Laparoscopic Ventral Hernia Repair

Alexander, A.; Scott, Daniel J.

doi:10.1016/j.suc.2013.06.003

Cited by 32 publications

(31 citation statements)

References 31 publications

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“…The mesh should be fixed to the abdominal wall without torsion or bending and with sufficient tightness to cover the abdominal wall defect. 12 Methods of mesh fixation to the abdominal wall include transfacial sutures, tacks or a combination of both. The tack is a tool to fix the mesh from the abdominal cavity to the abdominal wall and has a fixed depth of approximately 2 mm.…”

Section: Mesh Fixationmentioning

confidence: 99%

Laparoscopic Ventral Hernia Repair

Park

Chung

2017

J Minim Invasive Surg

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Laparoscopic ventral hernia repair is performed less frequently than open repair because some ventral hernias are unsuitable for laparoscopic repair and the complications are more severe than those of open repair. However, currently, the incidence of laparoscopic hernia surgery has been gradually increasing. The technique for laparoscopic ventral hernia repair depends on the shape, size, location, number, recurrence, and symptoms of the hernia. Computed tomography (CT) is the most accurate method for identifying these factors. Ventral hernia repair begins with an approach to the peritoneal space. Having adequate space to place the mesh is the most important step in surgery. Cosmetic and medical results of primary closure of the hernia margin are superior to those of the bridging technique in laparoscopic ventral hernia repair. However, if primary closure is not possible, the component separation technique can be used to narrow the defect for primary repair of a ventral hernia. Making the abdominal skin flap during the conventional component separation technique can injure the perforator vessels in the abdominal wall, and an injured perforator shuts down the blood supply to the subcutaneous tissue of the abdomen, which then becomes necrotic. To prevent such complications, a perforator-preserving technique can be performed, such as the laparoscopic and posterior component separation techniques. Complications of laparoscopic ventral hernia repair include seroma, hemorrhage, intestinal injury, mesh infection, and recurrence. Mesh infection is one of the most severe complications that sometimes requires reoperation. To prevent infection, it is necessary to minimize contact between the mesh and skin during the surgical procedure.

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Section: Mesh Fixationmentioning

confidence: 99%

Laparoscopic Ventral Hernia Repair

Park

Chung

2017

J Minim Invasive Surg

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“…of defect margin. 10 After taking care of placement covering defect area centrally, we fixed the mesh circumferentially by double crowning with non-absorbable titanium tack (Protack, Covidien). Our common practice is to place large cotton ball compression elastic pressure dressing over the large defect thinking to reduce post-operative seroma.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Laparoscopic ventral hernia repair with tacker only mesh fixation: single centre experience

Kumar

Raina²

2016

Int Surg J

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“…The external defect measurement on insufflated abdomen is usually performed even it overestimates the defect size [5]. It is very important to choose a mesh size which overlaps with a minimum 5 cm in all directions the parietal defect(s), to avoid postoperative mesh shrinkage and recurrence [1][2][3][4][5][6][7][8][9].…”

Section: Parietal Defect(s) Assessmentmentioning

confidence: 99%

“…To achieve these better outcomes several key points were described: adequate patients' selection, choice of the peritoneal cavity entry and capnopneumo-peritoneum creation, trocars placement, adhesiolysis, abdominal wall exploration with careful inspection of parietal defect(s) (site(s), dimensions), mesh insertion, deployment and fixation [3][4][5][6]. Furthermore, these key points were the subject of several guidelines [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Ventral Hernia Repair by Laparoscopic Approach, how to do it

2014

J de Chirurgie

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Laparoscopic Ventral Hernia Repair

Cited by 32 publications

References 31 publications

Laparoscopic Ventral Hernia Repair

Laparoscopic Ventral Hernia Repair

Laparoscopic ventral hernia repair with tacker only mesh fixation: single centre experience

Ventral Hernia Repair by Laparoscopic Approach, how to do it

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