Incidence and prevention of ventral incisional hernia

Nho, R. Le Huu; Mège, Diane; Ouaïssi, Mehdi; Sielezneff, I.; Sastre, B.

doi:10.1016/j.jviscsurg.2012.05.004

Cited by 234 publications

(131 citation statements)

References 82 publications

(186 reference statements)

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“…The PRISMA flow diagram is shown in addendum 3 (Key Question B). Six systematic reviews have compared midline laparotomies to alternative incisions [26,27,31,36,38,61], but only two were considered High Quality [26,27]. A recent systematic review by Bickenback et al [26] compared midline, transverse (including oblique) and paramedian incisions.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

510

406

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Section: Resultsmentioning

confidence: 99%

“…Ten systematic reviews on the techniques and/or the materials to close abdominal wall incisions were identified [1,32,34,37,38,42,43,48,62,63]. The PRISMA flow diagram is shown in addendum 3 (Key Question C-G).…”

Section: Resultsmentioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

510

406

View full text Add to dashboard Cite

show abstract

“…The mean number of previous abdominal operations was two (range [1][2][3][4][5]. The mean defect size in the NCT group was 8 cm (range [3][4][5][6][7][8][9][10][11] and in the CT group it was 9 cm (range 4-12) with no statistically significant difference between the groups. In the NCT group, 6 (21%) patients presented with incarcerated hernia, compared with 5 (29%) patients in the CT group (P ¼ 0.54).…”

Section: Resultsmentioning

confidence: 91%

Chemotherapy does not adversely impact outcome following post‐incisional hernia repair with biomaterial mesh

Saied

David

LaBarbera

et al. 2015

Journal of Surgical Oncology

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Background: Patients receiving chemotherapy are at increased risk for developing recurrent or post-incisional hernias (PIH). Biological materials are an alternative to synthetic mesh in contaminated fields. The impact of chemotherapy on biomaterial tissue ingrowth and integration has not been well studied. Methods: From 2008 to 2011 patients who underwent PIH repair with biomaterial mesh (Biodesign 1 ) were selected. Patients were divided into two groups: those receiving chemotherapy (CT) and those not receiving chemotherapy (NCT). Results: Forty-five patients were identified, 28 (62%) in the NCT group and 17 (38%) in the CT group. Median follow up for NCT and CT groups were 27 and 17 months, respectively. A total of 9/45 (20%) surgical site infections (SSI) were diagnosed, with 6/28 (21%) in the NCT and 3/17 (18%) in the CT group (P ¼ 0.53). Seroma formation was seen in 5/28 (18%) of NCT patients and 4/17 (23%) in CT group (P ¼ 0.46). Overall hernia recurrence rate was 22%, and the rates of recurrence were similar among the CT 3/17 (18%) and NCT 7/28 (25%) groups (P ¼ 0.42). Conclusion: The use of perioperative chemotherapy did not increase the rate of wound complications following PIH repair with biologic mesh in this group of patients.

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“…Incisional hernias commonly develop in patients following abdominal surgeries, even approached by the laparoscopic method [1,2]. Detection of incisional hernia may be difficult in cases with obesity or small fascial defects [2].…”

Section: Introductionmentioning

confidence: 99%

Dynamic ultrasound with postural change facilitated the detection of an incisional hernia in a case with negative MRI findings

et al. 2014

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Incisional hernias commonly develop after abdominal surgeries with a lower incidence in patients receiving laparoscopy. Diagnosis through a non-surgical approach is usually made by computed tomography or magnetic resonance images (MRI) but both image modalities require patients to be examined in a supine position. We reported a case noticing a mass over her right lower abdomen after a laparoscopic liver segmentectomy with negative findings of hernia on MRI. A hernia sac was found by ultrasound with the patient being standing, highlighting the utility of dynamic ultrasound with postural change in investigation of incisional hernias.Keywords CT Á MRI Á Ultrasound Á Incisional hernia Á Laparoscopy Sommario Il laparocele dopo interventi di chirurgia addominale si realizza con minore incidenza nei pazienti trattati con laparoscopia. La diagnosi non chirurgica di solito è fatta contomografia computerizzata o risonanza magnetica (MRI), ma entrambe le modalità richiedono che i pazienti siano esaminati in posizione supina. Presentiamo un caso di massa del basso addome, a destra, dopo segmentectomia epatica laparoscopica, con risultati negativi per ernia all'esame 24 MRI. L'ecografia, con paziente in piedi, ha evidenziato un sacco erniario, dimostrando l'utilità dell'ecografia dinamica, con cambio posturale, nelle indagini per laparocele.

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Incidence and prevention of ventral incisional hernia

Abstract: A review of the literature shows that only the choice of incisional approach (transverse incision or laparotomy vs. midline laparotomy) allows a significant decrease in the incidence of ventral incisional hernia.

Cited by 234 publications

References 82 publications

European Hernia Society guidelines on the closure of abdominal wall incisions

European Hernia Society guidelines on the closure of abdominal wall incisions

Chemotherapy does not adversely impact outcome following post‐incisional hernia repair with biomaterial mesh

Dynamic ultrasound with postural change facilitated the detection of an incisional hernia in a case with negative MRI findings

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