Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—Part III

Bittner, R.; Bingener-Casey, J; Dietz, Ulrich; Fabian, M; Ferzli, George; Fortelny, René H.; Köckerling, F.; Kukleta, Jan F.; LeBlanc, Karl A.; Lomanto, D; Misra, M; Morales-Conde, Salvador; Ramshaw, Bruce; Reinpold, Wolfgang; Rim, S; Rohr, M; Schrittwieser, Rudolf; Simon, Th.; Śmietański, Maciej; Stechemesser, Bernd; Timoney, M; Chowbey, Pradeep

doi:10.1007/s00464-013-3172-4

Cited by 131 publications

(79 citation statements)

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“…In future (disregarding the economic aspects), biological 'decellularised', 'scaffold' meshes may be the chosen material in Tx/IS patients, even in uncontaminated circumstances. However, the performance of a disintegrating scaffolding mesh in a fibroblast retarded population still needs to be investigated [44,48]. This study supports the feasibility of synthetic mesh implantation in the intra-peritoneal space.…”

Section: Type Of Mesh/fixation Devicessupporting

confidence: 54%

“…Thus, we would consider an open, laparoscopic or hybrid procedure in the Tx/IS pouplation with larger defects (> 8-12 cm); attempting total fascial closure above the mesh, by layer separation/mobilisation [41,42]. This is also proposed in the recently published European Hernia Society guidelines [2]. One patient in the Tx/IS population required a successful tightening of the mesh by an open procedure by splitting the mesh and overlapping the mesh edges for sufficient tension.…”

Section: Protrusionmentioning

confidence: 99%

“…Superior ingrowth ability is a key feature in the choice of mesh [44][45][46] and probably even more so in the immunosuppressed population [47]. Proposing the use of biological meshes in the Tx/IS population seems rational.…”

Section: Type Of Mesh/fixation Devicesmentioning

confidence: 99%

“…Especially the smaller and non-loss-of-domain hernias -as well as hernias approximating bony structures seem suitably managed by a minimally invasive technique [1]. Even laparoscopic component separation and sequentially laparoscopic repair have proven to be feasible options -as the hernia surgeons increasingly, in addition to mesh augmentation, find closure of the abdominal wall defect important [2][3][4][5]. Questions about hernia approximation in laparoscopic hernia repair are never the less still unresolved in regard to seroma formation, pain, recurrence and mesh protrusion, as are questions concerning mesh fixation [3,[5][6][7].…”

Section: Text Introductionmentioning

confidence: 99%

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Laparoscopic Repair of Incisional Hernia in Solid Organ Transplanted Patients: The Method of Choice?

et al. 2014

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Section: Type Of Mesh/fixation Devicessupporting

confidence: 54%

Section: Protrusionmentioning

confidence: 99%

Section: Type Of Mesh/fixation Devicesmentioning

confidence: 99%

Section: Text Introductionmentioning

confidence: 99%

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Laparoscopic Repair of Incisional Hernia in Solid Organ Transplanted Patients: The Method of Choice?

et al. 2014

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“…La indicación sería en pacientes con diástasis de rectos pequeñas. Posteriormente, con la llegada de la cirugía mínimamente invasiva se desarrollaron diferentes gestos quirúrgicos para el cierre primario de la línea media con puntos intracorpóreos o transfasciales (4,5,6). Luego apareció la separación de componentes endoscópica (7,8) para realizar un cierre sin tensión y colocación de malla separadora de tejidos intraperitoneal, asumiendo los riesgos inherentes al acceso laparoscópico, tales como lesiones intestinales desapercibidas, adherencias y oclusión intestinal, neuralgias posoperatorias en los sitios de fijación de la malla (9) y, en muchos casos, insatisfacción del paciente por los resultados cosméticos en el posoperatorio inmediato.…”

Section: Discussionunclassified

Reparación endoscópica prefascial de la diástasis de los rectos: descripción de una nueva técnica

Muas¹,

Verasay²,

García³

2017

Rev Hispanoam Hernia

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Introducción. La diástasis de los rectos es una secuela habitual tras el embarazo y puerperio. Se asocia frecuentemente a hernias de la línea media. Representa un problema estético y sintomático. El abordaje endoscópico prefascial podría resolver el defecto parietal con buenos resultados cosméticos. Objetivo: Describir un abordaje endoscópico prefascial. Material y métodos. Se presentan los casos de dos pacientes con diástasis de rectos de 46 mm y 68 mm, asociadas a hernia umbilical de 13 mm y 20 mm, respectivamente. Consultaron por dolor y tumoración epigástrica y umbilical, con un IMC menor de 30. Abordaje suprapúbico y ambas fosas ilíacas. Se crea neocavidad prefascial. Se realizó plicatura de los rectos con sutura barbada de polipropileno núm. 0 y descarga del oblicuo externo izquierdo a lo Albanese en la diástasis de mayor tamaño. Se colocó malla preaponeurótica de polipropileno de baja densidad. Se fijó con tackers absorbibles. El tiempo quirúrgico promedio fue de 107 minutos. Se dejaron drenajes aspirativos 48 horas. Resultados. No se registraron complicaciones intra- ni posoperatorias. El dolor posoperatorio máximo fue 3/10, según VAS, y la estancia hospitalaria, de dos días. La reinserción laboral tuvo lugar a los 14 días, y el seguimiento posoperatorio, de 20 meses. Hubo control clínico y ecográfico a los 12 meses, sin recidiva. La satisfacción de las pacientes fue del 100 %. Conclusiones. La cirugía endoscópica nos permitió resolver el defecto parietal con plicatura de los rectos y colocación de prótesis preaponeurótica, aumentando la seguridad de la plastia, disminuyendo la posibilidad de recidiva y sin entrar en la cavidad abdominal, con bajo nivel de dolor posoperatorio y buen resultado cosmético

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Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Henriksen

Montgomery

Kaufmann

et al. 2020

British Journal of Surgery

214

198

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Background: Umbilical and epigastric hernia repairs are frequently performed surgical procedures with an expected low complication rate. Nevertheless, the optimal method of repair with best short-and long-term outcomes remains debatable. The aim was to develop guidelines for the treatment of umbilical and epigastric hernias. Methods: The guideline group consisted of surgeons from Europe and North America including members from the European Hernia Society and the Americas Hernia Society. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, the Scottish Intercollegiate Guidelines Network (SIGN) critical appraisal checklists, and the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument were used. A systematic literature search was done on 1 May 2018, and updated on 1 February 2019. Results: Literature reporting specifically on umbilical and epigastric hernias was limited in quantity and quality, resulting in a majority of the recommendations being graded as weak, based on low-quality evidence. The main recommendation was to use mesh for repair of umbilical and epigastric hernias to reduce the recurrence rate. Most umbilical and epigastric hernias may be repaired by an open approach with a preperitoneal flat mesh. A laparoscopic approach may be considered if the hernia defect is large, or if the patient has an increased risk of wound morbidity. Conclusion: This is the first European and American guideline on the treatment of umbilical and epigastric hernias. It is recommended that symptomatic umbilical and epigastric hernias are repaired by an open approach with a preperitoneal flat mesh.

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Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—Part III

Abstract: Section 7: Mesh technology Do we have an ideal mesh in terms of prevention of adhesions? Are coated meshes really necessary? Are there data to support the manufacturers' claims of superiority? Is a permanent or absorbable barrier preferred?

Cited by 131 publications

References 0 publications

Laparoscopic Repair of Incisional Hernia in Solid Organ Transplanted Patients: The Method of Choice?

Laparoscopic Repair of Incisional Hernia in Solid Organ Transplanted Patients: The Method of Choice?

Reparación endoscópica prefascial de la diástasis de los rectos: descripción de una nueva técnica

Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

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