Laparoscopic versus open ventral hernia repair in patients with chronic liver disease

Juo, Yen-Yi; Skancke, Matthew; Holzmacher, Jeremy L.; Amdur, Richard L.; Lin, Paul; Vaziri, Khashayar

doi:10.1007/s00464-016-5031-6

Cited by 19 publications

(10 citation statements)

References 46 publications

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“…In this study, patients' age ranged from 20 -57 years with mean age of 37.4 ± 9.4, this is to some extent similar to the results recently published by Kappikeri and Thalasta who found the majority of the observed hernias to be ventral hernias observed in the age group of 31-40 years (Kappikeri and Thalasta, 2017). The number of female patients in our study is higher than the number of male patients (63% versus 37% respectively), and that is consistent with the results of several previous studies (Begum and Khan, 2018;Ujiki et al, 2004;Ecker et al, 2016) The findings of Juo and co-workers do not agree with ours; as they had the number of male patients (2455 patients, 68.3%) exceeding that of female patients (1139 patients, 31.7%) (Juo et al, 2017).…”

Section: Discussionsupporting

confidence: 84%

Laparoscopic Herniography of Small Sized Midline Ventral Hernias in Day Surgery Unit Results in Academic Teaching Hospital

Abdel-Fatah¹,

Fatah²,

Saad³

et al. 2020

MJMR

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Background: Repair of ventral hernia (VH) is a commonly performed procedure. The purpose of this study is to evaluate the results of primary repair of midline VH using laparoscopic approach as a day surgery procedure in an academic teaching hospital. Material and methods: This prospective study was conducted in General Surgery department, Minia University Hospital, Egypt, for 82 patients with midline ventral hernias subjected to primary repair of the defect using laparoscopic approach in the period from February 2017 till February 2019. Patients were followed up for seroma, hematoma, wound infection or recurrence. Results: Study included 81 patients; 30 cases (37%) were males and 51 (63%) were females. Ages ranged from 20-57 years. Thirty-eight (46.9%) patients presented with epigastric hernias, 34 (42%) had paraumbilical hernias, and port site hernias were found in 9 (11.1%) patients. Mean width of the defect was 15 ± 4.3 mm. Mean operative time was 52.3 min. All cases were done on a day surgery setting. No cases showed intestinal injury or paralytic ileus. Eighteen patients (22.2%) developed seroma not requiring aspiration. Hematoma was seen in three (3.7%) patients and was conservatively managed. Only two cases (2.5%) developed superficial wound infection. Rate of recurrence was 4.9%. Conclusion: Primary laparoscopic ventral hernia repair (LVHR) with defects less than 2 cm in diameter is a safe, simple, time-saving procedure associated with less complications, less risk of surgical site infection (SSI), shorter hospital stay and low cost.

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Section: Discussionsupporting

confidence: 84%

Laparoscopic Herniography of Small Sized Midline Ventral Hernias in Day Surgery Unit Results in Academic Teaching Hospital

Abdel-Fatah¹,

Fatah²,

Saad³

et al. 2020

MJMR

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“…One high‐quality review from 2012 on non‐hepatic surgery in patients with cirrhosis included a separate section on abdominal wall surgery based on one RCT, two large database studies and two retrospective case series. A further four large database studies from the American College of Surgeons' National Surgical Quality Improvement Program were identified.…”

Section: Resultsmentioning

confidence: 99%

“…Thirty‐day mortality was compared in patients with a MELD score above 9 who underwent either open or laparoscopic elective ventral hernia repair, including both primary and incisional hernias. Overall, laparoscopic ventral hernia repair was associated with fewer wound‐related complications and a shorter length of stay.…”

Section: Resultsmentioning

confidence: 99%

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EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances

et al. 2020

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Background Rare locations of hernias, as well as primary ventral hernias under certain circumstances (cirrhosis, dialysis, rectus diastasis, subsequent pregnancy), might be technically challenging. The aim was to identify situations where the treatment strategy might deviate from routine management. Methods The guideline group consisted of surgeons from the European and Americas Hernia Societies. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used in formulating the recommendations. The Scottish Intercollegiate Guidelines Network (SIGN) critical appraisal checklists were used to evaluate the quality of full‐text papers. A systematic literature search was performed on 1 May 2018 and updated 1 February 2019. The Appraisal of Guidelines for Research and Evaluation (AGREE) instrument was followed. Results Literature was limited in quantity and quality. A majority of the recommendations were graded as weak, based on low quality of evidence. In patients with cirrhosis or on dialysis, a preperitoneal mesh repair is suggested. Subsequent pregnancy is a risk factor for recurrence. Repair should be postponed until after the last pregnancy. For patients with a concomitant rectus diastasis or those with a Spigelian or lumbar hernia, no recommendation could be made for treatment strategy owing to lack of evidence. Conclusion This is the first European and American guideline on the treatment of umbilical and epigastric hernias in patients with special conditions, including Spigelian and lumbar hernias. All recommendations were weak owing to a lack of evidence. Further studies are needed on patients with rectus diastasis, Spigelian and lumbar hernias.

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“…118 Juo et al examined 3,594 cirrhotic patients who underwent either open (n ¼ 3058) or laparoscopic ventral hernia repair (n ¼ 536). 119 The mean MELD score was 14; 30.7% presented with incarceration and 15.6% had ascites present. Laparoscopic repair was associated with fewer wound complications and a shorter length of stay, whereas other outcome measures including mortality, bleeding, and readmission were similar.…”

Section: Hernia Repairmentioning

confidence: 94%

Management of Patients with Cirrhosis and Portal Hypertension Requiring Surgery

Carpenter

Liou

Mathur

2020

Digestive Disease Interventions

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Cirrhosis significantly increases surgical morbidity and mortality as it causes derangement of multiple organ systems and physiological processes. As such, chronic liver disease and the resultant portal hypertension present distinct perioperative challenges. The risk conveyed by liver disease is dependent on its etiology, the severity of liver dysfunction, the degree to which other organ systems are affected, and the type and timing of surgery to be performed. Careful preoperative planning as well as informed intra- and postoperative decision-making strategies are key factors in ensuring acceptable outcomes in the surgical management of cirrhotic patients. This review will discuss the challenges that cirrhosis with portal hypertension presents to the surgeon, intensivist, and anesthesiologist alike, and identifies key perioperative strategies to mitigate these risks.

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Laparoscopic versus open ventral hernia repair in patients with chronic liver disease

Cited by 19 publications

References 46 publications

Laparoscopic Herniography of Small Sized Midline Ventral Hernias in Day Surgery Unit Results in Academic Teaching Hospital

Laparoscopic Herniography of Small Sized Midline Ventral Hernias in Day Surgery Unit Results in Academic Teaching Hospital

EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances

Management of Patients with Cirrhosis and Portal Hypertension Requiring Surgery

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