Laparoscopic versus open surgical techniques for ventral or incisional hernia repair

Sauerland, Stefan; Walgenbach, Maren; Habermalz, Brigitte; Seiler, Christoph M.; Miserez, Marc

doi:10.1002/14651858.cd007781.pub2

Cited by 358 publications

(288 citation statements)

References 80 publications

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“…Intra-operative bowel injury occurred in five of our patients. This is in keeping with the rates reported in literature [6,26] . All the patients were being operated for incisional hernia, the bowel injured was small intestine and all the injuries occurred during sharp adhesiolysis.…”

Section: Discussionsupporting

confidence: 93%

“…Incisional hernias after previous abdominal surgeries occur in a varying range, reported from 11% to 20% [1][2][3] . Laparoscopic repair of such hernias has an advantage of shorter hospital stay, lower wound infection, earlier recovery and recurrence rates less than 5% [4][5][6] . Paraumbilical hernias compromise 10%-12% of abdominal wall hernias [7] .…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

Jani¹

2018

MIS

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How to cite this article: Jani K. Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias -is there substance to the hype? Mini- Results: A total of 278 patients were posted for elective laparoscopic repair of lower midline ventral hernias between January 2007 and January 2017, of which, 56.1% were para-umbilical hernias and 43.9% were incisional hernias. These included 155 female patients. The average body mass index was 27 kg/m 2 . Thirty-five patients were being operated for a recurrent ventral hernia. The average defect width was 1.2 cm for paraumbilical hernias and 2.2 cm for incisional hernias. The mean operating time was 55 min for para-umbilical hernias and 71 min for incisional hernias. In 13.1%, the fascia could not be sutured. There were no conversions to open surgery. Average length of hospital stay was 2.04 days with average follow-up period of 4.6 years. Overall morbidity was 7.9% with 2 recurrences. There was no mortality or mesh infection. Conclusion:Thus, IPOM plus repair is a safe, feasible and effective technique for the treatment of ventral abdominal wall hernias.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

Jani¹

2018

MIS

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supporting

confidence: 87%

“…Two patients developed infected seromas that responded to simple drainage, and there have been no mesh removals or clinical hernia recurrence to date. This fits with the results of a Cochrane review comparing open and laparoscopic techniques concluding that laparoscopic hernia repair infection rates were 3.14 % (range 0-6.06 %) [3].While valid concerns exist about the potential complication rate of using permanent mesh in patients having bariatric surgery, the rate of complications appear reassuringly low. Surgeons can be comfortable making decisions based on data, and in this situation, these data suggest that patients presenting for bariatric surgery with concomitant hernia can be offered standard treatment with the expectation of standard outcomes.…”

supporting

confidence: 81%

Synchronous Ventral Hernia Repair in Bariatric Patients

Chan

Talbot

2014

OBES SURG

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Dear Editor, We note with interest the article of Eid et al. [1] and correspondence in the journal recently on the topic issue of timing of ventral hernia in bariatric patients. We note that this correspondence recommends a range of options in managing these patients but provides little evidence to back up these recommendations. While the issue of ventral hernia is obviously complex, we are concerned that recommending non-standard treatments may lead to outcomes that expose patients to increased risks and repeated surgical procedures. The use of suture and absorbable mesh repairs have been shown to have high recurrence rates, and leaving hernias untreated will expose patients to the certain requirement for later surgery and the risks of small bowel obstruction associated with their rapid weight loss.With this consideration, we consider all patients undergoing bariatric procedures with ventral hernias as candidates for synchronous repair, unless they had massive abdominal wall defects or cutaneous redundancy, in which case they are usually offered sleeve gastrectomy followed by delayed abdominal wall reconstruction. This number is small.We have attempted to answer the question of whether patients having bariatric surgery can have simultaneous ventral hernia repair if it is felt that the defect is amenable to laparoscopic repair by studying our outcomes [2]. In our series of 45 patients undergoing synchronous bariatric surgery and ventral hernia repair, the results were similar to those of laparoscopic repair alone. Two patients developed infected seromas that responded to simple drainage, and there have been no mesh removals or clinical hernia recurrence to date. This fits with the results of a Cochrane review comparing open and laparoscopic techniques concluding that laparoscopic hernia repair infection rates were 3.14 % (range 0-6.06 %) [3].While valid concerns exist about the potential complication rate of using permanent mesh in patients having bariatric surgery, the rate of complications appear reassuringly low. Surgeons can be comfortable making decisions based on data, and in this situation, these data suggest that patients presenting for bariatric surgery with concomitant hernia can be offered standard treatment with the expectation of standard outcomes.

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“…Cochrane collaboration places the number of AWRs performed in Europe at about 400,000/year and at 300,000/year in USA [3]. In USA this number is expected to increase of 11,000 procedures each year in the near future.…”

mentioning

confidence: 99%

Abdominal wall reconstruction (AWR): the need to identify the hospital units and referral centers entitled to perform it

et al. 2017

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Laparoscopic versus open surgical techniques for ventral or incisional hernia repair

Cited by 358 publications

References 80 publications

Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

Synchronous Ventral Hernia Repair in Bariatric Patients

Abdominal wall reconstruction (AWR): the need to identify the hospital units and referral centers entitled to perform it

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