Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?

Hoef, Stijn van; Tollens, Tim

doi:10.1007/s10029-019-02031-6

Cited by 22 publications

(20 citation statements)

References 75 publications

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“…Moreover, PH and IH are pooled together, despite evidence that they are two distinct pathological entities 4 . Laparoscopic repair has been reported to have similar 1 , 5 , 8 , 21 – 23 , if not lower 8 , 24 , recurrence rates compared with open repair, but as described by Köckerling et al 15 , in most series comparative data include pooled PH and IH results, varied surgical approaches and mesh applications, with the risk of erroneous interpretations of surgical effectiveness. Currently, there are few meta-analyses comparing laparoscopic and open techniques for IH repair 23 , 25 , and most data available are limited by short term follow up 4 , 25 .…”

Section: Discussionmentioning

confidence: 98%

“…The first LVHR IPOM was presented by Le Blanc et al in 1992 7 and since then it has progressively been considered a valid alternative to open ventral hernia repair 1 , 8 , offering lower morbidity rates 8 , 10 , less SSI rates 8 – 10 , 12 and shorter hospital stay 8 – 11 , with similar recurrence incidence 6 , 8 , 12 . Nowadays, most LVHR series include heterogeneous patient cohorts with different hernia characteristics undergoing different surgical approaches 3 , 13 .…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal wall hernias are defined as either congenital or primary defect of the abdominal fascia (primary hernia, PH) or acquired defect following abdominal surgery (incisional hernia, IH), with respective estimated incidences of up to 25% 1 and 10–30% 2 – 4 . Ventral hernia repair has therefore become routine for general surgeons around the world despite the fact that management can be extremely challenging, especially in cases of complex incisional defects.…”

Section: Introductionmentioning

confidence: 99%

“…Since its first introduction by Le Blanc et al in 1992 7 , laparoscopic ventral hernia repair (LVHR) with intra-peritoneal onlay mesh (IPOM), has rapidly been affirmed as a safe alternative to open ventral hernia repair, and has the advantage of being highly reproducible and standardized 1 , 8 , 9 . LVHR is associated with lower morbidity rates 8 , 10 , less surgical site infections (SSI) 8 – 10 , 12 and shorter hospital stay 8 – 11 , with similar recurrence rates 6 , 8 , 12 .…”

Section: Introductionmentioning

confidence: 99%

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Predictive factors of recurrence for laparoscopic repair of primary and incisional ventral hernias with single mesh from a multicenter study

Piccoli¹,

Pecchini²,

Vetrone³

et al. 2022

Sci Rep

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Laparoscopic ventral hernia repair (LVHR) is a widely practiced treatment for primary (PH) and incisional (IH) hernias, with acceptable outcomes. Prevention of recurrence is crucial and still highly debated. Purpose of this study was to evaluate predictive factors of recurrence following LVHR with intraperitoneal onlay mesh with a single type of mesh for both PH and IH. A retrospective, multicentre study of data collected from patients who underwent LVHR for PH and IH with an intraperitoneal monofilament polypropylene mesh from January 2014 to December 2018 at 8 referral centers was conducted, and statistical analysis for risk factors of recurrence and post-operative outcomes was performed. A total of 1018 patients were collected, with 665 cases of IH (65.3%) and 353 of PH (34.7%). IH patients were older (p < 0.001), less frequently obese (p = 0.031), at higher ASA class (p < 0.001) and presented more frequently with large, swiss cheese type and border site defects (p < 0.001), compared to PH patients. Operative time and hospital stay were longer for IH (p < 0.001), but intraoperative and early post-operative complications and reinterventions were comparable. IH group presented at major risk of recurrence than PH (6.7% vs 0.9%, p < 0.001) and application of absorbable tacks resulted a significative predictive factor for recurrence increasing the risk by 2.94 (95% CI 1.18–7.31). LVHR with a light-weight polypropylene mesh has low intra- and post-operative complications and is appropriate for both IH and PH. Non absorbable tacks and mixed fixation system seem to be preferable to absorbable tacks alone.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Predictive factors of recurrence for laparoscopic repair of primary and incisional ventral hernias with single mesh from a multicenter study

Piccoli¹,

Pecchini²,

Vetrone³

et al. 2022

Sci Rep

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show abstract

“…It forces to leave peritoneal cavity intact to prevent possible adhesions and not having negative impact on the function of the trunk. Prior IPOM publications showed the opposite, therefore IPOM procedure was abandoned [ 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Post-partum abdominal wall insufficiency syndrome (PPAWIS): lessons learned from a single surgeon’s experience based on 200 cases

Śmietański

Śmietańska

Zamkowski³

2022

BMC Surg

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Background Post-partum abdominal wall insufficiency (PPAWI) with rectus diastasis is present in over 30% of women after pregnancy. Little is known about how PPAWI affects the social, sexual life and self-esteem of patients. This study was designed to evaluate the safety of onlay mesh combined with abdominoplasty and its impact on the well-being of the patients. Method Two hundred patients with PPAWI underwent surgery with onlay mesh and abdominoplasty. The safety of the procedure was assessed by postoperative complications, time of hospitalization and time of drainage. Before the operation and 6 months later, a questionnaire asking about the patient’s sexual and social life and the presence of back pain was completed. The final cosmetic effect was assessed separately. Results The onlay procedure with abdominoplasty was found to be safe and fast. The mean operation time was 82 min, and the drainage time was 2.1 days. In this group < 2% postoperative complications were noted. There were no recurrences within the 6 month. Significant improvements in social and sexual life and the level of self-esteem were noted. Back pain was relieved or minimalized in all patients. The final cosmetic effect was insufficient for 2 patients (1%). Conclusion PPAWI can be treated safely with onlay mesh and abdominoplasty. The patients’ symptoms were strongly correlated with the morphological status of the front abdominal wall and improved after the procedure. Describing the psychological and social consequences of PPAWI should lead the surgical societies to propose a definition of a new disease called PPAWIS (post-partum abdominal wall insufficiency syndrome).

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Nabelhernien

Thasler

Heinrich

2022

Springer Reference Medizin

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Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?

Cited by 22 publications

References 75 publications

Predictive factors of recurrence for laparoscopic repair of primary and incisional ventral hernias with single mesh from a multicenter study

Predictive factors of recurrence for laparoscopic repair of primary and incisional ventral hernias with single mesh from a multicenter study

Post-partum abdominal wall insufficiency syndrome (PPAWIS): lessons learned from a single surgeon’s experience based on 200 cases

Nabelhernien

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