Laparoscopic sutured closure with mesh reinforcement of incisional hernias

Palanivelu, C.; Jani, Kalpesh; Senthilnathan, P.; Parthasarathi, Ramakrishnan; Madhankumar, M. V.; Malladi, Vijaykumar

doi:10.1007/s10029-007-0200-0

Cited by 84 publications

(76 citation statements)

References 26 publications

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“…Further techniques of defect closure have been developed for use in LVHR. Palanivelu et al have utilized continuous intracorporeal sutures for defect closure with intraperitoneal onlay mesh (IPOM) [22]. Agarwal et al describe their ''double-breasted'' fascial closure with interrupted sutures followed by IPOM [16].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of laparoscopic ventral hernia repair with routine defect closure using “shoelacing” technique

et al. 2010

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LVHR with defect closure confers a strong advantage in hernia repair, shifting the paradigm towards more physiologic abdominal wall reconstruction. In this series, we found our approach to be safe and comparable to historic controls. While providing reliable hernia repair, the addition of defect closure in our patients essentially eliminated postoperative seroma. We advocate routine use of the shoelace technique during laparoscopic ventral hernia repair.

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Section: Discussionmentioning

confidence: 99%

Outcomes of laparoscopic ventral hernia repair with routine defect closure using “shoelacing” technique

et al. 2010

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“…Primary repair of the defect and reinforcement with mesh are the main advantages of a laparoscopic approach. Suturing of large defects has the advantage of providing a flat surface for placement of the mesh, preventing mesh extrusion through the defect [24].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study

et al. 2009

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The controversies involved are the surgical approach, management of the hernial sac, whether or not to suture the defect, and choice of prosthesis. Although laparoscopic and thoracoscopic approaches are comparable, the laparoscopic approach seems to have certain distinct advantages. The authors prefer not to excise the hernial sac and favor suturing the defects before mesh reinforcement. Regarding the type of mesh used, composite, expanded polytetrafluoroethylene (ePTFE), or polypropylene are the available options. Laparoscopic repair is feasible, effective, and reliable. It could become the gold standard in the near future.

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“…Such repair is associated with a significant incidence of post-operative bulging or eventration of mesh, seromas, recurrences and nonrestoration of abdominal muscle function [10][11][12] . To circumvent these problems, sutured closure of the defect in the fascia with intra-peritoneal mesh reinforcement has been described, termed the IPOM plus repair [13] . This repair is now the recommended procedure in the guideline of International Endohernia Society [14] .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

Jani¹

2018

MIS

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How to cite this article: Jani K. Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias -is there substance to the hype? Mini- Results: A total of 278 patients were posted for elective laparoscopic repair of lower midline ventral hernias between January 2007 and January 2017, of which, 56.1% were para-umbilical hernias and 43.9% were incisional hernias. These included 155 female patients. The average body mass index was 27 kg/m 2 . Thirty-five patients were being operated for a recurrent ventral hernia. The average defect width was 1.2 cm for paraumbilical hernias and 2.2 cm for incisional hernias. The mean operating time was 55 min for para-umbilical hernias and 71 min for incisional hernias. In 13.1%, the fascia could not be sutured. There were no conversions to open surgery. Average length of hospital stay was 2.04 days with average follow-up period of 4.6 years. Overall morbidity was 7.9% with 2 recurrences. There was no mortality or mesh infection. Conclusion:Thus, IPOM plus repair is a safe, feasible and effective technique for the treatment of ventral abdominal wall hernias.

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Laparoscopic sutured closure with mesh reinforcement of incisional hernias

Abstract: Laparoscopic repair is well-tolerated and can be accomplished with minimum morbidity in ventral hernias.

Cited by 84 publications

References 26 publications

Outcomes of laparoscopic ventral hernia repair with routine defect closure using “shoelacing” technique

Outcomes of laparoscopic ventral hernia repair with routine defect closure using “shoelacing” technique

Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study

Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

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