The Role of the Composite and Biologic Meshes in the Trocar Site Hernia Repair Following Laparoscopic Surgery

Abstract

The increasing proportion of laparoscopic interventions in the surgical centers has, also, determined an increased incidence of specific complications, such as trocar hernia. Nowadays, there is no unanimously agreed concensus regarding the optimal closure technique of the trocar incision, wether it should include the suture of the aponeurosis or not at the 10 mm ports. There is, also, no consensus regarding the proper surgical technique for the trocar hernia repair- alloplastic or tissue repair technique.The purpose of the study is to present our experience on the alloplastic repair of the trocar hernias. It is a retrospective study that analyzes the results obtained by our clinicalteam regarding the alloplastic repair of the trocar hernias, over a five-year period, between January 2011 and December 2015. The recurrence and the occurrence rates of different complications (seroma, neuroma with postoperative pain, parietal infiltration, infections and mesh rejection), depending on the type of mesh used for the surgical repair,are studied.

Chemical Liaison Between Diabetes and Hypertension, Depression and Socio-economic Deprivation Impact in Both

“…The improvement of these parameters depends very much on the health policies and the practice of each state [33][34][35][36][37][38][39][40][41].…”

Correlations of the Mechanisms Involved in Diabetes Mellitus, Peripheral Arterial Disease and Gangrene Leading to Amputations-a Retrospective Study Over the Non-traumatic Amputations Performed in the Emergency Clinical County Hospital of Arad Between 2014- 2018

“…Revascularization attempts can often be difficult [35]. Here is how the perception of a problem can be changed by the angle of view from which we look [36][37][38][39][40][41][42][43][44]. This study emphasised the connection between them in terms of pathophysiological mechanisms and severity of complications, both having a huge impact as DALYs contributors, shortening life expectancy and dramatically decreasing the quality of life.…”

Surgical approach of infected mesh with entero-atmospheric fistula – a case presentation

“…The Ventral Hernia Working Group does not recommend the use of permanent mesh in infected fields 7,13 . Polypropylene mesh is a better solution for hernia repair than polyester.…”

“…Unfortunately, the implantation of foreign bodies can be associated with postoperative complications including seroma, mesh migration, mesh infection, or mesh fistula 5,6 . Mesh infection can occur between 1% and 8% of anterior hernia repair and remains a challenging postoperative complication [7][8][9] . Mesh infections are the third leading cause of reintervention following hernial repair and can result in significant patient morbidity, prolonged hospital stay, and increased costs 8,10,11 .…”