Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh

Carbajo, Miguel Ángel Martín; Olmo, Juan Carlos Martín del; Blanco, Joan; Cuesta, C.; Toledano, Miguel; Martin, F.; Vaquero, Carlos; Inglada, L.

doi:10.1007/s004649900956

Cited by 321 publications

(261 citation statements)

References 6 publications

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“…Arroyo et al 2 in their retrospective study showed that using meshes for paraumbilical hernia repair, the recurrence rate could be reduced to 0.95%. In this retrospective study, the recurrence rate was 8 However, some risk factors could influence the paraumbilical hernia recurrence. Many retrospective studies have analyzed and assessed independent risk factors for paraumbilical hernia recurrence.…”

Section: Discussionmentioning

confidence: 75%

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Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

Khalil¹,

Saha²,

Islam³

et al. 2018

J Curr Adv Med Res

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Background: Paraumbilical hernia has gained little attention from surgeons in comparison with other types of abdominal wall hernias (inguinal, postoperative); however, the primary suture for paraumbilical hernia is associated with a recurrence rate of 19.0 to 54.0%. Objective: The aim of this study was to analyze the results of the paraumbilical hernia repair and to assess the independent risk factors influencing paraumbilical hernia recurrence. Methodology: A retrospective analysis of patients who underwent surgery for paraumbilical hernia in the department of surgery, Dhaka Medical College Hospital from 2012 to 2015 was performed. Age, sex, hospital stay, hernia size, patient's body mass index, and postoperative complications were analyzed. Postoperative evaluation included pain and discomfort in the abdomen and hernia recurrence rate. Hernia recurrence was diagnosed during the patients' visit to a surgeon. Two surgical methods were used to repair paraumbilical hernia: open suture repair technique (keel technique) and open mesh repair technique (onlay technique). Every operation was chosen individually by the surgeon. Results: Ninety-seven patients (31 males and 66 females) with paraumbilical hernia were examined. The rate of postoperative complications was 5.2%. The complete patient's recovery time after surgery was 2.4±3.4 months. Fourteen patients (20.9%) complained of pain or discomfort in the abdomen, and 7(10.4%) patients had ligature fistula after the surgery. Forty-five patients (67.2%) did not have any complaints after surgery. The recurrence rate after paraumbilical hernia repair was 8.9%. The recurrence rate was higher when hernia size was >2cm (9% for <2 cm vs 10.5% for >2 cm) and patient's BMI was >30 kg/m 2 (8.6% for <30 vs 10.7% for >30). Conclusion: In conclusion significant independent risk factors are found for paraumbilical hernia recurrence.

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Section: Discussionmentioning

confidence: 75%

“…The first operative techniques included simple suture herniorrhaphy, Mayo or keel repair techniques. The suture repair techniques increased the recurrence rate up to 19 to 54.0% 3,[6][7][8] . The use of prosthetic materials reduces the recurrence rate to 15.0 to 20.0% 6 .…”

Section: Discussionmentioning

confidence: 99%

Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

Khalil¹,

Saha²,

Islam³

et al. 2018

J Curr Adv Med Res

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“…19 In the underlying trial, the use of mesh was mandatory for all incisional hernia repairs, frequently using polypropyl-ene material in the sublay or intraperitoneal position. Shorter operative time for laparoscopic incisional hernia repair was reported by a number of recently published studies, 13,14,20,21 while other studies show no differences or longer operative times in the laparoscopic group. 22,23 In small incisional hernia, introduction of trocars and positioning of instruments can be time-consuming.…”

Section: Figure-2mentioning

confidence: 82%

A Study of incisional hernia repair at teaching tertiary care hospital - Laparoscopic vs. Open Repair

Kumar¹

2017

jmscr

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“…1. All patients included in the study underwent ultrasound evaluation of the abdominal wall with high-frequency linear probe (3)(4)(5)(6)(7)(8)(9)(10)(11)(12) and if necessary also with convex probe (in 20 cases; equal to 21.5 %).…”

Section: Methodsmentioning

confidence: 99%

“…The gradual diffusion of the laparoscopic approach is justified by the fact that they respected the principles of tension-free repair and by the results obtained are promising, and, as reported in several series of statistical studies, often higher than those of traditional techniques (in particular, less post-operative pain, fewer respiratory complications, rapid mobilization of patient with fewer thromboembolic complications; reduction un the time of hospitalization, the rate of surgical site infection and recurrence; best esthetic result) [3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Proposal of ecographic classification for seroma after laparoscopic ventral hernia repair

2014

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Introduction Seroma is one of the most common complications after laparoscopic ventral hernia repair (LVHR), even if the incidence brought in literature is varying because definition and criterions of evaluation employed in the different studies are not always the same. This study proposes a classification for seroma after LVHR based on ultrasound findings, useful for an assessment of this complication. Materials and methods On 93 patients submitted to LVHR an ultrasound of the abdominal wall after 3, 7, 15, 21 and 28 days and subsequently at a distance of 3 and 6 months was performed postoperatively. At each control site, sonomorphology characteristics and size of seroma (if present) were noted. Results At the end of the study using ultrasound findings obtained, a classification scheme for seroma articulated into three groups based on the parameters detected (site, sonomorphology character and volume) was developed, each of which is subdivided into five different classes to which a precise score is assigned. From the sum of the scores assigned, a value (between 3 and 15) that represents a prognostic index (PI) is obtained. A low PI is typical of small asymptomatic seroma that resolves spontaneously in a short time and without the need for invasive therapies; a high PI is typical of more or less symptomatic voluminous seroma that tends to persist for long periods and which often requires an interventional therapeutic approach. Conclusions This proposed classification helps to perform a precise nosological assessment of seroma after LVHR, allowing the surgeon to predict the clinical and temporal evolution of this complication and to plan appropriate therapy from time to time. Furthermore this classification can represent a tool to assess the uniqueness of seroma formation in relation to surgical technique used, to the type of material employed and to the method of mesh fixing.Keywords Ventral hernia Á Laparoscopic repair Á Seroma Á Ultrasound classification Sommario Introduzione Il sieroma è una delle complicanze più comuni dopo la riparazione laparoscopica delle ernie ventrali (RLEV), anche se l'incidenza riportata in letteratura è alquanto variabile perché la definizione e i criteri di valutazione impiegati nei diversi studi non sono sempre gli stessi. Proponiamo una classificazione dei sieromi dopo RLEV basata sui rilievi ecografici, che consenta un inquadramento condivisibile di questa complicanza. Materiali e Metodi Su 93 pazienti sottoposti a RLEV è stata eseguita un'ecografia della parete addominale dopo 3, 7, 15 21 e 28 giorni e successivamente a distanza di 3 e 6 mesi dall'intervento. Ad ogni controllo sono state annotate sede, caratteri ecosemiologici e dimensioni del sieroma (se presente). Risultati Alla fine dello studio grazie a tutti i rilievi ecografici ottenuti è stata elaborato uno schema classificativo dei sieromi basato su 3 parametri (sede, caratteri ecosemiologici e volume), ciascuno dei quali suddiviso in 5 diverse classi a cui viene attribuito un preciso punteggio. Dalla somma dei p...

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Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh

Abstract: Laparoscopic treatment of postoperative eventration and primary ventral hernia reduces complications and relapse rates, eliminates reintervention through mesh infection, reduces operative time, and considerably shortens the hospital stay.

Cited by 321 publications

References 6 publications

Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

Factors Indicative of Recurrence Paraumbilical Hernia: Experience at a Tertiary Care Hospital in Dhaka City

A Study of incisional hernia repair at teaching tertiary care hospital - Laparoscopic vs. Open Repair

Proposal of ecographic classification for seroma after laparoscopic ventral hernia repair

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