Laparoscopic Incisional Hernia Mesh Repair with the “Double-Crown” Technique: A Case-Control Study

Abstract

Medium-term results indicate that laparoscopic incisional hernia repair with the double-crown technique has a low complication rate and a comparable recurrence rate to open repair.

Tensile strength and adhesion formation of mesh fixation systems used in laparoscopic incisional hernia repair

“…Apart from transfascial suture fixation, the use of fixation elements is very widespread [1,[13][14][15]. However, the degree of retention strength achieved by the various techniques still is not clear.…”

Laparoscopic ventral hernia repair with tacker only mesh fixation: single centre experience

“…21 Here, result of this study also didn't find any shortfall in surgical outcome of these tack only mesh fixation after comparing with result of any other case series reported earlier in respect of LVHR. 22,23 At last, as reported earlier also, one thing is absolutely true that LVHR is a better way of repair for abdominal ventral hernia with less morbidity and recurrence in comparison to open technique.…”

Ventrio^TM vs Parietex^TM Composite Mesh in Laparoscopic Incisional Hernia Repair: Case Matched Comparison

“…In addition, prosthetic meshes for LIHR was formally started to be sold after insurance coverage of LIHR. For these reasons, our follow-up period after LIHR was shorter than other studies [11][12][13] .…”

“…LIHR is well established as an effective surgical procedure alternative to open surgery by many retrospective case series 1,8,[11][12][13]22) and a few RCTs 14,15) . However, according to choice of either prosthetic mesh, further study is needed to establish which is suitable for LIHR regarding the rate of recurrences, adhesions and fistulas.…”

“…The mesh was applied over the hernia orifice with 4 trans-parietal stitches so that it overlapped the defect by at least 3-4cm in all directions with a needle suturing device (Endo Close™: Covidien Japan Co., Ltd, Tokyo, Japan). The mesh fixation was performed by double crown technique [11][12][13] using an absorbable fixation device (AbsrobaTack™: Covidien Japan Co., Ltd, Tokyo, Japan). Finally, transparietal stitches were tensioned and ligated, knots were buried into subcutaneous.…”