Laparoscopic incisional and ventral herniorraphy: our initial 100 patients

LeBlanc, Karl A.; Booth, W V; Whitaker, J. M.; Bellanger, Drake E.

doi:10.1007/bf01576164

Cited by 119 publications

(62 citation statements)

References 5 publications

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“…The mesh was positioned over the defect initially with trans-parietal stitches and then fixed to the abdominal wall with spiral tacks, even though it was suggested that tacks alone allow a higher relapse rate. 17,19,20 The mesh overlapped the border of the defect by at least 3-4 cm in all the study cases. The study results showed a significant decrease in operative time.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study Between Laparoscopic Versus Open Incisional Hernia Repair

et al. 2016

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Section: Discussionmentioning

confidence: 99%

A Comparative Study Between Laparoscopic Versus Open Incisional Hernia Repair

et al. 2016

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“…Übereinstimmend wird von US-amerikanischen Autoren die Bedeutung der transfaszialen Naht hervorgehoben. So beschrieben LeBlanc [7,8], LeBlanc et al [9] und Koehler et al [10], dass Rezidive in ihren Serien bei Patienten ohne Naht aufgetreten waren und folgerten, dass alle 2-3 cm eine solche Naht zusätzlich zu Spiralklammern in 1 cm Abstand erforderlich ist. Im Gegensatz dazu sind hervorragende Ergebnisse einer spanischen Serie publiziert, bei der auf jegliche Naht verzichtet wurde [11].…”

Section: Techniken Der Netzfixationunclassified

Laparoskopische Narbenhernien-Reparation – Problematik der Netzfixation

Berger¹,

Bientzle²

2003

Visc Med

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Laparoscopic Incisional Hernia Repair – the Problem of Fixation The laparoscopic repair of incisional hernias gains increasing popularity because the well-known advantages of laparoscopic techniques such as less tissue trauma should improve the results especially in these patients. Since the first description of the laparoscopic technique in 1993 some promising results have been published. The main question however concerns the fixation of the intraperitoneally placed mesh. The combination of sutures and the so-called spiral tacks is most often used. Up to now there are only 2 experimental studies dealing with different fixation techniques and leading to controversial results. No clinical study is available which clearly examines the fixation technique. Our own results in a prospective series of 266 unselected patients show that there may be no clinical difference between tack fixation and sutures if fatty tissue is completely dissected and the tacks are fixed in the fascia. Thus, the fatty tissue of the ligamentum falciforme or between the plicae mediales must be excised before setting the tacks. Tack-related complications such as intestinal erosion seem to be very rare, but the fixation of the meshes is the weak point of the whole procedure and needs to be improved in the future.

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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 incisional and ventral herniorraphy: our initial 100 patients

Cited by 119 publications

References 5 publications

A Comparative Study Between Laparoscopic Versus Open Incisional Hernia Repair

A Comparative Study Between Laparoscopic Versus Open Incisional Hernia Repair

Laparoskopische Narbenhernien-Reparation – Problematik der Netzfixation

A prospective study comparing laparoscopic and open ventral hernia repair

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