Complex Incisional Hernias

Scheuerlein, H.; Settmacher, Utz; Lenschow, M; Rauchfuß, F.

doi:10.17352/2455-2283.000014

Cited by 10 publications

(9 citation statements)

References 95 publications

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“…Yahchouchy-Chouillard et al referred to type II diabetes as an important patient-related risk factor for developing incisional hernia following abdominal surgery (34). Further studies reported on the association between diabetes and incisional hernia (35,36), confirming the plausibility of our finding. Finally, Hornby et al found that diabetes may be a risk factor for recurrent incisional hernia after laparoscopic hernia repair presumably due to impaired wound healing and increased postoperative wound infection complications (37).…”

Section: Discussionsupporting

confidence: 86%

Incidence and Risk Factors of Symptomatic Hiatal Hernia Following Resection for Gastric and Esophageal Cancer

Ανδρέου

Pesthy

Struecker

et al. 2017

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HH is a major adverse event after resection for gastric or esophageal cancer especially among patients undergoing extended gastrectomy for cardia cancer requiring a high rate of repeat surgery. Therefore, intensive follow-up examinations for high-risk patients and early diagnosis of asymptomatic patients are essential for selecting patients for elective surgery to avoid unpredictable emergent events with high morbidity and mortality.

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Section: Discussionsupporting

confidence: 86%

Incidence and Risk Factors of Symptomatic Hiatal Hernia Following Resection for Gastric and Esophageal Cancer

Ανδρέου

Pesthy

Struecker

et al. 2017

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“…Key steps in managing patients with enterocutaneous fistulation and an abdominal wall defect include dealing effectively with abdominal sepsis and providing safe and effective nutritional support and skin care, then assessing intestinal and abdominal anatomy, before undertaking reconstructive surgery [ 93 ]. Incomplete sterility with contamination from enteric organisms implicates the more prominent role of biologic hernia implants and autologous reconstructive methods, such as component separation [ 94 ].…”

Section: Methodsmentioning

confidence: 99%

What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?

Köckerling

Alam

Antoniou

et al. 2018

Hernia

141

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IntroductionAlthough many surgeons have adopted the use of biologic and biosynthetic meshes in complex abdominal wall hernia repair, others have questioned the use of these products. Criticism is addressed in several review articles on the poor standard of studies reporting on the use of biologic meshes for different abdominal wall repairs. The aim of this consensus review is to conduct an evidence-based analysis of the efficacy of biologic and biosynthetic meshes in predefined clinical situations.MethodsA European working group, “BioMesh Study Group”, composed of invited surgeons with a special interest in surgical meshes, formulated key questions, and forwarded them for processing in subgroups. In January 2016, a workshop was held in Berlin where the findings were presented, discussed, and voted on for consensus. Findings were set out in writing by the subgroups followed by consensus being reached. For the review, 114 studies and background analyses were used.ResultsThe cumulative data regarding biologic mesh under contaminated conditions do not support the claim that it is better than synthetic mesh. Biologic mesh use should be avoided when bridging is needed. In inguinal hernia repair biologic and biosynthetic meshes do not have a clear advantage over the synthetic meshes. For prevention of incisional or parastomal hernias, there is no evidence to support the use of biologic/biosynthetic meshes. In complex abdominal wall hernia repairs (incarcerated hernia, parastomal hernia, infected mesh, open abdomen, enterocutaneous fistula, and component separation technique), biologic and biosynthetic meshes do not provide a superior alternative to synthetic meshes.ConclusionThe routine use of biologic and biosynthetic meshes cannot be recommended.

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“…The repair of complex ventral hernias (CVHs) is a rapidly evolving area of surgical interest. Complex hernias are becoming both increasingly prevalent [ 1 ] and challenging [ 2 ], with a consequent need for the academic hernia community to produce robust research to guide best practice. It is clear when reviewing the CVH repair literature that the nomenclature is used with significant variability and often incorrectly.…”

Section: Introductionmentioning

confidence: 99%

Nomenclature in Abdominal Wall Hernias: Is It Time for Consensus?

et al. 2017

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Abdominal wall reconstruction is a rapidly evolving area of surgical interest. Due to the increase in prevalence and size of ventral hernias and the high recurrence rates, the academic community has become motivated to find the best reconstruction techniques. Whilst interrogating the abdominal wall reconstruction literature, we discovered an inconsistency in hernia nomenclature that must be addressed. The terms used to describe the anatomical planes of mesh implantation 'inlay', 'sublay' and 'underlay' are misinterpreted throughout. We describe the misinterpretation of these terms and give evidence of where it exists in the literature. We give three critical arguments of why these misinterpretations hinder advances in abdominal wall reconstruction research. The correct definitions of the anatomical planes, and their respective terms, are described and illustrated. Clearly defined nomenclature is required as academic surgeons strive to improve abdominal wall reconstruction outcomes and lower complication rates.

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Complex Incisional Hernias

Abstract: Over the past 20 to 30 years, the surgical techniques have been further developed with special consideration to the individual risks and anatomic conditions: today, we speak of a tailored approach which means that the hernia morphology and the risk factors as

Cited by 10 publications

References 95 publications

Incidence and Risk Factors of Symptomatic Hiatal Hernia Following Resection for Gastric and Esophageal Cancer

Incidence and Risk Factors of Symptomatic Hiatal Hernia Following Resection for Gastric and Esophageal Cancer

What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?

Nomenclature in Abdominal Wall Hernias: Is It Time for Consensus?

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