Laparoscopic incisional hernia repair with a self-centring suture

Background:It has been more than a decade, since the introduction of laparoscopic management of ventral and incisional hernia. The purpose of this article was to systematically review the literature, analyze the results of Laparoscopic repair of ventral and incisional hernia and to ascertain its role.Materials and Methods:Pubmed was used for identifying the original articles. Both incisional and ventral hernia repair were included. Out of 145 articles extracted from Pubmed, 34 original studies were considered for review. More than three thousand patients were included in the review. Variables analyzed in the review were inpatient stay, defect size, mesh size, hematoma, seroma, wound infection, bowel perforation, obstruction, ileus, recurrence and pain. Qualitative analysis of the variables was carried out.Results:Seromas (5.45%) and post operative pain (2.75%) are the two common complications associated with this procedure. Recurrence rate was found to be 3.67%. Overall complication rate was 19.24%, with two deaths reported.Conclusion:The results suggest laparoscopic repair of ventral and incisional hernia as an effective procedure. Faster recovery and shorter in patient stay - makes it a feasible alternative to open repair.

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“…[121820244448] This technique can cause chronic postoperative pain. Sutures can be used to fix the mesh in centre or periphery.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic incisional and ventral hernia repair

et al. 2007

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“…All studies used a minimum mesh overlap of 3–5 cm. Thirty studies reported the percentage of patients at last follow‐up, with a median of 98 (range 76–100) per cent. Follow‐up was given as either a mean or median value, with an overall median of 22 (range 6–64) months.…”

Section: Resultsmentioning

confidence: 99%

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

Baker

Öberg

Andresen

et al. 2017

British Journal of Surgery

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“…A natural progression of this was to insert the mesh in the peritoneal cavity, as close to the defective posterior sheath as possible. Fear of mesh related intestinal complications lead to the development of intraperitoneal on lay meshes (IPOM), with anti-adhesive properties [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…This method of repair gathered popularity among surgeons rapidly as a method of repairing ventral and/or incisional hernias [8]. This has been driven by the promise of supplying strength to abdominal wall, spreading tension with minimal side effects from adhesions to bowels.…”

Section: Introductionmentioning

confidence: 99%

“…This has been driven by the promise of supplying strength to abdominal wall, spreading tension with minimal side effects from adhesions to bowels. On the other hand the increased utilisation of minimal access surgery to repair ventral hernias led to more demand for such meshes this repair is technically simpler than dissecting anterior to the sac [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Polyvinylidene Fluoride-coated Polypropylene Mesh for Intraperitoneal Onlay Mesh (IPOM) Repair of Ventral and Incisional Herniae

Sitaramachandra¹

2015

J Gastrointest Dig Syst

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Background: Dynamesh is a Polyvinylidene fluoride-coated polypropylene mesh. Its main use is for ventral hernia repairs as an on-lay mesh. The mesh was designed to have similar elasticity to the abdominal wall. It is reported to have good anti-adhesive properties while the large pores ensure rapid integration into the abdominal wall. A small series last year reported a high rate of complications with such a mesh. We have used this mesh with few anecdotal concerns and therefore present a more formal retrospective study of complications in our series.

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Laparoscopic incisional hernia repair with a self-centring suture

Abstract: Laparoscopic incisional hernia repair using a self-centring suture provides good long-term results with low complication rates.

Cited by 11 publications

References 26 publications

Laparoscopic incisional and ventral hernia repair

Laparoscopic incisional and ventral hernia repair

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

Polyvinylidene Fluoride-coated Polypropylene Mesh for Intraperitoneal Onlay Mesh (IPOM) Repair of Ventral and Incisional Herniae

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