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10.3390/jcm14020560
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Article

A Retrospective, Observational and Descriptive Study of 111 Ventral Hernia Repairs: Is the Open Approach Already over the Hill?

by
Giorgio Ammerata
1,*,†,
Giuseppe Currò
1,*,†,
Giuseppe Sena
1,
Michele Ammendola
2 and
Francesco Abbonante
3
1
Science Health Department, General Surgery Unit, University “Magna Graecia” Medical School, 88100 Catanzaro, Italy
2
Science Health Department, Digestive Surgery Unit, University “Magna Graecia” Medical School, 88100 Catanzaro, Italy
3
Surgical Science Department, Plastic and Reconstructive Surgery Unit, “Pugliese-Ciaccio” Hospital, 88100 Catanzaro, Italy
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
J. Clin. Med. 2025, 14(2), 560; https://doi.org/10.3390/jcm14020560
Submission received: 11 December 2024 / Revised: 14 January 2025 / Accepted: 15 January 2025 / Published: 16 January 2025
(This article belongs to the Special Issue Abdominal Hernia Repair: Current Strategies for the Management of Abdominal Wall Hernias)
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Abstract

Objectives: Incisional ventral hernia repair remains a challenging surgery for abdominal wall surgeons. We report the results at 48 months post-surgery regarding open ventral hernia repair (OVHR), analyzing the recurrence rate and incidence of chronic pain. Methods: This was a retrospective, observational study of 111 consecutive patients who underwent OVHR. Between January 2017 and December 2019, patient data were collected from a database and classified by hernia type. Through questionnaires and clinical examinations, the recurrence rate and incidence of chronic pain (measured using the VAS score and a Likert scale) were obtained. Results: In all patients, the hernia repair was performed via an open approach. Long-term follow-up (48 months after surgery) revealed that 20% of patients experienced mild chronic pain alongside the flanks, and the recurrence rate was 5%. Moreover, long-term follow-up revealed the following secondary outcomes: movement limitations in sports were reported in 7% of patients, and movement limitations during long walking were reported in 11% of patients. Conclusions: Our technique for OVHR is a safe procedure with a low rate of recurrence and chronic pain. Our future aim is to organize a prospective study.
Keywords: open ventral hernia repair (OVHR); Trabucco technique; long-term follow-up; chronic pain; recurrence rate open ventral hernia repair (OVHR); Trabucco technique; long-term follow-up; chronic pain; recurrence rate

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MDPI and ACS Style

Ammerata, G.; Currò, G.; Sena, G.; Ammendola, M.; Abbonante, F. A Retrospective, Observational and Descriptive Study of 111 Ventral Hernia Repairs: Is the Open Approach Already over the Hill? J. Clin. Med. 2025, 14, 560. https://doi.org/10.3390/jcm14020560

AMA Style

Ammerata G, Currò G, Sena G, Ammendola M, Abbonante F. A Retrospective, Observational and Descriptive Study of 111 Ventral Hernia Repairs: Is the Open Approach Already over the Hill? Journal of Clinical Medicine. 2025; 14(2):560. https://doi.org/10.3390/jcm14020560

Chicago/Turabian Style

Ammerata, Giorgio, Giuseppe Currò, Giuseppe Sena, Michele Ammendola, and Francesco Abbonante. 2025. "A Retrospective, Observational and Descriptive Study of 111 Ventral Hernia Repairs: Is the Open Approach Already over the Hill?" Journal of Clinical Medicine 14, no. 2: 560. https://doi.org/10.3390/jcm14020560

APA Style

Ammerata, G., Currò, G., Sena, G., Ammendola, M., & Abbonante, F. (2025). A Retrospective, Observational and Descriptive Study of 111 Ventral Hernia Repairs: Is the Open Approach Already over the Hill? Journal of Clinical Medicine, 14(2), 560. https://doi.org/10.3390/jcm14020560

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