Incisional Hernia Through Nonvertical Incisions

Chawla, S.K.; Singh, Gurjit

doi:10.1016/s0377-1237(17)30218-6

Cited by 5 publications

(7 citation statements)

References 5 publications

(1 reference statement)

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“…In other studies [2,3,8] , incisional hernias were seen in midline incisions followed by transverse incisions.…”

Section: Discussionmentioning

confidence: 85%

“…Pain usually disappeared after 3-4 days postoperatively. Complications (noted mostly in small case series or case reports) [8,[22][23][24][25] were mainly attributed to extensive dissection of the surgical field. They could have been avoided by the interposition of the greater omentum, absorbable mesh or Seprafilm placed in between the PP mesh and the intestinal loop.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is Repair of Incisional Hernias by Polypropylene Mesh a Safe Procedure?

Yıldırım

Engin²,

Karademir³

et al. 2010

Med Princ Pract

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Objective: The aim of our study was to evaluate the safety of the intraperitoneal mesh repair procedure and to assess the complications that develop after the procedure. Subjects and Methods: We reviewed the records of 25 patients who underwent intraperitoneal mesh repair procedures. Data on age, sex, size and cause of the hernia, postoperative mortality, and morbidity with special attention to complications were obtained from the medical records. Results: Of the 25 patients (7 males, 18 females), the original operation was cholecystectomy in 15 cases (60%), gynaecological surgery in 2, gastric surgery in 2, and umbilical hernia in 2. Incisions were midline in 20 cases (80%), transverse in 2 and laparoscopic port sites in 3 patients. The average size of the hernia was 150 cm². Local complications occurred in 4 (16%) patients. Postoperative complications included wound infection in 3 patients and haematoma in 1 patient. Postoperative hospital stay ranged from 3 to 25 days with a mean of 6 days. No recurrence developed during 28-month follow-up. Conclusion: The tension-free repair of incisional hernia with polypropylene mesh in intraperitoneal position is a safe and easy procedure with acceptable morbidity and no recurrence.

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“…In other studies [2,3,8] , incisional hernias were seen in midline incisions followed by transverse incisions.…”

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Is Repair of Incisional Hernias by Polypropylene Mesh a Safe Procedure?

Yıldırım

Engin²,

Karademir³

et al. 2010

Med Princ Pract

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“…Ellis reported a decrease in the incidence of an incisional hernia with mass closure, which is consistent with our study [6].However, Bucknall et al [4] reported no significant difference in the incidence of incisional hernias. Singh et al [23] reported no case of an incisional hernia in mass closure and 6.6% in conventional layered closure. Single layer closure had reduced operative time than conven- tional layered closure, and hence, prevents anaesthetic hazards, reduces the cost of anaesthetic agents and saves the time of the surgeon.…”

Section: Resultsmentioning

confidence: 98%

“…An incisional hernia occurs due to wound complications such as seroma, wound infection and faulty closure technique [23].Mass closure method reduces the time required for closure of incision and incidence of wound dehiscence and the incidence of an incisional hernia [24].An incisional hernia is a frequent complication of abdominal wall closure with a reported incidence of between 5% and 15% following vertical midline incisions at one-year follow-up [25,26,27].…”

Section: Discussionmentioning

confidence: 99%

Prospective Clinical Study: Mass Closure Versus Layer Closure of Abdominal Wall

Kumar¹,

Hastir²

2017

Int J Surg Med

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Background: Most common abdominal wall incisions are midline or paramedian and its closure technique should be efficient to provide strength for prevention of an incisional hernia and should be a barrier to infection. An incisional hernia is the most frequent complication as high as 39.9% after abdominal surgery. The integrity of sutured abdominal wound rests on the balance between suture holding a capacity of tissues and tissue holding capacity of sutures. Objective: The purpose of the study is to evaluate comparison between the mass closure and layered closure of midline and paramedian incisions for operative time and postoperative complications after performing single layered closure and conventional layered closure of laparotomy wounds like a seroma, wound infection, wound gaping, burst an abdomen and incisional hernia. Results: Meantime for the closure of laparotomy wound through a midline or Para median incision by single layered closure technique was 14 minutes, and by the layered closure, the technique was 23 minutes. There was a difference of 9 minutes statistically significant (p=0.001). In postoperative period patients closed by mass closure technique 8 patients (16%) had postoperative complications in the form of seroma in 2 patients (4%), infection in 3 patients (6%), wound gaping in 2 patients (4%) and incisional hernia in 1 patient (2%) and no patient had burst abdomen whereas in layered closure total 16 (32%) patients had complications as seroma in 5 patients (10%), wound infection in 4 patients (8%), gaping in 4 patients (8%) burst abdomen in 1 patient (2%) and incisional hernia in 2 patients (4%). Conclusion: Single layered closure technique is better than layered closure in term of operation time and postoperative complications like a seroma, infection, wound gaping, burst an abdomen and incisional hernia.

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“…The repair of incisional hernias following liver transplantation constitutes a major surgical challenge [14,[24][25][26][27]. Approximately 30% of the abdominal wall repairs in our institution are performed for transverse hernias, 19% of these in liver transplant recipients [13].…”

Section: Discussionmentioning

confidence: 99%

Peritoneal flap hernioplasty for repair of incisional hernias after orthotopic liver transplantation

Nielsen

Beaux

Stutchfield

et al. 2021

Hernia

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Background Repair of incisional hernias following orthotopic liver transplantation (OLT) is a surgical challenge due to concurrent midline and transverse abdominal wall defects in the context of lifelong immunosuppression. The peritoneal flap hernioplasty addresses this problem by using flaps of the hernial sac to bridge the fascial gap and isolate the mesh from both the intraperitoneal contents and the subcutaneous space, exploiting the retro-rectus space medially and the avascular plane between the internal and external oblique muscles laterally. We report our short and long-term results of 26 consecutive liver transplant cases with incisional hernias undergoing repair with the peritoneal flap technique. Methods Post-OLT patients undergoing elective peritoneal flap hernioplasty for incisional hernias from Jan 1, 2010–Nov 1, 2017 were identified from the Lothian Surgical Audit system (LSA), a prospectively-maintained computer database of all surgical procedures in the Edinburgh region of south-east Scotland. Patient demographics and clinical data were obtained from the hospital case-notes. Follow-up data were obtained in Feb 2020. Results A total of 517 liver transplantations were performed during the inclusion period. Twenty-six of these (18 males, 69%) developed an incisional hernia and underwent a peritoneal flap repair. Median mesh size (Optilene Elastic, 48 g/m2, BBraun) was 900 cm2 (range 225–1500 cm2). The median time to repair following OLT was 33 months (range 12–70 months). Median follow-up was 54 months (range 24–115 months) and median postoperative stay was 5 days (range 3–11 days). Altogether, three patients (12%) presented with postoperative complications: 1 with hematoma (4%) and two with chronic pain (8%). No episodes of infection or symptomatic seroma were recorded. No recurrence was recorded within the follow-up period. Conclusion Repair of incisional hernias in patients following liver transplantation with the Peritoneal Flap Hernioplasty is a safe procedure associated with few complications and a very low recurrence rate. We propose this technique for the reconstruction of incisional hernias following liver transplantation.

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Incisional Hernia Through Nonvertical Incisions

Cited by 5 publications

References 5 publications

Is Repair of Incisional Hernias by Polypropylene Mesh a Safe Procedure?

Is Repair of Incisional Hernias by Polypropylene Mesh a Safe Procedure?

Prospective Clinical Study: Mass Closure Versus Layer Closure of Abdominal Wall

Peritoneal flap hernioplasty for repair of incisional hernias after orthotopic liver transplantation

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