173 Long Term Analysis of The Evolution of Practice and Results of Abdominal Wall Reconstruction by A Single Surgeon

Abstract Background It is estimated that at least 12-15% of abdominal operations lead to incisional hernias, and Worldwide, evidence shows high rates recurrence after surgical repair ranging from 12.7% in the Danish hernia registry 23% Swedish registry. Method This a retrospective analysis practice single surgeon tertiary centre. An electronic database provided all surgeries done by surgeon. A total 185 patients with complete data were included who had open repair. Electronic patient records analysed collect data. Results patients, median age 57 years (IQR 68 – 49), BMI 31.14 36.02 27.52), rate 15.6% (29/185). More than 80% cases complex hernias European Hernia classification M3 and/ or W3, dense intestinal adhesions multiple previous repairs. Variability techniques mesh evolved over this period, anterior component separation transversus abdominis release achieve closure abdomen. Polypropylene meshes used for non-contaminated less cases. The use biologics early has been superseded biosynthetic. Conclusions creation wall unit subsequent MDT centre resulted rise procedures, complexity significant co-morbidities. Specialised surgeons are associated better results when performing reconstructions.