Laparoscopic repair for recurrent incisional hernias: a single institute experience of 10 years

Abstract

Surgical treatment for RIH remains controversial because of lack in literature of specific studies on this topic. Morbid obesity and large defects have been often associated with technical difficulties and worse results. Our 10 years' experience with LR provided satisfactory results in terms of PO morbidity and recurrence rate, despite any kind of patient selection.

Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience

“…Through technical improvement in the suturing concept and our growing experience, we managed to reduce the incidence of transient pain to a low acceptable rate of 3.24 % (VAS 5-7) that decreased to 2.56 % on a chronic pain stage, which is comparable to the literature. On the overall rate of late complications of 10.74 %, we noticed also that by reducing the dead space, the chronic pain, skin bulging, and rate of recurrence were reduced to, respectively, 2.56, 1.50, and 4.72 %. One case of mortality was due to a tracheal stenosis, responsible for an acute respiratory syndrome.…”

“…Indeed, the recurrence rate after LIVHR with wider mesh coverage ranges between 2.9 and 17.7 %, while it is mainly 12 % and reaches up to 32 % in exceptions in open repair with mesh [1,[4][5][6][7][8][9][10][11][12][13].…”

“…Objective: The aim of this retrospective study is to demonstrate the long-term efficiency of the minimal invasive augmentation technique, over a long follow-up period, in the mixed ventral and incisional hernias, while adopting the tailoring technique of proper patients' selection and choice of procedure, according to defect size, other characteristics and observations on mesh-related outcomes [8][9][10][11][12][13][14][15].…”

Laparoscopic incisional and ventral hernia repair in a district general hospital

“…Defect size remains a contentious issue in laparoscopic hernia repair, with some centres recommending open repair above a certain cut-off point, 6,14 and other centres imposing no limit. Some studies have reported no relationship between defect size and recurrence of hernia, 15,16 whereas others have reported an increased risk of recurrence with increasing defect size. 6,17 Patients may be dissatisfied with cosmetic outcome due to mesh eventration.…”

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

“…The surface under the cumulative ranking curve (SUCRA) simplifies the ranking of a treatment's probability of being better than another treatment, although it 35 150 (P) 40 13 Permanent and absorbable tacks with sutures Ferrari et al 36 69 (R) 41 73 Permanent tacks Ferrari et al 37 100 (I) 24 79⋅2 Permanent tacks Frantzides et al 38 208 (I) 24 173 Permanent staples Lahon et al 39 74 (I) 13 n.r. Permanent tacks Novitsky et al 40 163 ( 45 64 (66 P) 10 117⋅9 Permanent tacks with sutures Bucher et al 46 52 ( Values in parentheses are proportions unless indicated otherwise; *values are median (range) of mean and median values extracted from the individual studies.…”