Morbidity associated with laparoscopic repair of suprapubic hernias

Varnell, Brandon; Bachman, Sharon L.; Quick, Jacob; Vitamvas, Michelle; Ramshaw, Bruce; Oleynikov, Dmitry

doi:10.1016/j.amjsurg.2008.08.006

Cited by 30 publications

(35 citation statements)

References 20 publications

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“…Because of the close proximity of vascular and neural structures and the urinary bladder and because of the absence of tough structures like the posterior rectus sheath below the arcuate line, the repair of such hernias is difficult. Although we consider those defects whose lower margin is less than 5 cm from the pubic arch as suprapubic hernias, other authors have stated this distance to be 3-4 cm [4][5][6].…”

Section: Discussionmentioning

confidence: 96%

“…The traditional open anterior repair for suprapubic hernias has been tried by various authors with varied results, although not much data is available on this subject [4,7]. Experience with laparoscopic repair of such hernias is also limited without any long-term follow-up [4][5][6]8]. Recurrence rates following repair of suprapubic hernias is high because of the inherent difficulties associated with the repair of such hernias, including lack of adequate mesh overlap and presence of important neurovascular structures in the vicinity.…”

mentioning

confidence: 98%

“…''Suprapubic'' hernias or ''parapubic'' hernias are often described by most authors [4][5][6] as those incisional hernias that are located less than 3-4 cm above the pubic arch in the midline (Fig. 1).…”

mentioning

confidence: 98%

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Laparoscopic repair of suprapubic hernias: transabdominal partial extraperitoneal (TAPE) technique

et al. 2010

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Section: Discussionmentioning

confidence: 96%

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confidence: 98%

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Laparoscopic repair of suprapubic hernias: transabdominal partial extraperitoneal (TAPE) technique

et al. 2010

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“…Laparoscopic repair of supra-pubic hernia has been described in 2000s by Carbonell et al, 5 Palanivelu et al 6 and Varnell et al 7 Complication rate ranged from 16.6% to 38% and overall recurrence of around 6%. The concept of laparoscopic trans-abdominal partial extra-peritoneal (TAPE) technique was further consolidated by Sharma et al and published in 2011.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Approach to Supra-pubic and Non-Midline Lower Abdominal Ventral Hernia - An Extended Indication of TAPE Technique

Fan¹,

Yip²,

Fung³

et al. 2017

J Minim Invasive Surg

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Repair of lower abdominal incisional hernia is always a surgical challenge. TAPE technique has been described for the repair of supra-pubic midline incisional hernia with satisfactory outcome. Its indication can be extended for treatment of non-midline lower abdominal hernia. Peritoneal incision is created just below the hernia defect with pre-peritoneal dissection to expose supra-pubic preperitoneal space with Cooper's ligament exposed. Non-adhesive mesh then placed over preperitoneal space and partially intra-peritoneally, and cover the whole extra-peritoneal space prepared to ensure enough overlapping. Mesh is fixed by tackers for intra-peritoneal part, most inferior fixation points were at peritoneal incision line. Extra-peritoneal part of meshes is fixed at the safety zone and covered up by the peritoneal flap to avoid mesh migration. Fixation of the meshes at the lateral aspects were facilitated by the peritoneal flap and subsequent fibrosis and adhesion to the extra-peritoneal structures in cases of lateral lower abdominal hernia. Repair of midline and lateral lower abdominal incisional hernia with this novel modified technique with prosthetic mesh is safe and effective. A larger case series and longer follow-up is required for validation of this technique.

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“…), incarcerated hernia, hernias with small defect size but large hernia sac, obesity, bowel distention, pregnancy, and presence of ascites. 6 The forementioned factors, which are known to increase the technical difficulty of the operation, should help guide the surgeon in selecting the appropriate patients for LVHR.…”

Section: Operative Time(in Min)mentioning

confidence: 99%

Approach to hernial defect in laparoscopic incisional hernia repair

Koppad

2018

Int Surg J

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Background: Ventral hernias are the second most common type of abdominal hernias and account for approximately 10% of all hernias. Recurrence rates after open suture repair have been reported to be as high as 31% to 49%. Laparoscopic ventral hernia repair (LVHR) has been reported to have reduced recurrence rates as compared to open mesh repair, reduced infection rate, shorter recovery time and hospital stay. During LVHR, closure of the hernial defect is a contentious issue. Author describe our observations with the closure of hernial defect in LVHR in comparison to non-closure of defects in relation to seroma, pain, ileus, and recurrence. Methods: An observational study of closure versus non-closure of hernial defect in laparoscopic ventral hernia mesh repair was conducted in 81 patients from March 2016 to March 2017. Ventral hernia repair with mesh was done without closure of defect in 32 cases as compared to 49 cases in which closure of defect was done. Results: Seroma, pain, ileus and recurrence incidence are less in closure of defect in comparison to non-closure of defect in present study. Conclusions: With increasing experience, different theories and techniques have been described by different surgeons to overcome the intra operative and postoperative problems. During LVHR, closure of the hernial defect is a contentious issue. Closure of defect in the experience decreases rate of seroma formation. Closure of defect induce more post-operative pain but may be superior with regard to other important surgical outcomes. Duration of follow up is inadequate to conclude about incidence of recurrence in present study.

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Morbidity associated with laparoscopic repair of suprapubic hernias

Cited by 30 publications

References 20 publications

Laparoscopic repair of suprapubic hernias: transabdominal partial extraperitoneal (TAPE) technique

Laparoscopic repair of suprapubic hernias: transabdominal partial extraperitoneal (TAPE) technique

Minimally Invasive Approach to Supra-pubic and Non-Midline Lower Abdominal Ventral Hernia - An Extended Indication of TAPE Technique

Approach to hernial defect in laparoscopic incisional hernia repair

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