Prospective Analysis of Epigastric, Umbilical, and Small Incisional Hernia Repair Using the Modified Kugel Oval Patch

The study was performed to determine the complication and recurrence rate using the modified Kugel oval patch for small ventral hernia repair. Another aim of the study was to find risk factors for recurrence in patients with this repair. Seventy-three patients underwent ventral hernia repair with th...

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Bibliographic Details
Published in:The American surgeon 2018-02, Vol.84 (2), p.305-308
Main Authors: Wang, Dianchen, Chen, Jianmin, Chen, Yake, Han, Yuqian, Zhang, Hongyue
Format: Article
Language:English
Subjects:
Abdomen
Defects
Hernia
Hernias
Hospitals
Patients
Risk analysis
Risk factors
Studies
Systematic review
Wound infection
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Summary:The study was performed to determine the complication and recurrence rate using the modified Kugel oval patch for small ventral hernia repair. Another aim of the study was to find risk factors for recurrence in patients with this repair. Seventy-three patients underwent ventral hernia repair with the modified Kugel oval patch between April 2013 and February 2015. Prospective follow-up data (18 months postoperative) were collected and evaluated. A total of 58 primary (18 epigastric/40 umbilical) and 15 incisional ventral hernias were repaired with the modified Kugel oval patch (7.6/10.2 cm/8 x 12 cm). We found three patients suffered superficial wound infection and two participants got hernia recurrence. Placement of mesh was found to be a significant risk factor for hernia recurrence. Small ventral hernia repair using the modified Kugel oval patch is a novel and useful approach and we recommend placing the patch preperitoneally.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481808400242