Hernia-to-neck ratio is associated with emergent ventral hernia repair

James, Tayler J.; Wu, Jessica; Won, Paul; Hawley, Lauren; Putnam, Luke R.; Nguyen, J.; Dobrowolsky, Adrian; Samakar, Kamran

doi:10.1007/s00464-022-09213-x

Cited by 2 publications

(1 citation statement)

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“…an umbilical hernia, and/or diastasis recti abdominis (DR) [13], may develop, too. I named this type of AW defect a "multiple widely-spaced ventral hernia" (MWSH).The MWSH patient can experience the typical symptoms of a VH in different parts of the AW, such as pain and bulging, in association with vomiting, constipation, intestinal obstruction and strangulation [14].…”

Section: Introductionmentioning

confidence: 99%

The "Slim-Mesh": Single Operation with Multiple Slim-Meshes for Multiple Widely-Spaced Ventral Hernias in the Same Patient

Silvio Alen

2023

Ann Minim Invasive Surg

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Purpose: Test the technical feasibility of the "Slim-Mesh" technique using multiple "Slim-Meshes" during an operation for multiple widely-spaced ventral hernias in the same patient; verify the results of a 12-year followup.Methods: From September 2009 to December 2019, 8 patients with the above hernias were treated exclusively with the "Slim-Mesh" technique at our Department. This was a prospective (63%)-retrospective study.Results: This study comprised 6 males and 2 females. Mean age was 57 years. Three of the 8 cases had a triple spaced ventral hernia (Group 1): 2 of the 3 were treated with 2 "Slim-Meshes" each, and the remaining patient with 3. The remaining 5 cases had one double spaced ventral hernia each (Group 2); each case was operated on with 2 "Slim-Meshes". During operation, the author also found and repaired associated diastasis recti in 38% of cases, doing so without using additional "Slim-Meshes". Mean operation time for all 8 cases, Group 1 and Group 2 was 153, 220 and 112 minutes respectively. Composite mesh, non-composite mesh, titanium tacks and absorbable straps for mesh fixations were used in 87.5%, 12.5%, 25% and 75% of cases respectively. Mean length of hospital stay was 3 days. Mean follow-up time was 6 years. No early or long-term postoperative complications occurred. Conclusion:This study revealed the existence of a new patient-type, namely one with multiple widely-spaced ventral hernias (7%). My technique facilitates intra-abdominal introduction and fixation of successive multiple meshes during the same operation, proving to be safe, fast and economical.

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Section: Introductionmentioning

confidence: 99%