Outcomes of bridging versus mesh augmentation in laparoscopic repair of small and medium midline ventral hernias

Mitura, Kryspin; Skolimowska-Rzewuska, Marzena; Horzelski, Wojciech

doi:10.1007/s00464-016-4984-9

Cited by 35 publications

(22 citation statements)

References 35 publications

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“…Closure of the defect is becoming more widely advocated nowadays [13][14][15][16][17]. We should mention that we were not closing the defects before applying mesh in the past, and we are closing the defects in selected cases now.…”

Section: Discussionmentioning

confidence: 99%

The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.

Sıkar

Çetin

2019

Videosurgery and Other Miniinvasive Techniques

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IntroductionRecurrent hernias can be treated by laparoscopy without the need for mesh removal. However, shrinkage of the mesh following recurrence affects most of the patients, and leaving a partially floating and rigid foreign body could be discussed.AimTo compare the outcomes of patients regarding the removal of previous mesh during laparoscopic repair of recurrent abdominal wall hernias.Material and methodsPatients who underwent laparoscopic repair for recurrent ventral hernias between August 2012 and March 2015 were included in the study. The patients with complete removal of the mesh were included in the MR group and the patients with partial removal or without removal of the previous mesh were included in the non-MR group. Patient characteristics and demographics, previous hernia repair, defect size, mesh size, operative time, mean hospital stay, complications, recurrences, numeric pain rating scale (NRS), early termination of analgesics and prolonged use of analgesics were compared.ResultsA total of 112 patients with a mean age of 53.2 and mean body mass index of 31.1 kg/m2 underwent laparoscopic repair. There were 47 patients in the MR group and 54 patients in the non-MR group. Operative time was shorter in the non-MR group (p < 0.05), whereas symptomatic seroma and NRS scores on postoperative day 10 and at the 6th week were higher in comparison with the MR group (p < 0.05).ConclusionsMesh removal during laparoscopic repair of recurrent ventral hernias has an association with the reduction of pain and symptomatic seroma. However, further prospective comparative studies are required to verify this view.

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Section: Discussionmentioning

confidence: 99%

The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.

Sıkar

Çetin

2019

Videosurgery and Other Miniinvasive Techniques

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“…3 Recent evidences suggest that mesh augmentation technique results in lesser recurrence than bridging technique. 4 Success of the surgery depends on adequacy of adhesiolysis, coverage of the defect by prosthetic meshes and secureness of fixation.…”

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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“…Bulging can be the result of an insufficient surgical technique. The problem is more frequently seen after repair of large defects [1] , especially when mesh are used to bridge the defects [1] , [3] and more frequent after laparoscopic repair [2] , [3] , [4] . In this article we present the phenomenon of symptomatic bulging due to failure of a polyester mesh.…”

Section: Introductionmentioning

confidence: 99%

Mesh expansion as the cause of bulging after abdominal wall hernia repair

Deerenberg

Verhelst

Hovius

et al. 2016

International Journal of Surgery Case Reports

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HighlightsSwelling of the abdominal wall after abdominal wall reconstruction can be caused by a recurrence or bulging of the mesh.CT-scan can be useful to distinguish between a true recurrence or bulging of the mesh.Bulging of a mesh can be caused by pore enlargement and expansion of the mesh.The distinction between a recurrence and bulging of the mesh is therapeutically irrelevant in symptomatic patients.Mesh characteristics should be considered when choosing a feasible and suitable mesh for abdominal wall reconstruction.

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Outcomes of bridging versus mesh augmentation in laparoscopic repair of small and medium midline ventral hernias

Cited by 35 publications

References 35 publications

The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.

The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.

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

Mesh expansion as the cause of bulging after abdominal wall hernia repair

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