Abdominal Wall Hernia Mesh Repair

Jamadar, David A.; Jacobson, Jon A.; Girish, Gandikota; Balin, Jefferson; Brandon, Catherine; Caoili, Elaine M.; Morag, Yoav; Franz, Michael

doi:10.7863/jum.2008.27.6.907

Cited by 34 publications

(7 citation statements)

References 22 publications

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“…Hypothetically, resorbable materials seem preferential over permanent meshes that remain in the body, as they might reduce fear and anxiety, and possibly reduce chronic pain development and sinus formation due to the occasionally described shrinkage of permanent synthetic mesh products [31]. Resorbable meshes might additionally prevent the risk of developing the (rare) complication of enterocutaneous fistula [32][33][34].…”

Section: Discussionmentioning

confidence: 99%

Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair

Rooijen

Tollens

Jørgensen

et al. 2021

Hernia

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Introduction Information on the long-term performance of biosynthetic meshes is scarce. This study analyses the performance of biosynthetic mesh (Phasix™) over 24 months. Methods A prospective, international European multi-center trial is described. Adult patients with a Ventral Hernia Working Group (VHWG) grade 3 incisional hernia larger than 10 cm2, scheduled for elective repair, were included. Biosynthetic mesh was placed in sublay position. Short-term outcomes included 3-month surgical site occurrences (SSO), and long-term outcomes comprised hernia recurrence, reoperation, and quality of life assessments until 24 months. Results Eighty-four patients were treated with biosynthetic mesh. Twenty-two patients (26.2%) developed 34 SSOs, of which 32 occurred within 3 months (primary endpoint). Eight patients (11.0%) developed a hernia recurrence. In 13 patients (15.5%), 14 reoperations took place, of which 6 were performed for hernia recurrence (42.9%), 3 for mesh infection (21.4%), and in 7 of which the mesh was explanted (50%). Compared to baseline, quality of life outcomes showed no significant difference after 24 months. Despite theoretical resorption, 10.7% of patients reported presence of mesh sensation in daily life 24 months after surgery. Conclusion After 2 years of follow-up, hernia repair with biosynthetic mesh shows manageable SSO rates and favorable recurrence rates in VHWG grade 3 patients. No statistically significant improvement in quality of life or reduction of pain was observed. Few patients report lasting presence of mesh sensation. Results of biosynthetic mesh after longer periods of follow-up on recurrences and remodeling will provide further valuable information to make clear recommendations. Trial registration Registered on clinicaltrials.gov (NCT02720042), March 25, 2016.

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Section: Discussionmentioning

confidence: 99%

Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair

Rooijen

Tollens

Jørgensen

et al. 2021

Hernia

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“…The shape of the mesh may be either wavy or straight depending on the method of fixation and time elapsed from surgery (Figure 5). 23 Specifically, at the immediate postoperative period following open surgery or laparo‐endoscopic repair without mesh fixation, the mesh may obtain a wavy appearance which should not be interpreted as pathology 23,24 . Conversely, in the long‐term following open surgery or after laparo‐endoscopic repair with mesh fixation, the implant usually appears as a straight line 23 …”

Section: Normal Postoperative Imagingmentioning

confidence: 99%

“…23 Specifically, at the immediate postoperative period following open surgery or laparo-endoscopic repair without mesh fixation, the mesh may obtain a wavy appearance which should not be interpreted as pathology. 23,24 Conversely, in the long-term following open surgery or after laparo-endoscopic repair with mesh fixation, the implant usually appears as a straight line. 23 Mesh plugs appear as masses with a mean diameter of up to 2.6 cm, usually located at the level of the deep inguinal ring, anterior to the external iliac vessels and lateral to the deep inferior epigastric artery origin.…”

Section: Normal Postoperative Appearance Of Inguinal Canal Structuresmentioning

confidence: 99%

The Role of Imaging in the Pre‐ and Postoperative Evaluation of Inguinal Hernia

Vassalou¹,

Vardas²,

Dimitriadis³

et al. 2023

J of Ultrasound Medicine

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Inguinal hernia repair is the most frequently performed surgical procedure. Imaging has a fundamental role in initial assessment and postoperative evaluation of inguinal hernias. Clinical implications of radiology in the preoperative setting include diagnosis of occult/complicated hernias and enhancement of diagnostic certainty. Postoperatively, imaging may assist the detection and characterization of complications. Familiarity with the normal appearance of the postoperative groin area and surgical techniques is required to avoid misinterpretation. This pictorial essay provides an overview of the expected postoperative imaging findings and highlights the role of imaging in the pre‐ and postoperative evaluation of inguinal hernias, with emphasis on ultrasonography.

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“…Hernia ventralis berisi organ visceral yang menonjol di area ventral abdomen dilapisi jaringan subkutan dan kulit. Tonjolan hernia ventralis merupakan gejala khas kasus hernia ventralis (Jamadar et al, 2008).…”

Section: Pendahuluanunclassified

Surgical Repair Hernia Ventralis dengan Omentum Flap

et al. 2023

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Hernia ventralis merupakan penonjolan area vetral abdomen yang terjadi akibat kegagalan penutupan dinding abdomen setelah tindakan bedah. Penelitian ini bertujuan untuk observasi klinis dan pencitraan imaging penutupan defek hernia ventralis menggunakan omentum flap pada kucing lokal. Penelitian ini menggunakan pasien kucing lokal betina berusia 2 tahun dengan bobot badan 3,6 kg dari Rumah Sakit Hewan Pendidikan Fakultas Kedokteran Hewan Universitas Syiah Kuala (RSHP FKH USK). Kondisi kucing secara klinis sehat dan hanya menunjukan penonjolan area abdomen yang terjadi setelah tindakan bedah sebelumnya. Tindakan bedah dilakukan secara steril dan aseptis. Defek hernia ventralis ditutup menggunakan omentum flap yang diambil dari omentum kucing yang sama dengan ukuran 5 x 10 cm. Observasi kondisi klinis luka dilakukan setiap hari, pengamatan Digital Radiography (DR X-ray) dan Ultrasonografi (USG) dilakukan pada hari ke- 0, 5, 10 dan 20 setelah bedah penutupan defek hernia. Hasil pengamatan kondisi klinis luka sembuh dengan baik. Pencitraan DR X-ray defek hernia ventralis tertutup dengan baik dan tidak ditemukan peradangan disekitar omentum flap. Pencitraan USG, struktur lapisan dinding abdomen tertutup dengan baik, omentum flap menunjukkan ekhogenisitas hypoechoic dan tidak ditemukan masa anechoic pada hari-20 setelah bedah. Omentum flap mempercepat penyembuhan luka, menguatkan jaringan dinding abdomen, sehingga mencegah terjadi risiko hernia berulang.

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Abdominal Wall Hernia Mesh Repair

Cited by 34 publications

References 22 publications

Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair

Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair

The Role of Imaging in the Pre‐ and Postoperative Evaluation of Inguinal Hernia

Surgical Repair Hernia Ventralis dengan Omentum Flap

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