruction and incisional hernia repair have been plagued by high recurrence rates, especially after multiple repair attempts and in those patients with high body mass index. We present an adjunct technique to validated procedures of hernia repair.
Methods
This study is a retrospective analysis of 63 patients between January 2006 and August 2012. Patients had bony suture anchoring of synthetic polypropylene mesh to the anterior superior iliac spine bilaterally, and the pubic symphysis after the abdominal fascia was reconstructed.
Results
Patient mean follow-up was 3.1 years (range 6 months to 6 years). None of the 63 patients had recurrent abdominal wall hernias. One patient, from early in the series, had post-operative bulging, which was retreated successfully using the current revised bone anchoring protocol. Five patients developed mesh infections; none of whom required radical debridement or removal of mesh.
Conclusions
The BARS technique for abdominal wall reconstruction provides an excellent reinforcement of fascial reconstruction with decreased hernia recurrence rates.
Level of Evidence: Level IV, therapeutic study.
Metrics
Details
- Title
- Complex incisional hernias repaired in conjunction with the Bony Anchoring Reinforcement System (BARS) prevents hernia recurrence
- Creators
- Andrew I. Elkwood - Drexel UniversityFrank J. Borao - Eatontown, USARussell L. Ashinoff - Institute for Advanced ReconstructionMatthew R. Kaufman - Institute for Advanced ReconstructionMichael I. Rose - Institute for Advanced ReconstructionAmit S. Kharod - Camp Quality New JerseySteven J. Binenbaum - Eatontown, USAJohn Cece - Institute for Advanced ReconstructionTushar R. Patel - Institute for Advanced ReconstructionLeo R. Otake - Institute for Advanced Reconstruction
- Publication Details
- European journal of plastic surgery, v 37(8), pp 431-436
- Publisher
- Springer Berlin Heidelberg
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000217740200004
- Scopus ID
- 2-s2.0-84904437588
- Other Identifier
- 991019169672204721
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- Web of Science research areas
- Surgery