A simplified laparoscopic approach to ventral hernia repair: a new “finned” mesh configuration with defect closure

Christoudias, George; Nunziata, Maritsa

doi:10.1007/s00464-015-4480-7

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…Other studies reporting on ventral hernia hybrid repair procedures appear to be promising as well [5,19,[26][27][28][29][30][31][32][33]. However, these studies included a low number of patients and multiple types of different hernias (primary, incisional, flank or stomal).…”

Section: Discussionmentioning

confidence: 99%

A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort

Dop

Smet

Bus

et al. 2020

Hernia

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Purpose In this study, a three-step novel surgical technique was developed for incisional hernia, in which a laparoscopic procedure with a mini-laparotomy is combined: so-called ‘three-step incisional hybrid repair’. The aim of this study was to reduce the risk of intestinal lacerations during adhesiolysis and recurrence rate by better symmetrical overlap placement of the mesh. Objectives To evaluate first perioperative outcomes with this technique. Methods From 2016 to 2020, 70 patients (65.7% females) with an incisional hernia of > 2 and ≤ 10 cm underwent a elective three-step incisional hybrid repair in two non-academic hospitals performed by two surgeons specialised in abdominal wall surgery. Intra- and postoperative complications, operation time, hospitalisation time and hernia recurrence were assessed. Results Mean operation time was 100 min. Mean hernia size was 4.8 cm; 45 patients (64.3%) had a hernia of 1–5 cm, 25 patients (35.7%) of 6–10 cm. Eight patients had a grade 1 complication (11.4%), five patients a grade 2 (7.1%), two patients (2.8%) a grade 4 complication and one patient (1.4%) a grade 5 complication. Five patients had an intraoperative complication (7.0%), two enterotomies, one serosa injury, one omentum bleeding and one laceration of an epigastric vessel. Mean length of stay was 3.3 days. Four patients (5.6%) developed a hernia recurrence during a mean follow-up of 19.5 weeks. Conclusion A three-step hybrid incisional hernia repair is a safe alternative for incisional hernia repair. Intraoperative complications rate was low.

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Section: Discussionmentioning

confidence: 99%

A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort

Dop

Smet

Bus

et al. 2020

Hernia

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Bridging with reduced overlap: fixation and peritoneal grip can prevent slippage of DIS class A meshes

Kallinowski

Harder

Silva

et al. 2017

Hernia

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Comparison of small intestinal submucosa and polypropylene mesh for abdominal wall defect repair

Wang

et al. 2018

Journal of Biomaterials Science, Polymer Edition

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Abdominal wall defects are a common medical problem, and inadequate repair methods can lead to serious complications. Abdominal wall reconstruction using autologous tissue, or non-biological, biological, or composite patches is often performed to repair defective areas. In particular, composite patches containing both polymeric and biological materials have gained increasing attention due to their good mechanical properties and biocompatibility. However, it is still unclear whether the quality of repairs using composite patches is superior to that of a biological patch. Based on the limitations of previous studies, we compared small intestinal submucosa (SIS) patches with SIS + polypropylene mesh (PPM) patches for repairing abdominal wall defects in adult beagle dogs. Forty-five female dogs were subjected to surgical resection to produce abdominal wall defects. SIS or SIS + PPM was used as patch for the defects. Morphology, biomechanics, and histological evaluations were performed to evaluate the efficacy and safety of such therapies. Our findings demonstrated that SIS had advantages over SIS + PPM considering biological activity and histocompatibility without increasing the risk of repair failure.

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A simplified laparoscopic approach to ventral hernia repair: a new “finned” mesh configuration with defect closure

Abstract: This innovative laparoscopic method incentivizes surgeons to embrace the technique and its universally accepted advantages by mitigating the most challenging aspects of LAHR. Promising results indicate a potential new standard of care for ventral hernia repair.

Cited by 3 publications

References 42 publications

A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort

A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort

Bridging with reduced overlap: fixation and peritoneal grip can prevent slippage of DIS class A meshes

Comparison of small intestinal submucosa and polypropylene mesh for abdominal wall defect repair

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