Laparoscopic ventral hernia repair: Does primary repair in addition to placement of mesh decrease recurrence?

Banerjee, Ambar; Beck, Cathy; Narula, Vimal K.; Linn, John G.; Noria, Sabrena; Zagol, Bradley; Mikami, Dean J.

doi:10.1007/s00464-011-2024-3

Cited by 52 publications

(61 citation statements)

References 18 publications

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“…Laparoscopic technique is basically a mesh repair; however, laparoscopic primary suture repair without prosthetic material has also been experienced (29). In contrast, Banerjee et al (30) compared the laparoscopic mesh placement without defect closure with laparoscopic suture and mesh in a clinical study and reported a slightly lower recurrence rate in the latter group, particularly for recurrent hernias.…”

Section: Which Repair Technique?mentioning

confidence: 99%

Current options in umbilical hernia repair in adult patients

Kulaçoğlu¹

2015

UCD

103

126

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Umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. Standard polypropylene mesh is suitable for the open onlay technique; however, composite meshes are required for laparoscopic repairs. Large seromas and surgical site infection are rather common complications that may result in recurrence. Obesity, ascites, and excessive weight gain following repair are obviously potential risk factors. Moreover, smoking may create a risk for recurrence.

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Section: Which Repair Technique?mentioning

confidence: 99%

Current options in umbilical hernia repair in adult patients

Kulaçoğlu¹

2015

UCD

103

126

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“…After intra-abdominal placement of a mesh, the fascia defect is closed and mesh fixation is accomplished laparoscopically [11,12] . Using this HA-less tissue dissection is expected compared with the open procedure, therefore with lower risk of local complications [13][14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus Hybrid Approach for Treatment of Incisional Ventral Hernia

et al. 2017

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Background: The aim of this study was to compare the efficacy of a hybrid approach (HA) versus laparoscopy in reducing the risk of complications related to complex adhesiolysis in incisional ventral hernia repair (IVHR). Methods: This study included 269 adult patients who underwent laparoscopic IVHR at the Oulu University Hospital, Finland during 2006-2012. Baseline, operative and postoperative data was collected and compared between the treatment groups; that is, a comparison was made between the laparoscopic approach (LA, 38 patients) and the hybrid approach (HA, 24 patients). Results: In the LA group, 11 (28.9%) patients experienced postoperative complications. There were 4 undetected enterotomies that led to major complications, reoperations and one death. In the HA group, 6 (25%) patients experienced mild and moderate complications. During adhesiolysis, 4 enterotomies occurred but were immediately sutured without any complication. Conclusion: Adhesiolysis through a minimally invasive open technique may be associated with a lower risk of undetected enterotomy in patients with complex adhesions. In IVHR, the hybrid should be considered the operative method of choice when adhesions are foreseeable.

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“…An inert mesh material such as polyvinylidene fluoride (PVDF) was used in the sandwich technique in 47 patients with promising low incidence of postoperative mesh-related infections [172] when compared to 3.6 % prosthetic infection with the use of ePTFE patches [164]. Primary laparoscopic Sugarbaker mesh placement with transabdominal suture on either side of the lateralized bowel was found to be effective in reducing the recurrence rate [169]; it could be performed in selected small parastomal hernias or some large ones to ensure adequate approximation of the edges prior to mesh deployment [175].…”

Section: Parastomal Incisional Herniasmentioning

confidence: 99%

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

et al. 2015

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The availability of recent level 1 evidence (a meta-analysis of 10 RCTs) allowed to recommend that not only laparoscopic repair is an acceptable alternative to the open repair, but also it is advantageous in terms of shorter hospital stay and wound infection rate. This conclusion appears to be extremely relevant in a clinical setting. Indications about specific conditions could also be issued: laparoscopy is recommended for the treatment of recurrent ventral hernias and obese patients, while it is a potential option for compensated cirrhotic and childbearing-age female patients. Many relevant and controversial topics were thoroughly examined by this consensus conference for the first time. Among them are the issue of safety of the intraperitoneal mesh placement, traditionally considered a major drawback of the laparoscopic technique, the role for the biologic meshes, and various aspects of the laparoscopic approach for particular locations of the defect such as the abdominal border or parastomal hernias.

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Laparoscopic ventral hernia repair: Does primary repair in addition to placement of mesh decrease recurrence?

Cited by 52 publications

References 18 publications

Current options in umbilical hernia repair in adult patients

Current options in umbilical hernia repair in adult patients

Laparoscopic versus Hybrid Approach for Treatment of Incisional Ventral Hernia

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

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