Feasibility and Effectiveness of Primary Umbilical Hernia Repair with Biologic Graft: Preliminary Study

Greco, Dalila Patrizia; Fei, L; Guerriero, Ludovica; Pradella, Paola; Mazzola, Michele; Magistro, Carmelo; Moccia, Francesco; Pascotto, Beniamino; Marra, Teresa; Rossetti, Gianluca

doi:10.1080/00015458.2014.11680994

Cited by 4 publications

(1 citation statement)

References 1 publication

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“…One small prospective cohort study 73 evaluated the use of a biological mesh for primary umbilical hernia repair in 36 patients, and concluded that it seemed to be safe and reliable, with a high degree of patient comfort. As this is the only available study, with preliminary results and no control group, the use of biological mesh cannot be supported on this basis.…”

Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 99%

Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Henriksen

Montgomery

Kaufmann

et al. 2020

British Journal of Surgery

228

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Background: Umbilical and epigastric hernia repairs are frequently performed surgical procedures with an expected low complication rate. Nevertheless, the optimal method of repair with best short-and long-term outcomes remains debatable. The aim was to develop guidelines for the treatment of umbilical and epigastric hernias. Methods: The guideline group consisted of surgeons from Europe and North America including members from the European Hernia Society and the Americas Hernia Society. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, the Scottish Intercollegiate Guidelines Network (SIGN) critical appraisal checklists, and the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument were used. A systematic literature search was done on 1 May 2018, and updated on 1 February 2019. Results: Literature reporting specifically on umbilical and epigastric hernias was limited in quantity and quality, resulting in a majority of the recommendations being graded as weak, based on low-quality evidence. The main recommendation was to use mesh for repair of umbilical and epigastric hernias to reduce the recurrence rate. Most umbilical and epigastric hernias may be repaired by an open approach with a preperitoneal flat mesh. A laparoscopic approach may be considered if the hernia defect is large, or if the patient has an increased risk of wound morbidity. Conclusion: This is the first European and American guideline on the treatment of umbilical and epigastric hernias. It is recommended that symptomatic umbilical and epigastric hernias are repaired by an open approach with a preperitoneal flat mesh.

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Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 99%

Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Henriksen

Montgomery

Kaufmann

et al. 2020

British Journal of Surgery

228

View full text Add to dashboard Cite

show abstract

Long-term patient-reported outcomes and quality of the evidence in ventral hernia mesh repair: a systematic review

Sandø

Rosen

Heniford

et al. 2020

Hernia

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Synthetic meshes in the treatment of postoperative fascial dehiscence of the spine

Jentzsch

Geiger

Werner

2016

BMR

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Synthetic meshes are a successful treatment option for spinal fascial dehiscence, even seemingly in patients with a higher risk profile such as obese and immunocompromised patients as well as in revision procedures. They are associated with respectable cosmetic results, pain relief and clinical outcome. Postoperatively, it is recommended to leave drains for more than five to seven days in order to avoid seroma formation and to avoid weight training for six weeks. Further prospective, comparative studies are recommended.

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Feasibility and Effectiveness of Primary Umbilical Hernia Repair with Biologic Graft: Preliminary Study

Cited by 4 publications

References 1 publication

Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Long-term patient-reported outcomes and quality of the evidence in ventral hernia mesh repair: a systematic review

Synthetic meshes in the treatment of postoperative fascial dehiscence of the spine

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