Abdominal Wall Reconstruction Using Retrorectus Self-adhering Mesh: A Novel Approach

Khansa, Ibrahim; Janis, Jeffrey E.

doi:10.1097/gox.0000000000001145

Cited by 21 publications

(25 citation statements)

References 45 publications

(42 reference statements)

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“…In a comparative study 12 patients with transfacially sutured mesh and 14 patients with self-adhering mesh in sublay/retro-rectus incisional hernia repair were followed up for at least 12 months. The results show low rates of surgical site occurrences, recurrences and significantly less acute pain with self-adhering mesh ( 73 ).…”

Section: Resultsmentioning

confidence: 99%

What Is the Current Knowledge About Sublay/Retro-Rectus Repair of Incisional Hernias?

Köckerling

Schug-Paß

Scheuerlein³

2018

Front. Surg.

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Introduction: There continues to be very little agreement among experts on the precise treatment strategy for incisional hernias. That is the conclusion drawn from the very limited scientific evidence available on the repair of incisional hernias. The present review now aims to critically assess the data available on the sublay/retro-rectus technique for repair of incisional hernia. Materials and Methods:A systematic search of the literature was performed in May 2018 using Medline, PubMed, and the Cochrane Library. This article is based on 77 publications.Results: The number of available RCTs that permit evaluation of the role of the sublay/retro-rectus technique in the repair of only incisional hernia is very small. The existing data suggest that the sublay/retro-rectus technique has disadvantages compared with the laparoscopic IPOM technique for repair of incisional hernia, but in that respect has advantages over all other open techniques. However, the few existing studies provide only a limited level of evidence for assessment purposes. Conclusion:Further RCTs based on a standardized technique are urgently needed for evaluation of the role of the sublay/retro-rectus incisional hernia repair technique.

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Section: Resultsmentioning

confidence: 99%

What Is the Current Knowledge About Sublay/Retro-Rectus Repair of Incisional Hernias?

Köckerling

Schug-Paß

Scheuerlein³

2018

Front. Surg.

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“…Four of the selected articles described the adopted surgical technique [12][13][14][15]. The extension of the dissection was not clearly reported, with the only exception being Bueno-Lledò et al [13], who proposed a distance of 5-10 cm from the edges of the defect.…”

Section: Results Of the Reviewmentioning

confidence: 99%

“…The extension of the dissection was not clearly reported, with the only exception being Bueno-Lledò et al [13], who proposed a distance of 5-10 cm from the edges of the defect. The anterior and posterior sheaths were closed with continuous slowly absorbable sutures [12][13][14][15]. Microgrips were in contact with the posterior rectus sheath and not with the muscle [12][13][14][15][16], and drains were usually placed in the retrorectus space or were placed subcutaneously.…”

Section: Results Of the Reviewmentioning

confidence: 99%

Is the sublay self-gripping mesh effective for incisional ventral hernia repair? Our experience and a systematic review of the literature

et al. 2020

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Sublay mesh repair seems to be the most effective method for treating incisional hernias (IHs). The aim of this study was to report our experience with retromuscular repair and self-gripping mesh for the treatment of midline IHs. In addition, we provided a systematic review of the literature regarding the use of this novel combination. All patients undergoing elective IH repair from June 2016 to November 2018 were included. The self-gripping mesh was placed in the sublay position. Demographic data, defect sizes, postoperative complications and follow-up durations were collected. A systematic review of the available literature was conducted in January 2020 using main databases. A total of 37 patients (20/17M/F) were included in this study, and the mean age and body mass index (BMI) were 58 years and 27 kg/m 2 , respectively. Minor complications occurred in six patients. Long-term follow-up demonstrated recurrence in three patients. Regarding the review, five publications were considered relevant. The highest complication rate was 28.6%, and the recurrence rate varied from 0 to 5.1%. This is the first review of the literature regarding sublay IH repair using a self-gripping mesh. The low rates of postoperative complications and recurrence in our experience and those reported by most of the reviewed articles demonstrate that this is a safe and effective method for repairing IHs.

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“…35 On the same note, the use of self-adhering mesh intraoperatively was associated with significantly less acute postoperative pain. 36 The use of nonnarcotic analgesics, such as NSAIDS, for breast augmentation was associated with significantly lower pain during the first 3 postoperative days, earlier recovery of bowel function and normal activities, without increase in bleeding risk. 21…”

Section: Discussionmentioning

confidence: 99%

American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns

Torabi

Bourn

Mundinger

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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Introduction: Despite the widespread use of opioids in pain management, there are currently no evidence-based guidelines for the treatment of postoperative pain with opioids. Although other surgical specialties have begun researching their pain prescribing patterns, there has yet to be an investigation to unravel opioid prescribing patterns among plastic surgeons. Methods: Survey Monkey was used to sample the American Society of Plastic Surgeons (ASPS) members regarding their opioid prescribing practice patterns. The survey was sent randomly to 50% of ASPS members. Respondents were randomized to 1 of 3 different common elective procedures in plastic surgery: breast augmentation, breast reduction, and abdominoplasty. Results: Of the 5,770 overall active ASPS members, 298 responses (12% response rate) were received with the following procedure randomization results: 106 for breast augmentation, 99 for breast reduction, and 95 for abdominoplasty. Overall, 80% (N = 240) of respondents used nonnarcotic adjuncts to manage postoperative pain, with 75.4% (N = 181) using nonnarcotics adjuncts >75% of the time. The most commonly prescribed narcotics were Hydrocodone with Acetaminophen (Lortab, Norco) and Oxycodone with Acetaminophen (Percocet, Oxycocet) at 42.5% (N = 116) and 38.1% (N = 104), respectively. The most common dosage was 5 mg (80.4%; N = 176), with 48.9% (N = 107) mostly dispensing 20–30 tablets, and the majority did not give refills (94.5%; N = 207). Conclusions: Overall, plastic surgeons seem to be in compliance with proposed American College of Surgeon’s opioid prescription guidelines. However, there remains a lack of evidence regarding appropriate opioid prescribing patterns for plastic surgeons.

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Abdominal Wall Reconstruction Using Retrorectus Self-adhering Mesh: A Novel Approach

Abstract: Supplemental Digital Content is available in the text.

Cited by 21 publications

References 45 publications

What Is the Current Knowledge About Sublay/Retro-Rectus Repair of Incisional Hernias?

What Is the Current Knowledge About Sublay/Retro-Rectus Repair of Incisional Hernias?

Is the sublay self-gripping mesh effective for incisional ventral hernia repair? Our experience and a systematic review of the literature

American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns

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