Sutureless Laparoscopic Ventral Hernia Repair in Obese Patients

Abstract

Results of this study show that laparoscopic ventral herniorrhaphy as an outpatient procedure without transfascial suture fixation is feasible in obese patients.

Pure Transvaginal Ventral Hernia Repair in Humans

“…Our group has previously reported good results with laparoscopic ventral herniorrhaphy without transfascial mesh fixation that is applicable to the TV approach. 16 Therefore, we elected to avoid the addition skin incisions needed for transfascial mesh fixation and use a single intracorporeal anchor stitch followed by circumferential tack fixation in our pure TV cases described above.…”

A critical review of modern tools and methods of implant fixation in minimally invasive herniology

“…В других отношениях, проведение швов более трудоемко, связано с более выраженной послеоперационной болью и несколько худшим косметическим результатом [ Akkary и соавт. считают, что при маленьких грыжах допустимо выполнять IPOM без трансфасциальных швов, даже у пациентов с ожирением [7]. Напротив Smietanski и соавт., использовав оригинальную мате-матическую модель вентральной грыжи, в эксперименте на свиньях показали, что только кнопок недостаточно для удержания герниопротезов на месте [8].…”

A Comparative Study between E-TEP vs IPOM Hernia Repair

“…A ventral hernia is a hernia which can be occur at any location along the midline (vertical center) of the abdomen wall. [1] It is a bulge of tissues through an opening of weakness within the abdominal wall muscles. It can be classified as spontaneous (primary) or acquired (secondary).…”

“…Also, there are basically 3 types of ventral hernia and these are: Epigastric or stomach area hernia which can occur anywhere from just below the breastbone to the navel or belly button, Umbilical or belly button hernia which can occur in the belly button area and the Incisional hernia can develop at the site of a previous surgery. [1] According to UCSF, approximately one-third of patients who had undergone any abdominal surgery have the chance of developing an incisional hernia at the site of their scar, which can occur any time after an abdominal surgery. The scar tissue weakens or thins, allowing a bulge to form in the abdomen.…”

“…Hernias are mainly formed due to obesity, other comorbidities, wound infections, immunosuppression, and prostatism. [1] However, there are five laparoscopic treatment methods are available currently for repairing an inguinal hernia and these are: TEP or totally extraperitoneal repair, e-TEP extended view totally extraperitoneal, TAPP or transabdominal preperitoneal, IPOM or intraperitoneal onlay mesh, and reduction of the sac with or without closure of the ring. Studies had found that hernia repair is one of the most common surgical procedures as more than 20 million incidence occurs per year across the world.…”