Laparoscopic Intraperitoneal Repair of Incisional and Ventral Hernias

Muysoms, Filip; Daeter, Edgar J.; Mijnsbrugge, G. Vander; Claeys, D.

doi:10.1080/00015458.2004.11679647

Cited by 11 publications

(13 citation statements)

References 4 publications

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“…[203428] Left hypochondrium / subcoastal region has been found to be the preferred site for Verres needle insertion. [1828] Open Hassan technique[22] and Visiport were other alternatives used for access. [3225] To obtain triangulation, working ports are placed away from defect or lateral to the rectus muscle.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic incisional and ventral hernia repair

et al. 2007

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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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Section: Discussionmentioning

confidence: 99%

“…[3225] To obtain triangulation, working ports are placed away from defect or lateral to the rectus muscle. [121319202834]…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic incisional and ventral hernia repair

et al. 2007

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“…Some authors consider giant or large wall defects to have a surface area of approximately 170 cm 2 (range 100e225 cm 2 ) 29,34 . In general, the operating time is longer for laparoscopic ventral hernia repair than for the classic open approach 37,38 , although some authors reported no difference in operation time when comparing the two techniques 43 . Others even reported a shorter operating time for laparoscopic repair 44 , depending mainly on the experience of the surgeon, use of tackers, bowel or omental adhesions, site, size and the number or multilocularity of the hernia defect.…”

Section: Discussionmentioning

confidence: 99%

Eight-point Compass Rose Underlay Technique in 72 Consecutive Elderly Patients with Large Incisional Hernia

Monte

Damiano²,

Palumbo³

et al. 2011

International Journal of Gerontology

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s u m m a r yBackground: Repair of incisional hernia (IH) in the elderly is a challenge for the surgeon. Primary closure is preferable but is not always possible because of high recurrence rates of IH repaired without a prosthesis and/or possible respiratory and cardiovascular complications due to extreme tension of the margins. We report our experience with underlay mesh placement in elderly patients with large IH. Methods: A total of 72 patients from January 2003 to December 2009 underwent IH repair involving placement of an intraperitoneal Gore Ò DualMesh Ò prosthesis. The prosthesis was first anchored at eight points in a compass rose pattern using a Gore Ò suture passer and then firmly secured to the abdominal wall with a 360 internal crown running suture. Results: Two intraoperative intestinal tears occurred during debridement and were immediately sutured. Postoperative complications included seven seromas, four hematomas, and two infections, one of which was resolved with conservative treatment while one required prosthesis removal. Conclusion: This surgical procedure, like laparoscopic treatment, allows the surgeon to avoid dissection of the abdominal layer and improves prosthesis adhesion with reinforcement of the incisional area near the abdominal defect. The reduction in operation time is remarkable. Despite good results in terms of safety and minimal recurrence for laparoscopy in the management of IH, the use of minimally invasive techniques for large incisional wall defects, especially in elderly patients, is still controversial and practiced by few surgeons. This open technique avoids cardiopulmonary complications arising from pneumoperitoneum in the elderly.

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“…This is a widely recognized complication of both open and laparoscopic hernia repair techniques. [1,4,7,[11][12][13]15,18,23,[25][26][27][28][29][30] Respondents in our survey approach this complication conservatively, that is by delay of mesh placement for several weeks. It is interesting to note that 3% would place mesh in a field regardless of the presence of spillage of enteric contents.…”

Section: Discussionmentioning

confidence: 99%