Effect of fixation devices on postoperative pain after laparoscopic ventral hernia repair: a randomized clinical trial of permanent tacks, absorbable tacks, and synthetic glue

Harsløf, Sanne; Krum-Møller, Pia; Sommer, Thorbjørn; Zinther, Nellie Bering; Wara, P; Friis-Andersen, Hans

doi:10.1007/s00423-018-1676-z

Cited by 24 publications

(13 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 2009 the European Hernia Society (EHS) formulated separate classifications for primary (PH) and incisional abdominal wall hernias (IH), as these were considered to be two different entities [1]. However, in hernia research, data on PH and IH is still often pooled [2][3][4][5]. In the last decade, several articles have been published comparing PH and IH, which concluded that these hernias are significantly different entities in terms of baseline characteristics, surgical and hernia characteristics and outcomes [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Hernia width explains differences in outcomes between primary and incisional hernias: a prospective cohort study of 9159 patients

Verstoep

Smet²,

Sneiders

et al. 2020

Hernia

View full text Add to dashboard Cite

Purpose Data on primary (PH) and incisional hernias (IH) are often pooled, even though several studies have illustrated that these are different entities with worse outcomes for IHs. The aim of this study is to validate previous research comparing PHs and IHs and to examine whether hernia width is an important contributor to the differences between these hernia types. Methods A registry-based, prospective cohort study was performed, utilizing the French Hernia Club database. All patients undergoing PH or IH repair between September 8th 2011 and May 22nd 2019 were included. Baseline, hernia and surgical characteristics, and postoperative outcomes were collected. Outcomes were analyzed per width category (≤ 2 cm, 3–4 cm, 5–10 cm and > 10 cm). Results A total of 9159 patients were included, of whom 4965 (54%) had PH and 4194 (46%) had IH. PHs and IHs differed significantly in 12/15 baseline characteristics, 9/10 hernia and surgical characteristics, and all outcomes. Overall, complications and re-interventions were more common in patients with IH. After correcting for width, the differences between PH and IH were no longer significant, except for medical complications, which were more common after IH repair compared to PH. Conclusion After correcting for hernia width, most outcomes do not significantly differ between PH and IH, indicating that not hernia type, but hernia width is an important factor contributing to the differences between PH and IH.

show abstract

Section: Introductionmentioning

confidence: 99%

Hernia width explains differences in outcomes between primary and incisional hernias: a prospective cohort study of 9159 patients

Verstoep

Smet²,

Sneiders

et al. 2020

Hernia

View full text Add to dashboard Cite

show abstract

“…Another key finding is that whilst most of the surgeons typically used monolayer synthetic mesh to reinforce the hernia defect, they used an assortment of fixation materials and techniques to secure the mesh. Although it is unclear whether this variation has a negative impact on patient outcomes, it is consistent with the literature showing no clear clinical benefit among mesh fixation methods 16 . In relation to the few surgeons who opted to use biosynthetic meshes, the higher cost incurred for a non‐complicated inguinal hernia repair seems difficult to justify 17 …”

Section: Discussionmentioning

confidence: 66%

“…Although it is unclear whether this variation has a negative impact on patient outcomes, it is consistent with the literature showing no clear clinical benefit among mesh fixation methods. 16 In relation to the few surgeons who opted to use biosynthetic meshes, the higher cost incurred for a non-complicated inguinal hernia repair seems difficult to justify. 17 There was a consensus among the respondents that same-day surgery for non-complicated hernias was safe and effective, yet overnight stays are standard practice for most Australasian surgeons.…”

Section: Discussionmentioning

confidence: 99%

The ANZ hernia repair practices study: low consensus on inguinal and small ventral hernia management and infrequent long‐term follow‐up

Mills

Luscombe

Hugh

2023

ANZ Journal of Surgery

View full text Add to dashboard Cite

“…The postoperative pain produced by the fixation techniques could play an important role in deciding between sutures and tacks for mesh fixation. 16 A randomized control trial from Sweden reported persistent post-operative pain in 7.4% of patients with only tacker fixation of mesh. 17 In this study, both tackers and sutures for the fixation of mesh were used and found no incidence of chronic pain with tacker fixation.…”

Section: Discussionmentioning

confidence: 99%

Post-operative Pain Outcomes of Laparoscopic Ventral Hernia Repair (LVHR): An eight-year experience

Rasul¹,

Ahmed²,

Ali³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

View full text Add to dashboard Cite

Objective:To evaluate post-operative pain, recovery time and standard of living in patients undergoing LVHR in detail. Study design and Setting: This prospective cohort study was conducted at a tertiary care hospital of Karachi, Pakistan,after getting approval from the “National Medical Centre EthicalReview Board”, from January 2011 to December 2019, Methodology: Total n= 577 patients undergoing standard LVHR procedure (defect closed with non-absorbable monofilamentsuture, reinforced with intra-abdominal dual layer mesh, anchored with non-absorbable tacks & sutures). Patient demographics,perioperative & postoperative findings and post-operative pain analysis were investigated and presented as descriptivestatistics. Follow-up was carried out at 1stweek, 2ndweek, 3rdmonthly, 6 monthly and 12 monthly post-operative appointments. Results: During the study period of nine years (January 2011 to December 2019), 577 patients (primary ventral hernia n=232, recurrent ventral hernian=188 patients, incisional hernian=157) underwent LVHR. Mean post-operative hospitalstay was 1.53 ± 1.8 days. Mean post-operative pain assessment onvisual analog scale (VAS) after surgery (0-3days) wasreported to be 38.5±29 by 65 patients out of 577 (11.26%), which significantly decreased at the end of 1st week to 27.9 ± 25.6. Only 3 patients (0.51%) reported chronic pain during the span of 3-6 months. Conclusion: LVHR was associated with considerably less post-operative pain, shorter hospital stay and reduced time of convalescence. It is demonstrated that LVHR to be a safe and superior approach for the repair ventral hernias

show abstract

Effect of fixation devices on postoperative pain after laparoscopic ventral hernia repair: a randomized clinical trial of permanent tacks, absorbable tacks, and synthetic glue

Abstract: NCT01534780.

Cited by 24 publications

References 29 publications

Hernia width explains differences in outcomes between primary and incisional hernias: a prospective cohort study of 9159 patients

Hernia width explains differences in outcomes between primary and incisional hernias: a prospective cohort study of 9159 patients

The ANZ hernia repair practices study: low consensus on inguinal and small ventral hernia management and infrequent long‐term follow‐up

Post-operative Pain Outcomes of Laparoscopic Ventral Hernia Repair (LVHR): An eight-year experience

Contact Info

Product

Resources

About