Closure versus non-closure of hernia defect during laparoscopic ventral hernia repair with mesh

Zeichen, Marianna; Lujan, Henry; Mata, Wilmer; Maciel, Victor; Lee, D; Jorge, Irving; Plasencia, Gustavo; Gomez, Eddie; Morales-Hernández, Alejandro

doi:10.1007/s10029-013-1115-6

Cited by 70 publications

(61 citation statements)

References 27 publications

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“…The technique they described comprised of using smooth sutures in closing the defects and fixing meshes with transcutaneous non-absorbable sutures without any staples or tacks. From a study describing laparoscopic repair with mesh of 128 patients, Zeichen et al [12] reported no statistical differences in recurrence rates between the non-closure and closure groups.…”

Section: Discussionmentioning

confidence: 99%

Unidirectional barbed sutures as a novel technique for laparoscopic ventral hernia repair

et al. 2015

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The barbed suture closure system could be used for rapid and effective primary defect closure in laparoscopic ventral hernia repair in addition to intraperitoneal mesh placement. No significant difference in operating time was detected when compared to the mesh-only approach. Further evidence to support these findings and longer follow-up periods is warranted to evaluate short- and long-term complications.

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Section: Discussionmentioning

confidence: 99%

Unidirectional barbed sutures as a novel technique for laparoscopic ventral hernia repair

et al. 2015

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“…In this article, we reviewed the literature on IPOMPlus, including the details of the surgical procedures and outcomes using the PubMed database for papers published between 1993 and April 2015 using the terms laparoscopic AND (ventral or incisional) AND hernia AND (defect closure or augmentation repair) as keywords, and 16 relevant articles [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] were reviewed. Out of these articles, four [30,31,33,34] compared sIPOM with IPOM-Plus, and only one report was a randomized controlled study (RCT) [34].…”

Section: Introductionmentioning

confidence: 99%

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

2015

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The laparoscopic technique for repairing ventral and incisional hernias (VIH) is now well established. However, several issues related to laparoscopic VIH repair, such as the high recurrence rate for hernias with large fascial defects and in extremely obese patients, are yet to be resolved. Additional problems include seroma formation, mesh bulging/eventration, and non-restoration of the abdominal wall rigidity/function with only bridging of the hernial orifice using standard laparoscopic intraperitoneal onlay mesh repair (sIPOM). To solve these problems, laparoscopic fascial defect closure with IPOM reinforcement (IPOM-Plus) has been introduced in the past decade, and a few studies have reported satisfactory outcomes. Although detailed techniques for fascial defect closure and handling of the mesh have been published, standardized techniques are yet to be established. We reviewed the literature on IPOM-Plus in the PubMed database and identified 16 reports in which the recurrence rate, incidence of seroma formation, and incidence of mesh bulging were 0-7.7, 0-11.4, and 0 %, respectively. Several comparison studies between sIPOM and IPOM-Plus seem to suggest that IPOM-Plus is associated with more favorable surgical outcomes; however, larger-scale studies are essential.

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“…The rate of this event occurring in IPOM plus is reported as 0-11.43% [15] . Its occurrence IPOM plus as compared to standard IPOM surgery is controversial as different studies have reported IPOM plus to have better outcomes [27] , similar outcomes [31] or worse outcomes [32] as compared to IPOM surgery. Chronic pain, i.e., pain perceived at operative site beyond 6 months, was reported by 5 of our patients.…”

Section: Discussionmentioning

confidence: 99%

“…In both the cases, IPOM plus repair was done laparoscopically. Literature favors IPOM plus with a lower incidence of recurrences as compared to standard IPOM surgery [32,33] . Improvement in functional status of abdominal muscles has been reported after an IPOM Plus repair.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

Jani¹

2018

MIS

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How to cite this article: Jani K. Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias -is there substance to the hype? Mini- Results: A total of 278 patients were posted for elective laparoscopic repair of lower midline ventral hernias between January 2007 and January 2017, of which, 56.1% were para-umbilical hernias and 43.9% were incisional hernias. These included 155 female patients. The average body mass index was 27 kg/m 2 . Thirty-five patients were being operated for a recurrent ventral hernia. The average defect width was 1.2 cm for paraumbilical hernias and 2.2 cm for incisional hernias. The mean operating time was 55 min for para-umbilical hernias and 71 min for incisional hernias. In 13.1%, the fascia could not be sutured. There were no conversions to open surgery. Average length of hospital stay was 2.04 days with average follow-up period of 4.6 years. Overall morbidity was 7.9% with 2 recurrences. There was no mortality or mesh infection. Conclusion:Thus, IPOM plus repair is a safe, feasible and effective technique for the treatment of ventral abdominal wall hernias.

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Closure versus non-closure of hernia defect during laparoscopic ventral hernia repair with mesh

Abstract: Although our study demonstrated a difference in recurrence rates of 19.18 % in the non-closure group versus 6.25 % in the closure group, the difference did not reach statistical significance. A larger series with longer follow-up may demonstrate clinical significance.

Cited by 70 publications

References 27 publications

Unidirectional barbed sutures as a novel technique for laparoscopic ventral hernia repair

Unidirectional barbed sutures as a novel technique for laparoscopic ventral hernia repair

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

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