Table 1.
Development of mesh position, complications and complexity of the ventral hernia repair in the period of 2016 to 2020, M, medial defect, L, lateral defect, C, combined medial and lateral defect, W3, width of the defect more than 10 cm.
| 2016 | 2017 | 2018 | 2019 | 2020 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Open | Laparoendo scopic | Total | Open | Laparoendo scopic | Total | Open | Laparoendo scopic | Total | Open | Laparoendo scopic | Robotic | Total | Open | Laparoendo scopic | Robotic | Total | |
| Onlay | 1 | 0 | 1 | 1 | 0 | 1 | 2 | 0 | 2 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
| 2.70% | 0.00% | 1.69% | 2.78% | 0.00% | 1.54% | 3.17% | 0.00% | 2.20% | 5.00% | 0.00% | 0.00% | 1.82% | 0.00% | 0.00% | 0.00% | 0.00% | |
| Retromuscular | 28 | 0 | 28 | 24 | 3 | 27 | 52 | 13 | 65 | 17 | 11 | 12 | 40 | 4 | 0 | 25 | 29 |
| 75.68% | 0.00% | 47.46% | 66.67% | 10.34% | 41.54% | 82.54% | 46.43% | 71.43% | 85.00% | 64.71% | 66.67% | 72.73% | 80.00% | 0.00% | 83.33% | 72.50% | |
| Preperitoneal | 0 | 0 | 0 | 0 | 2 | 2 | 0 | 3 | 3 | 0 | 1 | 5 | 6 | 0 | 3 | 5 | 8 |
| 0.00% | 0.00% | 0.00% | 0.00% | 6.90% | 3.08% | 0.00% | 10.71% | 3.30% | 0.00% | 5.88% | 27.78% | 10.91% | 0.00% | 60.00% | 16.67% | 20.00% | |
| Intraperitoneal | 8 | 22 | 30 | 11 | 24 | 35 | 9 | 12 | 21 | 2 | 5 | 1 | 8 | 1 | 2 | 0 | 3 |
| 21.62% | 100.00% | 50.85% | 30.56% | 82.76% | 53.85% | 14.29% | 42.86% | 23.08% | 10.00% | 29.41% | 5.56% | 14.55% | 20.00% | 40.00% | 0.00% | 7.50% | |
| Total | 37 | 22 | 59 | 36 | 29 | 65 | 63 | 28 | 91 | 20 | 17 | 18 | 55 | 5 | 5 | 30 | 40 |
| Overall complications | 7 | 2 | 9 | 9 | 4 | 13 | 9 | 5 | 14 | 2 | 2 | 2 | 6 | 1 | 1 | 4 | 6 |
| 18.92% | 9.09% | 15.25% | 25.00% | 13.79% | 20.00% | 14.29% | 17.86% | 15.38% | 10.00% | 11.76% | 11.11% | 10.91% | 20.00% | 20.00% | 13.33% | 15.00% | |
| Intraoperative complications | 1 | 0 | 1 | 1 | 1 | 2 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
| Clavien Dindo I | 3 | 1 | 4 | 2 | 2 | 4 | 4 | 4 | 8 | 0 | 2 | 0 | 2 | 1 | 1 | 2 | 4 |
| Clavien Dindo II | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Clavien Dindo IIIa | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
| Clavien Dindo IIIb | 2 | 1 | 3 | 3 | 1 | 4 | 2 | 0 | 2 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 1 |
| Clavien Dindo IVa | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 2 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 1 |
| Clavien Dindo IVb | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Clavien Dindo V | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Reoperations | 2 | 1 | 3 | 3 | 1 | 4 | 2 | 0 | 2 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 1 |
| 5.41% | 4.55% | 5.08% | 8.33% | 3.45% | 6.15% | 3.17% | 0.00% | 2.20% | 0.00% | 0.00% | 5.56% | 1.82% | 0.00% | 0.00% | 3.33% | 2.50% | |
| Complexity | 10 | 2 | 12 | 10 | 4 | 14 | 12 | 10 | 22 | 2 | 8 | 5 | 15 | 1 | 3 | 10 | 14 |
| 27.03% | 9.09% | 20.34% | 27.78% | 13.79% | 21.54% | 19.05% | 35.71% | 24.18% | 10.00% | 47.06% | 27.78% | 27.27% | 20.00% | 60.00% | 33.33% | 35.00% | |
| EHS M | 31 | 22 | 53 | 30 | 26 | 56 | 61 | 22 | 83 | 17 | 15 | 12 | 44 | 4 | 2 | 23 | 29 |
| 83.78% | 100.00% | 89.83% | 83.33% | 89.66% | 86.15% | 96.83% | 78.57% | 91.21% | 77.27% | 88.24% | 66.67% | 77.19% | 80.00% | 40.00% | 76.67% | 72.50% | |
| EHS L | 4 | 0 | 4 | 5 | 3 | 8 | 2 | 6 | 8 | 2 | 2 | 5 | 9 | 1 | 3 | 4 | 8 |
| 10.81% | 0.00% | 6.78% | 13.89% | 10.34% | 12.31% | 3.17% | 21.43% | 8.79% | 9.09% | 11.76% | 27.78% | 1579.00% | 20.00% | 60.00% | 13.33% | 20.00% | |
| EHS ML (combined) | 2 | 0 | 2 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 2 | 0 | 0 | 3 | 3 |
| 5.41% | 0.00% | 3.39% | 2.78% | 0.00% | 1.54% | 0.00% | 0.00% | 0.00% | 4.55% | 0.00% | 5.56% | 3.51% | 0.00% | 0.00% | 10.00% | 7.50% | |
| EHS W3 | 2 | 0 | 2 | 7 | 0 | 7 | 6 | 2 | 8 | 4 | 0 | 1 | 5 | 0 | 0 | 6 | 6 |
| 5.41% | 0.00% | 3.39% | 19.44% | 0.00% | 10.77% | 9.52% | 7.14% | 8.79% | 18.18% | 0.00% | 5.56% | 8.77% | 0.00% | 0.00% | 20.00% | 15.00% | |