Postoperative ileus after laparoscopic primary and incisional abdominal hernia repair with intraperitoneal mesh (DynaMesh®-IPOM versus Parietex™ Composite): a single institution experience

Domen, Andreas; Stabel, Cedric; Jawad, Rami; Duchateau, Nathalie; Fransen, Erik; Vanclooster, P; Gheldere, Charles de

doi:10.1007/s00423-020-01898-9

Cited by 12 publications

(12 citation statements)

References 41 publications

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“…Data on these complications is unfortunately limited. In some observational studies, intra-peritoneal mesh placement was associated with substantial adhesion formation, however, no standardized metric exists to measure adhesions and in these same studies, measured adhesions appeared not to result in major clinical consequences in the majority of patients 125–132 . Additionally, induction of adhesions is not limited to intraperitoneal mesh placement, but may also be of concern for retrorectus repair.…”

Section: Discussionmentioning

confidence: 99%

Favorable Outcomes After Retro-Rectus (Rives-Stoppa) Mesh Repair as Treatment for Noncomplex Ventral Abdominal Wall Hernia, a Systematic Review and Meta-analysis

et al. 2022

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Objective: To assess prevalence of hernia recurrence, surgical site infection (SSI), seroma, serious complications, and mortality after retro-rectus repair. Summary Background Data: Ventral abdominal wall hernia is a common problem, tied to increasing frailty and obesity of patients undergoing surgery. For noncomplex ventral hernia, retro-rectus (Rives-Stoppa) repair is considered the gold standard treatment. Level-1 evidence confirming this presumed superiority is lacking. Methods: Five databases were searched for studies reporting on retro-rectus repair. Single-armed and comparative randomized and non-randomized studies were included. Outcomes were pooled with mixed-effects, inverse variance or random-effects models. Results: Ninety-three studies representing 12,440 patients undergoing retrorectus repair were included. Pooled hernia recurrence was estimated at 3.2% [95% confidence interval (CI): 2.2%-4.2%, n ¼ 11,049] after minimally 12months and 4.1%, (95%CI: 2.9%-5.5%, n ¼ 3830) after minimally 24 months. Incidences of SSI and seroma were estimated at respectively 5.2% (95%CI: 4.2%-6.4%, n ¼ 4891) and 5.5% (95%CI: 4.4%-6.8%, n ¼ 3650). Retro-rectus repair was associated with lower recurrence rates compared to onlay repair [odds ratios (OR): 0.27, 95%CI: 0.15-0.51, P < 0.001] and equal recurrence rates compared to intraperitoneal onlay mesh (IPOM) repair (OR: 0.92, 95%CI: 0.75-1.12, P ¼ 0.400). Retro-rectus repair was associated with more SSI than IPOM repair (OR: 1.8, 95%CI: 1.03 -3.14, P ¼ 0.038). Minimally invasive retro-rectus repair displayed low rates of recurrence (1.3%, 95%CI: 0.7%-2.3%, n ¼ 849) and SSI (1.5%, 95%CI: 0.8%-2.8%, n ¼ 982), albeit based on non-randomized studies.Conclusions: Retro-rectus (Rives-Stoppa) repair results in excellent outcomes, superior or similar to other techniques for all outcomes except SSI. The latter rarely occurred, yet less frequently after IPOM repair, which is usually performed by laparoscopy.

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Section: Discussionmentioning

confidence: 99%

Favorable Outcomes After Retro-Rectus (Rives-Stoppa) Mesh Repair as Treatment for Noncomplex Ventral Abdominal Wall Hernia, a Systematic Review and Meta-analysis

et al. 2022

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“…Another study also evaluated the PP/PVDF mesh in humans, presenting a risk of reoperation in 6% and chronic pain in 19% of the examined patients 17 . Postoperative ileum was also described as a complication after the use of this mesh 18 . The use of meshes in this position is questioned in the literature regarding safety and there is a tendency to place meshes with no contact with intraperitoneal structures.…”

Section: Discussionmentioning

confidence: 99%

Experimental evaluation of intra-abdominal adhesions comparing two different intraperitoneal meshes and the effect of a natural anti-inflammatory product on their formation

et al. 2020

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“…This experiment on the study of the adhesive process is mainly consistent with similar studies. The studied activity of the adhesive process was lower than previously reported data when using standard containers or any other mesh material for 3D printing [4,5]. Many authors believe that the most optimal is stretched polytetrafluoroethylene, which is contrary to the opinion of other authors who use titanium-containing tools.…”

Section: ключевыеmentioning

confidence: 60%

Development of the adhesive process in the abdominal cavity using plastic devices in laparoscopic surgery

Minaev¹,

Grigorova²,

Timofeev³

et al. 2022

Medical news of the North Caucasus

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The study examined the risk of developing adhesions in the abdominal cavity using modern plastic devices used in endoscopic interventions. Two equivalent groups were formed out of 80 rats. In the first group, 40 rats were injected with a sterile fragment of classical endoscopic bag through a puncture of the anterior abdominal wall, while in the second one (40 rats) -sterile plastic was used for 3D printing in medicine. The animals were removed from the experiment on the 30th and 90th days. After the macroscopic determination of the development degree of the adhesive process, the parietal and visceral peritoneum was taken out, followed by IHC examination. As a result of the study, it was found that the plastic, which is a part of endo bags and 3D printing plastic, does not lead to the formation of viscero-parietal adhesions associated with the development of the adhesive process. Thus, using various plastic devices for 3D printing in the abdominal cavity is safe. However, additional research is needed.

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Postoperative ileus after laparoscopic primary and incisional abdominal hernia repair with intraperitoneal mesh (DynaMesh®-IPOM versus Parietex™ Composite): a single institution experience

Cited by 12 publications

References 41 publications

Favorable Outcomes After Retro-Rectus (Rives-Stoppa) Mesh Repair as Treatment for Noncomplex Ventral Abdominal Wall Hernia, a Systematic Review and Meta-analysis

Favorable Outcomes After Retro-Rectus (Rives-Stoppa) Mesh Repair as Treatment for Noncomplex Ventral Abdominal Wall Hernia, a Systematic Review and Meta-analysis

Experimental evaluation of intra-abdominal adhesions comparing two different intraperitoneal meshes and the effect of a natural anti-inflammatory product on their formation

Development of the adhesive process in the abdominal cavity using plastic devices in laparoscopic surgery

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