Mesh and plane selection: a summary of options and outcomes

Alimi, Yewande; Merle, Chamilka; Sosin, Michael; Mahan, Marielle; Bhanot, Parag

doi:10.20517/2347-9264.2019.39

Cited by 15 publications

(23 citation statements)

References 25 publications

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“…Seroma, bleeding, infection, and skin necrosis are more common with this method. Seroma and hematoma develop in 17-32% of the patients, therefore, drainage is recommended for patients [ 11 ]. Since the fascia and skin are not detached in our method, the risk of postoperative seroma, bleeding, infection and skin necrosis are reduced.…”

Section: Discussionmentioning

confidence: 99%

“…Onlay, inlay, sublay-retromuscular, sublay-preperitoneal, and sublay-intraperitoneal techniques have been defined in relation to mesh application in the treatment of hernia by the European Hernia Society [ 3 , 11 ]. However, each method has its own advantages, technical difficulties, and complications.…”

Section: Introductionmentioning

confidence: 99%

“…However, each method has its own advantages, technical difficulties, and complications. There is no consensus among surgeons on the optimal location for mesh placement and what type of mesh to use in incisional hernia repair [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…In the early period, perioperative bowel injury, seroma, bleeding, superficial or deep wound infection, mesh infection, skin necrosis, and mesh detachment due to inadequate fixation of the mesh can be seen. Late complications are hernia recurrence and mesh reaction [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Giant Incisional Hernia Repair Using Open Intraperitoneal Dual Mesh

Korkut¹,

Aksungur²,

Altundas³

et al. 2022

Cureus

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Giant incisional herniae are larger than 15 cm and are typically treated with an open approach. Our aim was to highlight the outcomes of treating giant incisional hernia using open intraperitoneal dual mesh. MethodsBetween January 2015 and December 2021, 25 patients with giant incisional hernias, where fascial defects were 15-30 cm, were evaluated retrospectively. Intraperitoneal dual mesh was used in all patients. The patients were evaluated in terms of age, gender, body mass index (BMI), previous abdominal surgeries, defect diameter, anesthesia method, length of hospital stay, drain application, complications, and recurrence. ResultsEleven of the patients were male and 14 were female. The mean age was 62±13.5 years (29-82 years). The average BMI was 32 kg/m2 (20-52 kg/m2). The mean size of the fascial defect was 22±5.5 cm (15-30). The mean operation time was 90 minutes (70-130 minutes). Six patients had type I and II complications according to the Clavien-Dindo classification, specifically superficial skin infections, skin erosion, subcutaneous bleeding, and temporary ileus due to intestinal adhesion. During the average follow-up period of 36 months (6-70 months), no major complications were observed related to the recurrence and use of dual mesh. ConclusionIn the treatment of giant incisional hernia, open intraperitoneal dual mesh application should be kept in mind as an effective treatment option with low complication and recurrence rates.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Giant Incisional Hernia Repair Using Open Intraperitoneal Dual Mesh

Korkut¹,

Aksungur²,

Altundas³

et al. 2022

Cureus

View full text Add to dashboard Cite

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“…Musculoskeletal dysfunction is a consequence of weaknesses of the abdominal wall and should be remedied by incisional hernia repair (26). A multitude of meshes are available, which can be placed in various abdominal planes using open, laparoscopic or robotic approaches (27). The recent years were characterized by the advent of new techniques in an effort to significantly reduce risk factors for recurrence (28)(29)(30).…”

Section: Applying the Grip Concept To The Individual Patientmentioning

confidence: 99%

The Grip Concept of Incisional Hernia Repair—Dynamic Bench Test, CT Abdomen With Valsalva and 1-Year Clinical Results

et al. 2021

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Incisional hernia is a frequent consequence of major surgery. Most repairs augment the abdominal wall with artificial meshes fixed to the tissues with sutures, tacks, or glue. Pain and recurrences plague at least 10–20% of the patients after repair of the abdominal defect. How should a repair of incisional hernias be constructed to achieve durability? Incisional hernia repair can be regarded as a compound technique. The biomechanical properties of a compound made of tissue, textile, and linking materials vary to a large extent. Tissues differ in age, exercise levels, and comorbidities. Textiles are currently optimized for tensile strength, but frequently fail to provide tackiness, dynamic stiction, and strain resistance to pulse impacts. Linking strength with and without fixation devices depends on the retention forces between surfaces to sustain stiction under dynamic load. Impacts such a coughing or sharp bending can easily overburden clinically applied composite structures and can lead to a breakdown of incisional hernia repair. Our group developed a bench test with tissues, fixation, and textiles using dynamic intermittent strain (DIS), which resembles coughing. Tissue elasticity, the size of the hernia under pressure, and the area of instability of the abdominal wall of the individual patient was assessed with low-dose computed tomography of the abdomen preoperatively. A surgical concept was developed based on biomechanical considerations. Observations in a clinical registry based on consecutive patients from four hospitals demonstrate low failure rates and low pain levels after 1 year. Here, results from the bench test, the application of CT abdomen with Valsalva's maneuver, considerations of the surgical concept, and the clinical application of our approach are outlined.

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