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Verfasst von:Lesch, Carolin [VerfasserIn]   i
 Nessel, R. [VerfasserIn]   i
 Adolf, D. [VerfasserIn]   i
 Hukauf, M. [VerfasserIn]   i
 Köckerling, F. [VerfasserIn]   i
 Kallinowski, Friedrich [VerfasserIn]   i
 Willms, A. [VerfasserIn]   i
 Schwab, R. [VerfasserIn]   i
 Zarras, K. [VerfasserIn]   i
Titel:STRONGHOLD first-year results of biomechanically calculated abdominal wall repair
Titelzusatz:a propensity score matching
Verf.angabe:C. Lesch, R. Nessel, D. Adolf, M. Hukauf, F. Köckerling, F. Kallinowski, for the STRONGHOLD/Herniamed-Collaborators GROUP, A. Willms, R. Schwab, K. Zarras
E-Jahr:2023
Jahr:10 October 2023
Umfang:11 S.
Illustrationen:Illustrationen
Fussnoten:Online veröffentlicht: 10. Oktober 2023 ; Gesehen am 04.01.2024
Titel Quelle:Enthalten in: Hernia
Ort Quelle:Paris : Springer, 1997
Jahr Quelle:2023
Band/Heft Quelle:(2023), online ahead of print
ISSN Quelle:1248-9204
Abstract:Purpose: Every year around 70,000 people in Germany suffer from an abdominal incisional hernia that requires surgical treatment. Five years after reconstruction about 25% reoccur. Incisional hernias are usually closed with mesh using various reconstruction techniques, summarized here as standard reconstruction (SR). To improve hernia repair, we established a concept for biomechanically calculated reconstructions (BCR). In the BCR, two formulas enable customized patient care through standardized biomechanical measures. This study aims to compare the clinical outcomes of SR and BCR of incisional hernias after 1 year of follow-up based on the Herniamed registry. Methods: SR includes open retromuscular mesh augmented incisional hernia repair according to clinical guidelines. BCR determines the required strength (Critical Resistance to Impacts related to Pressure = CRIP) preoperatively depending on the hernia size. It supports the surgeon in reliably determining the Gained Resistance, based on the mesh-defect-area-ratio, further mesh and suture factors, and the tissue stability. To compare SR and BCR repair outcomes in incisional hernias at 1 year, propensity score matching was performed on 15 variables. Included were 301 patients with BCR surgery and 23,220 with standard repair. Results: BCR surgeries show a significant reduction in recurrences (1.7% vs. 5.2%, p = 0.0041), pain requiring treatment (4.1% vs. 12.0%, p = 0.001), and pain at rest (6.9% vs. 12.7%, p = 0.033) when comparing matched pairs. Complication rates, complication-related reoperations, and stress-related pain showed no systematic difference. Conclusion: Biomechanically calculated repairs improve patient care. BCR shows a significant reduction in recurrence rates, pain at rest, and pain requiring treatment at 1-year follow-up compared to SR.
DOI:doi:10.1007/s10029-023-02897-7
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1007/s10029-023-02897-7
 DOI: https://doi.org/10.1007/s10029-023-02897-7
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Abdominal wall reconstruction
 Biomechanically calculated incisional hernia repair
 Herniamed
 Incisional hernia
 Propensity score matching for incisional hernia repair
 STRONGHOLD
K10plus-PPN:187727920X
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