A Retrospective Study of 74 Laparoscopic Repairs of Abdominal Incisional Hernias

Abstract

Although the morbidity/mortality rates are acceptable, technical improvements must be found to reduce the recurrence rate, in particular for large incisional hernias.

Does ventral hernia defect length, width, or area predict postoperative quality of life? Answers from a prospective, international study

“…In smaller series of LVHR, Bencini et al [21] examined 146 cases in which defect area was reported to have no relationship with hernia recurrence, whereas a study of 71 cases found a significant increase in recurrence with those requiring larger mesh attributing it to a larger defect size [22]. A recent study by Helgstrand et al [36], analyzing 3258 incisional hernia repairs from the Danish Ventral Hernia Database found that hernia defect diameter >7 cm was associated with poor outcomes.…”

“…Although recurrence continues to be an important hernia outcomes benchmark, patient QOL has become an increasingly important measure of surgical excellence [10e12]. Although a number of factors have been shown to influence QOL outcomes following VHR [10,17e19] and defect size has been shown to have a relationship with ventral hernia recurrence [22,24], our goal was to evaluate the direct correlation of defect width, length, and overall size on postoperative QOL. In this study, using an international database of patient-reported QOL outcomes, we have shown that large hernia defect width, length, and area all share a direct relationship with acute and chronic postoperative discomfort following VHR.…”

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

“…. A total of 51 reports with 6950 participants were included. Two reports had overlapping participants with an earlier study, so there were 49 studies with a unique population.…”

“…The surface under the cumulative ranking curve (SUCRA) simplifies the ranking of a treatment's probability of being better than another treatment, although it 35 150 (P) 40 13 Permanent and absorbable tacks with sutures Ferrari et al 36 69 (R) 41 73 Permanent tacks Ferrari et al 37 100 (I) 24 79⋅2 Permanent tacks Frantzides et al 38 208 (I) 24 173 Permanent staples Lahon et al 39 74 (I) 13 n.r. Permanent tacks Novitsky et al 40 163 ( 45 64 (66 P) 10 117⋅9 Permanent tacks with sutures Bucher et al 46 52 ( Values in parentheses are proportions unless indicated otherwise; *values are median (range) of mean and median values extracted from the individual studies.…”

Results From a Consecutive Series of Laparoscopic Incisional and Ventral Hernia Repairs

“…5,6,9,10,21,22 There is no doubt that some of the patients disconcertingly developed pain suggestive of peritonitis presumably as a reaction to the mesh in the first day or second day postoperatively. These dimensions are slightly smaller than those reported by other studies with a median mesh area of 322.5 cm 2 .…”