Table 2.
Open intraperitoneal onlay mesh with bridging for incisional hernia repair.
| Authors | Study design | Patients | Hernia type | Inclusion/Exclusion | Mesh type | Postoperative complications | Hospital stay | Recurrence |
|---|---|---|---|---|---|---|---|---|
| A | ||||||||
| (19) | Retrospective observational study | n = 30 | Incisional | Including lateral and recurrent incisional hernias | Polypropylene + ePTFE | Infection rate 3.3% | – | 6.6% (n = 2) after 23 and 24 months |
| (20) | Retrospective observational study | n = 128 | Incisional | 60.2% recurrent hernias | Mersilene n = 95 ePTFE n = 33 | 25.6% | Mean 11.5 days (range: 6–60 days) | 16% in a mean follow-up time of 48 months (range: 12–96 months) |
| (21) | Retrospective observational study | n = 53 | Incisional | 28% recurrences | ePTFE | Wound infection 3.7% | Average hospital stay 9 days (range: 4–20 days) | 7.5%in follow-up of 7–36 months |
| (22) | Retrospective observational study | n = 186 | Incisional | 2.2% emergency cases. Primary incision median 85.5%, transverse 14.5% | Polyester 87%, Polypropylene 10.4%, Composite 2.6% | Early and late wound infections 11.7%, late occlusions 6.3% | – | 16% in a mean follow-up time off 77 months |
| (23) | Prospective observational study | n = 61 | Incisional | Defect size ≥ 10 cm, multiorificial defects, recurrence after retromuscular mesh included | Polypropylene + ePTFE, Composix | 21% | Median: 13 days (range 6–70 days) | 5% in a mean follow-up time of 35 months (range 8–88 months) |
| (25) | RCT | n = 18 | Incisional | Clean or clean-contaminated conditions, no corticosteroids included | ePTFE, Dual mesh plus | 72% | – | 61% in a mean follow-up time of 22 months (range 6–36 months) |
| (24) | Prospective observational study | n = 455 | Incisional | 69% recurrent hernias | Polypropylene + ePTFE, Composic | 7% | Average length of hospital stay 1.1 days | 1% at a mean follow-up of 29.3 months |
| B | ||||||||
| (26) | Retrospective observational study | n = 100 | Incisional | 51% recurrent hernias | Parietex Composite, Polyester with absorbable hydrophilic film made of collagen, polyethyleneglycol and glycerol | 12% | Mean: 7 days (range 5–17 days) | 6% after 6 months follow-up |
| (27) | Retrospective observational study | n = 72 | Incisional | Recurrent hernias 50% included | Dual mesh ePTFE | 13.9% (7 seromas, 2 deep wound infections, 1 mesh removal) | Median: 6.4 ± 2.5 days (range 4–20 days) | 4.1% in a follow-up time ranging 5–45 months |
| (28) | Retrospective observational study | n = 36 | Incisional | Recurrent hernia included | Proceed, Polypropylene, and oxidized regenerated cellulose and polydioxanone | 30.6% | - | 0% in a median follow-up time of 28 months (range 6–36 months) |