Laparoscopic incisional hernia repair

Kobayashi, Mariko; Ichikawa, Kengo; Namikawa, Tsutomu; Okabayashi, Takehiro; Araki, Keijirou

doi:10.1007/s00464-005-0585-8

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…The borders of the mesh were secured with 5 to 8 transabdominal sutures with an Endo Close suturing device (Covidien, Mansfield, Massachusetts). 12 …”

Section: Methodsmentioning

confidence: 99%

Analysis of Reoperations After Laparoscopic Adjustable Gastric Banding

Chiapaikeo

Schultheis

Protyniak

et al. 2014

JSLS

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Background and Objectives:Increased interest in laparoendoscopic single-site surgery has instigated research into trials of novel techniques. The procedure we propose may potentially improve patient satisfaction and cosmetic results while diminishing the incidence of trocar-site herniation. We report our initial experience with laparoendoscopic single-site totally extraperitoneal herniorrhaphy for postoperative incisional hernia to determine the procedure's feasibility and safety.Methods:Three patients with incisional hernias after gynecologic surgery underwent laparoendoscopic single-site totally extraperitoneal procedures. We evaluated the patients' preoperative and postoperative condition, as well as the details of their original surgery. We performed the procedure through a 2-cm umbilical incision followed by mesh insertion and transabdominal suture placement in all patients.Results:Laparoendoscopic single-site totally extraperitoneal herniorrhaphy was completed in 80 to 120 minutes. No intraoperative complications were encountered, and surgical blood loss was minimal. The duration of hospital stay ranged from 2 to 4 days. One patient had a postoperative wound infection. The patients have shown no sign of recurrence at 9 months' follow-up.Conclusion:Laparoendoscopic single-site totally extraperitoneal herniorrhaphy appears to be feasible and safe. It may be performed with readily available instruments, although further experience and practice are warranted for a more efficient repair. The procedure has similar advantages to a multiport laparoscopic totally extraperitoneal procedure but yields better cosmetic results. More studies are needed to assess the long-term benefits and complications of this procedure.

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“…The borders of the mesh were secured with 5 to 8 transabdominal sutures with an Endo Close suturing device (Covidien, Mansfield, Massachusetts). 12 …”

Section: Methodsmentioning

confidence: 99%

Analysis of Reoperations After Laparoscopic Adjustable Gastric Banding

Chiapaikeo

Schultheis

Protyniak

et al. 2014

JSLS

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“…Mesh fixation via the simple technique similar to ventral hernia repair often causes the mesh to be distorted and not flattenable[ 5 ]. In addition, inappropriately positioned and tensional transfascial sutures could cause significant postoperative pain[ 16 , 17 ]. Therefore, we believe that the placement of the mesh during the Sugarbaker technique should be improved.…”

Section: Discussionmentioning

confidence: 99%

Modified laparoscopic Sugarbaker repair of parastomal hernia with a three-point anchoring technique

Huang

Long

Chen

et al. 2018

WJCC

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AIMTo retrospectively evaluate the safety and feasibility of a new modified laparoscopic Sugarbaker repair in patients with parastomal hernias.METHODSA retrospective study was performed to analyze eight patients who underwent parastomal hernia repair between June 2016 and January 2018. All of these patients received modified laparoscopic Sugarbaker hernia repair treatment. This modified technique included an innovative three-point anchoring and complete suturing technique to fix the mesh. All procedures were performed by a skilled hernia surgeon. Demographic data and perioperative outcomes were collected to evaluate the safety and efficacy of this modified technique.RESULTSOf these eight patients, two had concomitant incisional hernias. All the hernias were repaired by the modified laparoscopic Sugarbaker technique with no conversion to laparotomy. Three patients had in-situ reconstruction of intestinal stoma. The median mesh size was 300 cm2, and the mean operative time was 205.6 min. The mean postoperative hospitalization time was 10.4 d, with a median pain score of 1 (visual analog scale method) at postoperative day 1. Two patients developed postoperative complications. One patient had a pocket of effusion surrounding the biologic mesh, and one patient experienced an infection around the reconstructed stoma. Both patients recovered after conservative management. There was no recurrence during the follow-up period (6-22 mo, average 13 mo).CONCLUSIONThe modified laparoscopic Sugarbaker repair could fix the mesh reliably with mild postoperative pain and a low recurrence rate. The technique is safe and feasible for parastomal hernias.

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Mesh Fixation Devices

Cuccurullo¹

2008

Incisional Hernia

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Laparoscopic incisional hernia repair

Abstract: This new mesh fixation method involves simple suturing techniques and is less time consuming than the conventional procedure.

Cited by 6 publications

References 15 publications

Analysis of Reoperations After Laparoscopic Adjustable Gastric Banding

Analysis of Reoperations After Laparoscopic Adjustable Gastric Banding

Modified laparoscopic Sugarbaker repair of parastomal hernia with a three-point anchoring technique

Mesh Fixation Devices

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