Decreased re-operation rate for recurrence after defect closure in laparoscopic ventral hernia repair with a permanent tack fixated mesh: a nationwide cohort study

Baker, Jason Joe; Öberg, Stina; Andresen, Kristoffer; Rosenberg, Jacob

doi:10.1007/s10029-018-1776-2

Cited by 18 publications

(12 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It should be noted in the above study that the authors used a bridging technique without closing the defect. Baker et al, in a nationwide cohort from Denmark recently showed a reduced risk of reoperation for ventral hernia recurrences if the defect is closed during laparoscopic repair, in addition to the use of permanent tacks [28]. Though not universally recorded in the present study, the use of fascial closure may have contributed to the low recurrence rate to date, along with greater confidence among Club Hernie surgeons to use large pieces of mesh even for mid-sized defects.…”

Section: Discussionmentioning

confidence: 63%

Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study

Gillion¹,

Lepère

Barrat

et al. 2019

Hernia

View full text Add to dashboard Cite

Purpose This study examined patient-related outcome measures (PROMs) after repair of ventral primary or incisional hernias using Symbotex™ composite mesh (SCM), a novel three-dimensional collagen-coated monofilament polyester textile. Methods Pre-operative, peri-operative, and post-operative data were obtained from the French “Club Hernie” registry with 12- and 24-month follow-up. Results One-hundred consecutive patients (mean age 62.0 ± 13.7; 51% female) underwent repair of 105 hernias: primary (39/105, 37.1%, defect area 5.2 ± 5.6 cm 2 ) and incisional (66/105, 62.9%, 31.9 ± 38.7.8 cm 2 ). The mean BMI was 29.7 (± 5.6 kg/m 2 ). American Society of Anesthesiologists classifications were I 39.4%, II 37.4% and III 23.2%. 75% had risk factors for healing and/or dissection. Of 38 primary repairs, 37 were completed laparoscopically (combined approach n = 1), and of 62 incisional hernia repairs, 40 were completed laparoscopically, and 20 by open repair (combined approach n = 2). Laparoscopic was quicker than open repair (36.2 ± 23.5 min vs. 67.4 ± 25.8, p < 0001). Before surgery, 86.3% of hernias were reported to cause discomfort/pain or dysesthesia. At 24 months (93 of 100 patients), 91 (97.8%) reported no lump and 81 (87.1%) no pain or discomfort. Of 91 patients, 86 (94.5%) rated their repair “good” or “excellent.” There were nine non-serious, surgeon-detected adverse events (ileus, n = 3; seroma, n = 6) and one hernia recurrence (6–12 months). Conclusions Compared to baseline, open and laparoscopic surgery improved PROMs 24 months after primary and incisional hernia repair. Minimal complications and recurrence support the long-term efficacy of SCM.

show abstract

Section: Discussionmentioning

confidence: 63%

Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study

Gillion¹,

Lepère

Barrat

et al. 2019

Hernia

View full text Add to dashboard Cite

show abstract

“…Closure of the defect is becoming more widely advocated nowadays [13][14][15][16][17]. We should mention that we were not closing the defects before applying mesh in the past, and we are closing the defects in selected cases now.…”

Section: Discussionmentioning

confidence: 99%

The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.

Sıkar

Çetin

2019

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

IntroductionRecurrent hernias can be treated by laparoscopy without the need for mesh removal. However, shrinkage of the mesh following recurrence affects most of the patients, and leaving a partially floating and rigid foreign body could be discussed.AimTo compare the outcomes of patients regarding the removal of previous mesh during laparoscopic repair of recurrent abdominal wall hernias.Material and methodsPatients who underwent laparoscopic repair for recurrent ventral hernias between August 2012 and March 2015 were included in the study. The patients with complete removal of the mesh were included in the MR group and the patients with partial removal or without removal of the previous mesh were included in the non-MR group. Patient characteristics and demographics, previous hernia repair, defect size, mesh size, operative time, mean hospital stay, complications, recurrences, numeric pain rating scale (NRS), early termination of analgesics and prolonged use of analgesics were compared.ResultsA total of 112 patients with a mean age of 53.2 and mean body mass index of 31.1 kg/m2 underwent laparoscopic repair. There were 47 patients in the MR group and 54 patients in the non-MR group. Operative time was shorter in the non-MR group (p < 0.05), whereas symptomatic seroma and NRS scores on postoperative day 10 and at the 6th week were higher in comparison with the MR group (p < 0.05).ConclusionsMesh removal during laparoscopic repair of recurrent ventral hernias has an association with the reduction of pain and symptomatic seroma. However, further prospective comparative studies are required to verify this view.

show abstract

“…Since then, few modifications have been shown to improve outcomes including primary closure of the hernia defect. 23 Sac removal was also advocated to reduce seroma formation. Beyond technique, focus has been on improving mesh material in an attempt to reduce recurrence rate, complications, and adhesion formation.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Ventral Hernia Repair with Poly-4-Hydroxybutyrate Absorbable Barrier Composite Mesh

Aldohayan

Alamri

Aljunidel

et al. 2021

JSLS

View full text Add to dashboard Cite

Background: Repair of ventral and incisional hernias (VIHR) is a common procedure, newly introduced resorbable mesh biomaterials provide an attractive option to reduce the use of permanent synthetic mesh in hernia surgery and reduce its complications. However, data on the use of slowly resorbable mesh materials remains scarce, this study aims to evaluate the use of poly-4hydroxybutyrate/absorbable barrier composite mesh (P4HB/ABCM) in laparoscopic repair of VIHR.Methods: This is a retrospective study of a sequential cohort of patients undergoing laparoscopic VIHR utilizing a P4HB/ABCM mesh. Perioperative characteristics and clinical outcomes were collected.Results: In total, 26 patients including 10 females and 7 males underwent laparoscopic VIHR using P4HB/ABCM. All surgeries were performed in a single institution by the same surgeon. The average patient age was 52.6, and the mean BMI was 35.5. All patients had a clean wound classification. The average defect size was 136.4 cm 2 . All patients were seen in clinic with a median follow-up of 28 months.We observed 4 wound seromas, and no wound infections or recurrences during the follow-up period. Conclusion:Results of laparoscopic VIHR with P4HB/ ABCM are favorable and encourages further studies on the role of absorbable biosynthetic mesh materials in hernia surgery.

show abstract

Decreased re-operation rate for recurrence after defect closure in laparoscopic ventral hernia repair with a permanent tack fixated mesh: a nationwide cohort study

Abstract: This nationwide cohort study showed a reduced risk of re-operation for recurrence if defect closure was performed in addition to permanent tacks as mesh fixation during laparoscopic incisional hernia repair.

Cited by 18 publications

References 19 publications

Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study

Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study

The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.

Laparoscopic Ventral Hernia Repair with Poly-4-Hydroxybutyrate Absorbable Barrier Composite Mesh

Contact Info

Product

Resources

About