Background: Incisional hernia after abdominal surgery is a well-known complication. Controversy\r\nstill exists with respect to the choice of hernia repair technique. The objective of this study was to\r\nevaluate the long-term recurrence rate as well as surgical complications in a consecutive group of\r\npatients undergoing open repair using an onlay mesh technique.\r\nMethods: Consecutive patients undergoing open incisional hernia repair with onlay-technique\r\nbetween 01/05/1995 and 01/09/2007 at a single institution were included in the study. For followup\r\npatients were contacted by telephone, and answered a questionnaire containing questions\r\nrelated to the primary operation, the hernia and general risk factors. Patients were examined by a\r\nconsultant surgeon in the outpatient clinic or in the patient''s home if there was suspicion of an\r\nincisional hernia recurrence.\r\nResults: The study included 56 patients with 100% follow-up. The median follow-up was 35\r\nmonths (range 4ââ?¬â??151). Recurrent incisional hernia was found in 8 of 56 patients (15%, 95% CI: 6ââ?¬â??\r\n24). The overall complication rate was 13% (95% CI, 4ââ?¬â??22). All complications were minor and\r\nneeded no hospital admission.\r\nConclusion: This study with a long follow-up showed low recurrence and complication rates in\r\npatients undergoing incisional hernia repair with the open onlay technique.
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