Ryan C Ellis, Clayton C Petro, David M Krpata, Lucas R A Beffa, Benjamin T Miller, Katie C Montelione, Sara M Maskal, Chao Tu, Li-Ching Huang, Braden Lau, Aldo Fafaj, Steven Rosenblatt, Michael J Rosen, Ajita S Prabhu
IMPORTANCE: Transfascial (TF) mesh fixation in open retromuscular ventral hernia repair (RVHR) has been advocated to reduce hernia recurrence. However, TF sutures may cause increased pain, and, to date, the purported advantages have never been objectively measured. OBJECTIVE: To determine whether abandonment of TF mesh fixation would result in a noninferior hernia recurrence rate at 1 year compared with TF mesh fixation in open RVHR. DESIGN, SETTING, AND PARTICIPANTS: In this prospective, registry-based, double-blinded, noninferiority, parallel-group, randomized clinical trial, a total of 325 patients with a ventral hernia defect width of 20 cm or less with fascial closure were enrolled at a single center from November 29, 2019, to September 24, 2021...
August 1, 2023: JAMA Surgery