Laparoscopic Ventral Hernia Repair with Acute Perforated Cholecystitis and No Short- or Long-Term Evidence of Prosthesis Infection

Biasi, Andreas de; Lumpkins, Kimberly; Turner, Patricia L.

doi:10.1177/000313481107700439

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…Oral intake along with bowel movement and active mobility resumption was similar in standalone hiatal hernia surgery. However, although evidence exists regarding the safety of placing mesh in clean-contaminated wounds [ 6 , 7 , 8 , 9 , 10 , 11 ], it is our opinion that the current evidence is not sufficient, and we advise the use of mesh only in carefully selected cases if cholecystectomy is performed. Meshes might induce serious complications, and we believe that it should only be used as a last resort in selected recurrent hiatal hernia patients or in patients with a diaphragmatic defect that resulted from a relaxing incision for a difficult hiatus, as in this study [ 12 ].…”

Section: Discussionmentioning

confidence: 97%

Laparoscopic Surgery with Concomitant Hernia Repair and Cholecystectomy: An Alternative Approach to Everyday Practice

Ioannidis¹,

Anemoulis

Giannakidis

et al. 2023

Diseases

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Introduction: Concomitant surgeries have been performed previously in several centers with experience in laparoscopic surgeries. These surgeries are performed in one patient under one operation with anesthesia. Methods: We performed a retrospective unicenter study from October 2021 to December 2021 analyzing patients who underwent laparoscopic hiatal hernia repair with cholecystectomy. We extracted data from 20 patients who underwent hiatal hernia repair together with cholecystectomy. Grouping of data by hiatal hernia type showed 6 type IV hernias (complex hernia), 13 type III hernias (mixed type) and 1 type I hernia (sliding hernia). Out of the 20 cases analyzed, 19 were patients suffering from chronic cholecystitis and 1 patient presented with acute cholecystitis. The average operating time was 179 min. Minimum blood loss was achieved. Cruroraphy was performed in all cases, mesh reinforcement was added in five cases, and fundoplication was performed in all cases, with 3 Toupet, 2 Dor and 15 floppy Nissen fundoplication procedures performed. Fundopexy was routinely performed in cases of Toupet fundoplication. A total of 1 bipolar and 19 retrograde cholecystectomies were performed. Results: All patients had favorable postoperative hospitalization. Patient follow-up took place at 1 month, 3 months and 6 months, with no sign of recurrence of hiatal hernia (anatomical or symptomatic) and no symptoms of postcholecystectomy syndrome. In two patients, we had to perform colostomy. Conclusion: Concomitant laparoscopic hiatal hernia repair and cholecystectomy is safe and feasible.

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Section: Discussionmentioning

confidence: 97%

Laparoscopic Surgery with Concomitant Hernia Repair and Cholecystectomy: An Alternative Approach to Everyday Practice

Ioannidis¹,

Anemoulis

Giannakidis

et al. 2023

Diseases

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show abstract

“…Although no mesh hiatoplasty or mesh reinforce was performed we are not against use of mesh in the hiatus, but we are against routine use of mesh. However, although evidence exists regarding safety in placing mesh in clean-contaminated cases [9][10][11][12][13][14], we believe that the current level of evidence is not high enough and we advise use of mesh only in carefully selected cases if cholecystectomy is performed. We must not forget the dreaded complications meshes can produce and we believe that it should only be used as a last resort, in cases where crural appropriation is not possible or in selected cases of recurrent hiatal hernia.…”

Section: Discussionmentioning

confidence: 99%

Concomitant Laparoscopic Hiatal Hernia Repair with Cholecystectomy: A Multicentric Study

Preda

Sapalidis

Bințințan

et al. 2020

Preprint

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Background Concomitant surgery refers to performing two or more surgical operations on one patient under the same anesthesia. Methods We performed a retrospective multicenter study from October 2016 to October 2019, analyzing patients who underwent laparoscopic hiatal hernia repair. We extracted data of patients who underwent concomitant laparoscopic surgery for both hiatal hernia repair and cholecystectomy in the following Clinics: 1st Clinic of Surgery of Craiova Emergency Clinical County Hospital, “Colțea” Hospital, 3rd Clinic of Surgery of Cluj-Napoca and 3rd Surgery Clinic of University General Hospital of Thessaloniki and identified 20 patients who underwent hiatal hernia repair and had an added cholecystectomy. Allocation of data by hiatal hernia type showed 6 type IV hernia (complex hernia), 13 type III hernias (mixed type) and 1 type I hernia (sliding hernia). Out of the 20 cases analyzed; 19 were chronic cholecystitis and one patient presented with acute cholecystitis. Average operating time was 168 minutes. Blood loss was minimum. Cruroraphy was performed in all cases, mesh reinforcement was added in 5 cases, and fundoplication was added in all cases: 3 Toupet, 2 Dorr and 15 Floppy-Nissen. Fundopexy was routinely added in cases with Toupet fundoplication. Cholecystectomy was performed in the following manner: 19 retrograde, 1 bipolar. Results All patients had favorable postoperative hospitilisation. Patient follow up was at 1 month, 3 months and 6 months, with no sign of recurrence for hiatal hernia (anatomical or symptomatic) and no postcholecystectomy syndrome. Conclusion Concomitant laparoscopic hiatal hernia repair and cholecystectomy is a safe and feasible option for patients with indication of surgery for both pathologies.

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Ventral Hernia Repair in the Morbidly Obese

Gomes

Palanivelu

2017

Bariatric Surgical Practice Guide

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Laparoscopic Ventral Hernia Repair with Acute Perforated Cholecystitis and No Short- or Long-Term Evidence of Prosthesis Infection

Cited by 5 publications

References 4 publications

Laparoscopic Surgery with Concomitant Hernia Repair and Cholecystectomy: An Alternative Approach to Everyday Practice

Laparoscopic Surgery with Concomitant Hernia Repair and Cholecystectomy: An Alternative Approach to Everyday Practice

Concomitant Laparoscopic Hiatal Hernia Repair with Cholecystectomy: A Multicentric Study

Ventral Hernia Repair in the Morbidly Obese

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