The laparoscopic repair of suprapubic ventral hernias

Carbonell, Alfredo M.; Kercher, Kent W.; Matthews, Brent D.; Sing, Ronald F.; Cobb, William S.; Heniford, B. Todd

doi:10.1007/s00464-004-8809-x

Cited by 78 publications

(12 citation statements)

References 17 publications

(16 reference statements)

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“…First, single-incision laparoscopic preperitoneal mesh repair minimized recurrence of supra-umbilical incisional hernia. According to the previous reports, the recurrence rate of laparoscopic repair for supra-umbilical hernia was around 6% [ [9] , [10] , [11] ]. Repair of a supra-umbilical hernia is still a surgical challenge because of the highest pressure at the lower abdominal wall in the erect position.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic preperitoneal mesh repair of supra-pubic incisional hernia: A case report

Wakasugi

Nakahara

Hirota

et al. 2018

Annals of Medicine and Surgery

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IntroductionRepair of supra-pubic incisional hernia is still challenging because of the highest pressure at the lower abdominal wall in the erect position. Recently, laparoscopic preperitoneal mesh repair has been gradually reported.Case presentationA 77-year-old woman underwent single-incision laparoscopic preperitoneal mesh repair under a diagnosis of a supra-pubic incisional hernia, measuring 7 × 4 cm. A single, 2.5-cm, intraumbilical incision was made, followed by creation of the preperitoneal space. Then, the posterior rectus sheath and peritoneum were opened, and laparoscopic exploration was performed. After dissection of the supra-pubic hernia content, the tube for degassing the abdominal cavity was inserted into the abdominal cavity, and the peritoneum and the posterior sheath were closed. The preperitoneal space was dissected gradually, and circular dissection of the hernia sac was performed. The proximal sac (peritoneum) was sutured continuously. A 15 × 10 cm mesh was placed in the preperitoneal space and fixed securely with absorbable tacks at the pubic bone, Cooper's ligament, and the rectus abdominis muscle, respectively. After degassing the preperitoneal space, a second laparoscopic exploration was performed to confirm the secure suture of the peritoneum and no injury of the abdominal organs. At 4-month follow-up, the patient remained well with no signs of recurrence.DiscussionSingle-incision laparoscopic preperitoneal mesh repair could minimize the recurrence of supra-umbilical incisional hernia and perioperative complications.ConclusionSingle-incision laparoscopic preperitoneal mesh repair, offering good cosmetic results, might be useful for repair of supra-pubic incisional hernia.

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Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic preperitoneal mesh repair of supra-pubic incisional hernia: A case report

Wakasugi

Nakahara

Hirota

et al. 2018

Annals of Medicine and Surgery

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“…Recurrences may also be related to awkward hernia localizations, particularly with larger defects in the Tx/IS group extending toward the iliac crest or ribs/sternum [180,181]. The single conversion in the Tx/Is group and one of the three recurrences were caused by a potentially insufficient mesh overlap between the kidney graft and the iliac crest.…”

Section: Complicationsmentioning

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 double-crown technique is our choice of treatment in incisional hernias; if necessary, we use transabdominal sutures to position a large mesh properly. Carbonell et al reported two cases of recurrence before applying multiple sutures directly to the pubis and Cooper’s ligament [ 11 ]. Contrary to recommendations in the literature, we did not apply transabdominal sutures to fix the inferior border of the mesh and recurrence was not observed during the follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of large suprapubic hernias.

Sıkar

Çetin

Eyvaz

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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IntroductionSuprapubic hernia is the term to describe ventral hernias located less than 4 cm above the pubic arch in the midline. Hernias with an upper margin above the arcuate line encounter technical difficulties, and the differences in repair methods forced us to define them as large suprapubic hernias.AimTo present our experience with laparoscopic repair of large suprapubic hernias that allows adequate mesh overlap.Material and methodsNineteen patients with suprapubic incisional hernias who underwent laparoscopic repair between May 2013 and January 2015 were included in the study. Patients with laparoscopic extraperitoneal repair who had a suprapubic hernia with an upper margin below the arcuate line were excluded.ResultsTwo men and 17 women, with a mean age of 58.2, underwent laparoscopic repair. Most of the incisions were midline vertical (13/68.4%). Twelve (63.1%) of the patients had previous incisional hernia repair (PIHR group); the mean number of previous incisional hernia repair was 1.4. Mean defect size of the PIHR group was higher than in patients without previous repair – 107.3 cm2 vs. 50.9 cm2 (p < 0.05). Mean operating time of the PIHR group was higher than in patients without repair – 126 min vs. 77.9 min (p < 0.05). Although all complications occurred in the PIHR group, there was no statistically significant difference.ConclusionsLaparoscopic repair of large suprapubic hernias can be considered as the first option in treatment. The low recurrence rates reported in the literature and the lack of recurrence, as observed in our study, support this view.

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The laparoscopic repair of suprapubic ventral hernias

Cited by 78 publications

References 17 publications

Single-incision laparoscopic preperitoneal mesh repair of supra-pubic incisional hernia: A case report

Single-incision laparoscopic preperitoneal mesh repair of supra-pubic incisional hernia: A case report

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

Laparoscopic repair of large suprapubic hernias.

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