Laparoscopic Tension-Free Repair of Anterior Abdominal Wall Incisional and Ventral Hernias with an Intraperitoneal Gore-Tex<sup>®</sup>Mesh: Prospective Study and Review of the Literature

Aura, Tamer; Habib, E; Mekkaoui, M.; Brassier, D; Elhadad, A

doi:10.1089/109264202760268041

Cited by 68 publications

(41 citation statements)

References 26 publications

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“…The incidence of seroma varies from 1% to 14% in different reported series [3,8,9,10,11,12,16,17,[30][31][32][33]. In our study, seroma developed in 13.3% of the patients.…”

Section: Discussionsupporting

confidence: 50%

Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study

et al. 2006

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“…The incidence of seroma varies from 1% to 14% in different reported series [3,8,9,10,11,12,16,17,[30][31][32][33]. In our study, seroma developed in 13.3% of the patients.…”

Section: Discussionsupporting

confidence: 50%

Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study

et al. 2006

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“…There are various studies going on comparing laparoscopic and open repairs and few of them suggest that recurrence rate is quite similar for both, around 9%. [9][10][11][12][13] Ventral hernia is considered complicated when it undergoes …”

Section: Introductionmentioning

confidence: 99%

A prospective study comparing laparoscopic and open ventral hernia repair

Rubby¹,

Rangaswamy²,

Sundar³

2017

Int Surg J

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INTRODUCTIONA ventral hernia is defined as a fascial defect located in the abdominal wall. Primary ventral hernias have been classified as umbilical, epigastric, Spighelian and lumber hernias, and secondary ventral hernias are incisional hernias that have developed from previous postoperative scars. 1 Ventral hernia repair is a common surgical procedure. Mostly, ventral hernias are small umbilical and epigastric hernias, but almost 30% of these procedures are incisional hernia repair is and around half of these have been done laparoscopically. 2Once the patient develops ventral hernia, it inevitably increases in size with time and surgery becomes more and more difficult and hence the repair should not be delayed. With the increase in the number of abdominal surgeries and the use of various incisions associated with surgeries, there is an increase in the incidence of incisional hernia. The surgeons became aware that certain incisions were followed by increased incidence of incisional hernia, because of this awareness, consideration was given to the choice of incision, suture materials that are being used, type of wound closure etc.., Moreover ventral hernias can become irreducible, obstructed, strangulated due top various reasons which markedly increases the risk to patient's life. The treatment of ventral hernia has evolved over many decades. Primary suture repairs were done in the beginning which carried an unacceptably high recurrence Conclusions: Laparoscopic repair of ventral hernia is showing promising results and is being widely practiced nowadays. Postoperative pain is less, hospital stay is shorter and there is a lower short term complication when compared to open repairs. There is lesser incidence of wound infection; movement of bowel is sooner, shorter hospital stay and faster resumption of routine activities.

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“…Most experimental studies have focused on its beneficial effects for preventing postoperative peridural fibrosis. This material has been also used in other surgical areas such as general surgery 3 , grafting techniques in plastic surgery 30 , and cardiovasculary surgery 35 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Oxiplex and Gore-Tex effectivity in an experimental peridural fibrosis model

et al. 2009

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SummaryObjective. The authors conducted a study to compare the effectiveness of Oxiplex and Gore-tex in preventing postlaminectomy peridural fibrosis in rats. Peridural fibrosis is a common cause of pain in patients undergoing spinal surgery. To prevent scar formation numerous materials and methods have been employed such as non steroidal anti-inflammatory drugs (NSAIDs), Gelfoam, Oxiplex, Gore-tex, carboxymethil cellulose, Adcon-L, autogenous adipose grefting, mitomisin, and radiotherapy have been investigating for a long time, but only moderate success has been obtained.Methods. Laminectomies were performed at the fourth lumbar vertebra (L-4) in 30 rats. Oxiplex or Gore-Tex was applied over the dura mater with the aim to perform a blinded evaluation of their effects. In the control group, only a L-4 laminectomy was performed. Animals were sacrificed 28 days after the surgical procedure. The extent of peridural fibrosis was evaluated on spine specimens by histological analysis.Results. Both groups of animals treated with either Oxiplex or Gore-Tex showed a significant reduction in the degree of peridural fibrosis as compared to the control group. However no significant difference in the prevention of peridural fibrosis was observed between the Oxiplex and Gore-Tex groups.Conclusions. This experimental model has shown that Oxiplex and Gore-Tex are effective methods to prevent peridural fibrosis and dural adhesions at the postlaminectomy areas.KEY WORDS: Peridural fibrosis. Oxiplex. Gore-Tex. Failed back syndrome.Comparación entre la eficacia del Oxiplex y del GoreTex en un modelo experimental de fibrosis peridural ResumenObjetivo. Los autores realizaron un estudio para comparar la eficacia de Oxiplex y Gore-tex en la prevención de fibrosis peridural tras laminectomías en ratas. La fibrosis peridural es una causa común de dolor en pacientes sometidos a cirugía de la columna vertebral. Para evitar la formación de cicatriz, se han empleado numerosos materiales y métodos como los antiinflamatorios no esteroideos (AINE), Gelfoam, Oxiplex, Gore-tex, carboxymethil celulosa, Adcon-L, injertos de grasa antóloga, mitomicina o la radioterapia, pero sólo se ha obtenido resultados exitosos en pocas ocasiones.Métodos. Se realizaron laminectomías en la cuarta vértebra lumbar (L-4) en 30 ratas. Se aplicaron Oxiplex o Gore-Tex sobre la duramadre con el objetivo de realizar una evaluación ciega de sus efectos. En el grupo control, sólo se realizó la laminectomía L4. Los animales fueron sacrificados 28 días después de la intervención quirúrgica. El grado de fibrosis peridural se evaluó sobre la columna vertebral de especímenes por análisis histológico.Resultados. Ambos grupos de animales tratados con Oxiplex o Gore-Tex mostraron una reducción significativa en el grado de fibrosis peridural en comparación con el grupo control. Sin embargo, ninguna diferencia significativa en la prevención de la fibrosis peridural se observó entre los grupos de Oxiplex y Gore-Tex.Conclusiones. Este modelo experimental ha demostrado que Oxiplex y Gor...

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Laparoscopic Tension-Free Repair of Anterior Abdominal Wall Incisional and Ventral Hernias with an Intraperitoneal Gore-Tex^®Mesh: Prospective Study and Review of the Literature

Abstract: Laparoscopic repair of incisional hernia and ventral hernia appears to be safe, especially with the use of Gore-Tex mesh, and is proving to be effective as it decreases pain, complications, hospital stay, and recurrences.

Cited by 68 publications

References 26 publications

Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study

Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study

A prospective study comparing laparoscopic and open ventral hernia repair

Comparison of Oxiplex and Gore-Tex effectivity in an experimental peridural fibrosis model

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Laparoscopic Tension-Free Repair of Anterior Abdominal Wall Incisional and Ventral Hernias with an Intraperitoneal Gore-Tex®Mesh: Prospective Study and Review of the Literature

Abstract: Laparoscopic repair of incisional hernia and ventral hernia appears to be safe, especially with the use of Gore-Tex mesh, and is proving to be effective as it decreases pain, complications, hospital stay, and recurrences.

Cited by 68 publications

References 26 publications

Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study

Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study

A prospective study comparing laparoscopic and open ventral hernia repair

Comparison of Oxiplex and Gore-Tex effectivity in an experimental peridural fibrosis model

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Laparoscopic Tension-Free Repair of Anterior Abdominal Wall Incisional and Ventral Hernias with an Intraperitoneal Gore-Tex^®Mesh: Prospective Study and Review of the Literature