Laparoscopic and percutaneous repair of a large midline incisional hernia extending to the bilateral subcostal region: A case report

Tsujinaka, Shingo; Nakabayashi, Yukio; Kakizawa, Nao; Kikugawa, Rina; Toyama, Nobuyuki; Rikiyama, Toshiki

doi:10.1016/j.ijscr.2018.04.018

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Early elective surgery is recommended in elderly patients to avoid morbidity and mortality. [12,13] Other than age and comorbidities, experience of surgeon, operating conditions, and sterilization of the instruments also play an important role.…”

Section: Discussionmentioning

confidence: 99%

“…The frequency of concomitant diseases in elderly patients will increase the risk of complications and death in surgery. [9][10][11][12] Complications at some stage because of reluctance for operation and it has been pointed out in many studies that the mortality and morbidity increase many folds if such hernias are operated in an emergency in elderly patients. [13][14][15][16][17] Comorbidities with the presence of…”

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confidence: 99%

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Iqbal¹

2020

AJP

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Objective: The objective of the study was to study the surgical management of inguinal hernia (groin hernia) among geriatric (elderly) patients. Materials and Methods: A retrospective study was conducted from December 2016 to August 2018 in the surgical ward of a university hospital in Malaysia. Geriatric patients operated for surgery during the study period were recruited in the study. A total of 116 cases operated for groin hernia with or without comorbidities and their influence on the overall results of surgical interventions were studied. Results: The mean age of the patients was 71.02 ± 3.1 years, of whom 94 (81%) were male and 22 (19%) were female. In 66 (56.9%) patients, the hernias were simple, while 21 (18.1%) had an obstructive inguinal hernia. In 17 (14.7%) patients, the hernia was incarcerated while 12 cases presented had strangulations. Comorbidities were present in 97 (83.6%) patients. No mortality was found either in elective or in emergency surgery. Conclusion: Comorbidities, type of surgery (elective or emergency), type of hernia (simple or complicated), and age of the patients can make surgery more challenging in the geriatric population.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Iqbal¹

2020

AJP

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“…Laparoscopic mesh fixation for a subcostal hernia might be technically difficult, nonetheless, due to the limited surrounding tissue and closeness to bony structures. Different mesh fixation methods for subcostal hernias have been proposed, employing tacks, sutures, adhesives, or a mix of these materials [46].…”

Section: Lateral Herniasmentioning

confidence: 99%

Ventral hernia repair in India: a Delphi consensus

Chowbey,

Wadhawan,

Subramanian

et al. 2024

Hernia

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Purpose While research on inguinal hernias is well-documented, ventral/incisional hernias still require investigation. In India, opinions on laparoscopic ventral hernia repair (LVHR) techniques are contested. The current consensus aims to standardize LVHR practice and identify gaps and unfulfilled demands that compromise patient safety and therapeutic outcomes. Methods Using the modified Delphi technique, panel of 14 experts (general surgeons) came to a consensus. Two rounds of consensus were conducted online. An advisory board meeting was held for the third round, wherein survey results were discussed and the final statements were decided with supporting clinical evidence. Results Experts recommended intraperitoneal onlay mesh (IPOM) plus/trans-abdominal retromuscular/extended totally extraperitoneal/mini- or less-open sublay operation/transabdominal preperitoneal/trans-abdominal partial extra-peritoneal/subcutaneous onlay laparoscopic approach/laparoscopic intracorporeal rectus aponeuroplasty as valid minimal access surgery (MAS) options for ventral hernia (VH). Intraperitoneal repair technique is the preferred MAS procedure for primary umbilical hernia < 4 cm without diastasis; incisional hernia in the presence of a vertical single midline incision; symptomatic hernia, BMI > 40 kg/m2, and defect up to 4 cm; and for MAS VH surgery with grade 3/4 American Society of Anaesthesiologists. IPOM plus is the preferred MAS procedure for midline incisional hernia of width < 4 cm in patients with a previous laparotomy. Extraperitoneal repair technique is the preferred MAS procedure for L3 hernia < 4 cm; midline hernias < 4 cm with diastasis; and M5 hernia. Conclusion The consensus statements will help standardize LVHR practices, improve decision-making, and provide guidance on MAS in VHR in the Indian scenario.

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“…As variants of surgical treatment in these patients, both classical, open and laparoscopic approaches are practiced. In the last decade, due to the development of laparoscopic surger y, more patients undergo laparoscopic approach due to the reduced number of local postoperative complications, lower morbidity and mortality compared to the open approach as well as the faster social insertion of these patients [5,6].…”

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confidence: 99%

Comparative Study on the Use of Polypropylene Mesh in the Surgical Treatment of Patients with Strangulated or Uncomplicated Incisional Hernias

Hălmaciu¹,

Suciu²,

Fodor³

et al. 2018

Mat.Plast.

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Incisional hernias affects approximately 10-20% of patients with history of abdominal surgery. The purpose of this study was to examine the tissue integration of the polypropylene mesh in patients operated for strangulated incisional hernias to those operated for uncomplicated incisional hernias. For this purpose, we introduced 218 patients with surgical treatment of the incisional hernia with polypropylene mesh. The total number of patients studied was divided into 2 lots: group A consisting of 189 patients with uncomplicated incisional hernia and group B of 29 patients with strangulated incisional hernia. We studied separately the local postoperative complications in the two groups (hematomas, seromas, abdominal wall infections). Although the number of local postoperative complications was higher for group B, the differences were statistically significant only for the incidence of abdominal wall infections. Although the use of the polypropylene mesh in the surgical treatment of strangulated incisional hernias predisposes to a higher risk of local postoperative complications compared to its use in the surgical treatment of the uncomplicated incisional hernias, its use in the surgical treatment of the strangulated incisional hernias is beneficial.

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Laparoscopic and percutaneous repair of a large midline incisional hernia extending to the bilateral subcostal region: A case report

Cited by 3 publications

References 17 publications

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Ventral hernia repair in India: a Delphi consensus

Comparative Study on the Use of Polypropylene Mesh in the Surgical Treatment of Patients with Strangulated or Uncomplicated Incisional Hernias

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