Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair

LeBlanc, Karl A.

doi:10.1007/s10029-015-1399-9

Cited by 95 publications

(39 citation statements)

References 100 publications

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“…Although the EHS classification was not available at the onset of our research, we have used a similar classification, except that we have based our defect size analysis on measurement of an ovoid area and not just width. Especially concerning mesh overlap measurement, accounting for both directions seems relevant [14].…”

Section: Ih Classificationmentioning

confidence: 99%

Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure

Lambrecht

Vaktskjold

Trondsen

et al. 2015

Hernia

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Section: Ih Classificationmentioning

confidence: 99%

Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure

Lambrecht

Vaktskjold

Trondsen

et al. 2015

Hernia

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“…The two techniques differ in two significant aspects in that LIHR is often performed without primary fascial closure and LIHR is invariably performed with intraperitoneal mesh placement. [10][11][12][13] The result of this study show, that the most significant difference between both group were the hospital stay which were shorter in laparoscopic incisional hernia repair and wound related complication which was also lower in laparoscopic incisional hernia repair.…”

Section: Discussionmentioning

confidence: 68%

Laparoscopic versus open incisional hernia repair: comparative non-randomized study

Mohamed

Abdelmgeed

2017

Int Surg J

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Background: One of the most common complications of laparotomy is Incisional hernia, with an estimated incidence of 3-20%. The objective of this study was to compare the outcome of patients after laparoscopic and open incisional hernia repair.Methods: This was a prospective observational comparative study, in Sohag University Hospital, Sohag, Egypt. All adult patients who fulfilled our inclusion criteria underwent laparoscopic or open incisional hernia repair from September 2013 to September 2016 were included in the study. Primary outcome measure of this study was recurrence rate, wound infection. And secondary outcome measure of this study was operative time, postoperative complications and hospital stay.Results: Between September 2013 and September 2016, 60 patients with incisional hernia had fulfilled our inclusion criteria were operated at the general surgery department at Sohag university hospitals, Sohag, Egypt. 31 patients had open incisional hernia repair and 29 had laparoscopic incisional hernia repair. The mean age for laparoscopic repair group was 45.69±7.66 years and for open repair group was46.94±8.08 years p value 0.543. In laparoscopic group male to female ratio 20/9 was while in open group it was16/15 p value 0.197.the mean body mass index for laparoscopic group was29.83±3.56kg/m2 and for open group30.00±3.32kg/m2 p value= 0.873. the most significant finding was hospital stay which was significantly shorter in laparoscopic incisional hernia repair group p value was 0.000 as well as wound infections were significantly lower in laparoscopic incisional hernia repair group p value was 0.05. there was no significant difference between both groups as regard operative time, bowel injury intraoperative complication postoperative complications as well as recurrence rate. The mean follows uptime was 27.24±3.04 months for laparoscopic incisional hernia group and 27.12±3.06 months for open group.Conclusions: Laparoscopic incisional hernia repair is a safe alternative to laparoscopic incisional hernia repair with a shorter hospital stay and a lower wound complication.

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“…Wrapping the hernia in more than a 5-cm diameter of defect size reportedly decreases the recurrence rate of ventral herniation. 14 …”

Section: Mesh Fixationmentioning

confidence: 99%

Laparoscopic Ventral Hernia Repair

Park

Chung

2017

J Minim Invasive Surg

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Laparoscopic ventral hernia repair is performed less frequently than open repair because some ventral hernias are unsuitable for laparoscopic repair and the complications are more severe than those of open repair. However, currently, the incidence of laparoscopic hernia surgery has been gradually increasing. The technique for laparoscopic ventral hernia repair depends on the shape, size, location, number, recurrence, and symptoms of the hernia. Computed tomography (CT) is the most accurate method for identifying these factors. Ventral hernia repair begins with an approach to the peritoneal space. Having adequate space to place the mesh is the most important step in surgery. Cosmetic and medical results of primary closure of the hernia margin are superior to those of the bridging technique in laparoscopic ventral hernia repair. However, if primary closure is not possible, the component separation technique can be used to narrow the defect for primary repair of a ventral hernia. Making the abdominal skin flap during the conventional component separation technique can injure the perforator vessels in the abdominal wall, and an injured perforator shuts down the blood supply to the subcutaneous tissue of the abdomen, which then becomes necrotic. To prevent such complications, a perforator-preserving technique can be performed, such as the laparoscopic and posterior component separation techniques. Complications of laparoscopic ventral hernia repair include seroma, hemorrhage, intestinal injury, mesh infection, and recurrence. Mesh infection is one of the most severe complications that sometimes requires reoperation. To prevent infection, it is necessary to minimize contact between the mesh and skin during the surgical procedure.

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Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair

Abstract: Risk of hernia recurrence decreases with increasing area of mesh overlap in laparoscopic, but not open, procedures for ventral hernia repair.

Cited by 95 publications

References 100 publications

Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure

Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure

Laparoscopic versus open incisional hernia repair: comparative non-randomized study

Laparoscopic Ventral Hernia Repair

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