Open Incisional Hernia Repair at an Academic Tertiary Care Medical Center

Mohebali, Khashayar; Young, David M.; Hansen, Scott L.; Shawo, Alexandra; Freise, Christopher E.; Chang, David S.; Maa, John; Harris, Hobart W.

doi:10.1001/archsurg.2009.161

Cited by 7 publications

(7 citation statements)

References 19 publications

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“…Incisional hernias are frequent in the normal population after open abdominal surgery and even more frequent in a solid organ‐transplanted and immunosuppressed (Tx/IS) population . Recurrence rate after open repair with open technique is high, but can be reduced with the use of reinforcing mesh . The low risk of infection by laparoscopy makes the method attractive and even more so for the Tx/IS population.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic repair of incisional hernia in solid organ-transplanted patients: the method of choice?

et al. 2014

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Summary Due to immunosuppressive (IS) therapy, incisional hernias are overrepresented in the organ‐transplanted (Tx) population with larger defects, a high rate of recurrence, and a tendency toward more seromas and infectious problems. Thirty‐one Tx/IS patients with a control group of 70 non‐IS patients with incisional hernia (6/7 recurrences) were included in a prospective interventional study. Both cohorts were treated with laparoscopic ventral hernia repair (LVHR). Follow‐up time and rate was 37 months and 95%. One hundred LVHR's were completed as there was one conversion in the Tx/IS group. No late infections or mesh removals occurred. Recurrence rates were 9.7% vs. 4.2% (P = 0.37) and the overall complication rates were 19% vs. 27% (P = 0.80). The Tx/IS group had a higher mesh‐protrusion rate (29% vs. 13%, P = 0.09), but also larger hernias. Polycystic kidney disease was overrepresented in the Tx cohort (44% of kidney‐Tx). Incisional hernias in Tx/IS patients may be treated by LVHR with the same low complication rate and recurrence rate as non‐IS patients. By LVHR, the highly problematic seroma/infection problems encountered in Tx/IS patients treated by conventional open technique seem almost eliminated. The minimally invasive procedure seems particularly rational in the Tx/Is population and should be the method of choice. (ClinicalTrials.gov number: NCT00455299, date: 5 May 2006).

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Section: Introductionmentioning

confidence: 99%

Laparoscopic repair of incisional hernia in solid organ-transplanted patients: the method of choice?

et al. 2014

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“…3,4,7 Nor were we able to grade the complications based on severity. Some studies have shown and suggested that although laparoscopic hernia repair is associated with fewer complications, these complications are more life threatening or severe.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 In 1993, the first report using a laparoscopic approach was published. 5 Laparoscopic repair is touted to be superior to the open approach with regard to complications.…”

mentioning

confidence: 99%

Laparoscopic Versus Open Anterior Abdominal Wall Hernia Repair

Mason

Moazzez²,

Sohn³

et al. 2011

Annals of Surgery

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“…The exact cause of incisional hernias is not completely clear. Several factors have been proposed, such as incorrect surgical technique, increased intraabdominal pressure, and abnormal connective tissue metabolism, reflected by a disrupted synthesis and breakdown of its fibrous elements; in consequence, one in every five laparotomies results in an incisional hernia (Mohebali et al, 2009). Obesity is considered a risk factor in herniogenesis and hernia recurrence, and bariatric surgery has proved to be the most efficient treatment for obesity (Sugerman et al, 1996;Frühbeck, 2015).…”

Section: Introductionmentioning

confidence: 99%