Stoma closure reinforcement with biological mesh and incisional hernia

Incisional hernia is a prevalent complication after abdominal surgery, with an incidence as high as 39% at 2 years. 1 Bosanquet DC Ansell J Abdelrahman T et al. Systematic review and meta-regression of factors affecting midline incisional hernia rates: analysis of 14,618 patients. PLoS One. 2015; 10e0138745 Crossref PubMed Scopus (167) Google Scholar Incisional hernia adversely affects health-related quality of life, particularly in regards to pain, physical function, ability to work, and feelings about appearance. 2 van Ramshorst GH Eker HH Hop WCJ Jeekel J Lange JF Impact of incisional hernia on health-related quality of life and body image: a prospective cohort study. Am J Surg. 2012; 204: 144-150 Summary Full Text Full Text PDF PubMed Scopus (210) Google Scholar The condition can lead to serious complications due to bowel obstruction with incarceration or strangulation 3 Read RC Yoder G Recent trends in the management of incisional herniation. Arch Surg. 1989; 124: 485-488 Crossref PubMed Scopus (273) Google Scholar and can recur after surgical repair, necessitating additional procedures. 4 Flum DR Horvath K Koepsell T Have outcomes of incisional hernia repair improved with time? A population-based analysis. Ann Surg. 2003; 237: 129-135 Crossref PubMed Scopus (432) Google Scholar Incisional hernia represents a true global public health issue with a substantial burden to health-care systems around the world. 5 Gillion JF Sanders D Miserez M Muysoms F The economic burden of incisional ventral hernia repair: a multicentric cost analysis. Hernia. 2016; 20: 819-830 Crossref PubMed Scopus (69) Google Scholar , 6 Poulose BK Shelton J Phillips S et al. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012; 16: 179-183 Crossref PubMed Scopus (566) Google Scholar However, the condition is potentially preventable, with estimated savings of $32 million in the USA for each 1% reduction and €4 million in France for each 5% reduction. 5 Gillion JF Sanders D Miserez M Muysoms F The economic burden of incisional ventral hernia repair: a multicentric cost analysis. Hernia. 2016; 20: 819-830 Crossref PubMed Scopus (69) Google Scholar , 6 Poulose BK Shelton J Phillips S et al. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012; 16: 179-183 Crossref PubMed Scopus (566) Google Scholar