A series of 68 primary midline incisional hernias with a vertical Mayo repair was evaluated retrospectively. Patients without documented hernia recurrence following this repair were invited for physical examination. Life- table methods were used for statistical analysis. The 1-, 3-, 5-, and 10- year cumulative recurrence rates were 35%, 46%, 48%, and 54%, respectively. Also, generally accepted risk factors were studied. Multivariate analysis identified the size of the hernia (p = 0.02) and the use of steroids (p = 0.04) as the most important independent risk factors of first time recurrent incisional hernia. Considering the high recurrence rates found, the results of this study strongly suggest that the vest-over-pants repair should no longer be used for closure of midline incisional hernias.

doi.org/10.1007/s002689900194, hdl.handle.net/1765/57579
World Journal of Surgery
Department of Plastic and Reconstructive Surgery

Luijendijk, R. W., Lemmen, M. H. M., Hop, W., & Wereldsma, J. C. J. (1997). Incisional hernia recurrence following 'vest-over-pants' or vertical mayo repair of primary hernias of the midline. World Journal of Surgery, 21(1), 62–66. doi:10.1007/s002689900194