Laparoscopic approach to incisional hernia

Ma, Carbajo; Jc, Martp del Olmo; Ji, Blanco Alvarez; Toledano, Miguel; C, de la Cuesta; Ferreras, Cristina; Vaquero, Carlos

doi:10.1007/s00464-002-9079-0

Cited by 187 publications

(119 citation statements)

References 10 publications

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“…Others recommend the use of both. [6,[23][24][25] Respondents in our survey almost uniformly employ both. In the face of the consensus regarding use of mesh and methods of securing the mesh, we conclude that the lack of consensus regarding the use of the laparoscopic technique for incisional hernia repair is not simply a lack of knowledge of the literature related to hernia repair.…”

Section: Discussionmentioning

confidence: 99%

“…The theoretical advantages of a minimally invasive approach to incisional hernia repair are well described. [2,[4][5][6][7][8][9] To this date, there have been several direct comparisons of the open hernia repair techniques to the laparoscopic techniques with favorable, but not conclusive results. [5,[10][11][12][13][14][15][16][17][18][19] Despite the support of this new technique, there are many who remain unconvinced of any advantage of the laparoscopic approach to the repair of incisional hernias.…”

Section: Introductionmentioning

confidence: 99%

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Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons

Alder

Livingston

et al. 2007

The American Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons

Alder

Livingston

et al. 2007

The American Journal of Surgery

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“…Although, mesh fixation with tacks is convenient and time saving in the laparoscopic repair of incisional and ventral hernias, the tensile strength of a mesh fixed by transfacial sutures is greater than when fixed by tacks. [3,4] Transfacial sutures penetrate all layers of the abdominal wall, thereby enable fixation of the mesh to the entire fasciomuscular layer of the abdominal wall. In our study, we compare the two most common methods of mesh fixation, i.e.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Incisional/Ventral Hernia Repair- Tacker vs. Transfacial Monofilament Absorbable and Non-Absorbable Suture

Katiyar¹,

Kapoor²,

Katiyar³

2017

jemds

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BACKGROUNDIncisional hernias are a common problem seen in approximately 11% of the patients after abdominal surgery. In case of Incisional/Ventral hernia repair, 50% or above of recurrence rates have been noticed. The advent of the laparoscopic repair of incisional and ventral hernias has brought down the recurrence rates to less than 10%. [1] The laparoscopic repair with the help of mesh fixation to the abdominal wall is poorly studied. This study was done to compare the various intraoperative and postoperative outcomes between two mesh fixation techniques, transfacial sutures alone versus tackers.The aim of this study is to compare two techniques of mesh fixation, i.e. Tacker versus Transfacial monofilament absorbable and non-absorbable sutures alone for the laparoscopic repair of incisional/ventral hernia repair.

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“…There are various studies going on comparing laparoscopic and open repairs and few of them suggest that recurrence rate is quite similar for both, around 9%. [9][10][11][12][13] Ventral hernia is considered complicated when it undergoes …”

Section: Introductionmentioning

confidence: 99%

A prospective study comparing laparoscopic and open ventral hernia repair

Rubby¹,

Rangaswamy²,

Sundar³

2017

Int Surg J

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INTRODUCTIONA ventral hernia is defined as a fascial defect located in the abdominal wall. Primary ventral hernias have been classified as umbilical, epigastric, Spighelian and lumber hernias, and secondary ventral hernias are incisional hernias that have developed from previous postoperative scars. 1 Ventral hernia repair is a common surgical procedure. Mostly, ventral hernias are small umbilical and epigastric hernias, but almost 30% of these procedures are incisional hernia repair is and around half of these have been done laparoscopically. 2Once the patient develops ventral hernia, it inevitably increases in size with time and surgery becomes more and more difficult and hence the repair should not be delayed. With the increase in the number of abdominal surgeries and the use of various incisions associated with surgeries, there is an increase in the incidence of incisional hernia. The surgeons became aware that certain incisions were followed by increased incidence of incisional hernia, because of this awareness, consideration was given to the choice of incision, suture materials that are being used, type of wound closure etc.., Moreover ventral hernias can become irreducible, obstructed, strangulated due top various reasons which markedly increases the risk to patient's life. The treatment of ventral hernia has evolved over many decades. Primary suture repairs were done in the beginning which carried an unacceptably high recurrence Conclusions: Laparoscopic repair of ventral hernia is showing promising results and is being widely practiced nowadays. Postoperative pain is less, hospital stay is shorter and there is a lower short term complication when compared to open repairs. There is lesser incidence of wound infection; movement of bowel is sooner, shorter hospital stay and faster resumption of routine activities.

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Laparoscopic approach to incisional hernia

Abstract: The laparoscopic approach is a valuable option in the management of abdominal wall hernias, but it requires experience in laparoscopic surgery and there is a specific learning curve for the technique.

Cited by 187 publications

References 10 publications

Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons

Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons

Laparoscopic Incisional/Ventral Hernia Repair- Tacker vs. Transfacial Monofilament Absorbable and Non-Absorbable Suture

A prospective study comparing laparoscopic and open ventral hernia repair

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