Laparoscopic vs. Open Surgical Repair of Subxiphoidal Hernia Following Median Sternotomy for Coronary Bypass - Analysis of the Herniamed Registry

Albrecht, Hendrik Christian; Trawa, Mateusz; Köckerling, F.; Hukauf, Martin; Gretschel, Stephan

doi:10.3389/fsurg.2020.580116

Cited by 3 publications

(4 citation statements)

References 17 publications

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Section: Preferred Mas Procedures For Subxiphoid Hernia < 8 CMmentioning

confidence: 99%

“…A complication of median sternotomy is subxiphoidal incisional hernia, which has a documented incidence of up to 4.2% [35]. According to reports, male sex, obesity, postoperative wound infection, and left ventricular failure are risk factors for subxiphoidal incisional hernia [35]. Owing to its unique anatomic location and the lateral distracting pressures while breathing and coughing, the subxiphoidal hernia repair is quite difficult and prone to recurrence [35,36].…”

Section: Preferred Mas Procedures For Subxiphoid Hernia < 8 CMmentioning

confidence: 99%

“…According to reports, male sex, obesity, postoperative wound infection, and left ventricular failure are risk factors for subxiphoidal incisional hernia [35]. Owing to its unique anatomic location and the lateral distracting pressures while breathing and coughing, the subxiphoidal hernia repair is quite difficult and prone to recurrence [35,36]. Various techniques have been developed for the repair of hernias, both open surgical and laparoscopic hernia repair.…”

Section: Preferred Mas Procedures For Subxiphoid Hernia < 8 CMmentioning

confidence: 99%

“…Various techniques have been developed for the repair of hernias, both open surgical and laparoscopic hernia repair. However, the limited information from retrospective studies can only provide very limited guidance on the best way to repair subxiphoidal hernias [35]. With primary midline approximation of the fascia, conventional hernia repair has subpar results, with recurrence rates as high as 80% [36].…”

Section: Preferred Mas Procedures For Subxiphoid Hernia < 8 CMmentioning

confidence: 99%

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Ventral hernia repair in India: a Delphi consensus

Chowbey,

Wadhawan,

Subramanian

et al. 2024

Hernia

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Purpose While research on inguinal hernias is well-documented, ventral/incisional hernias still require investigation. In India, opinions on laparoscopic ventral hernia repair (LVHR) techniques are contested. The current consensus aims to standardize LVHR practice and identify gaps and unfulfilled demands that compromise patient safety and therapeutic outcomes. Methods Using the modified Delphi technique, panel of 14 experts (general surgeons) came to a consensus. Two rounds of consensus were conducted online. An advisory board meeting was held for the third round, wherein survey results were discussed and the final statements were decided with supporting clinical evidence. Results Experts recommended intraperitoneal onlay mesh (IPOM) plus/trans-abdominal retromuscular/extended totally extraperitoneal/mini- or less-open sublay operation/transabdominal preperitoneal/trans-abdominal partial extra-peritoneal/subcutaneous onlay laparoscopic approach/laparoscopic intracorporeal rectus aponeuroplasty as valid minimal access surgery (MAS) options for ventral hernia (VH). Intraperitoneal repair technique is the preferred MAS procedure for primary umbilical hernia < 4 cm without diastasis; incisional hernia in the presence of a vertical single midline incision; symptomatic hernia, BMI > 40 kg/m2, and defect up to 4 cm; and for MAS VH surgery with grade 3/4 American Society of Anaesthesiologists. IPOM plus is the preferred MAS procedure for midline incisional hernia of width < 4 cm in patients with a previous laparotomy. Extraperitoneal repair technique is the preferred MAS procedure for L3 hernia < 4 cm; midline hernias < 4 cm with diastasis; and M5 hernia. Conclusion The consensus statements will help standardize LVHR practices, improve decision-making, and provide guidance on MAS in VHR in the Indian scenario.

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Section: Preferred Mas Procedures For Subxiphoid Hernia < 8 CMmentioning

confidence: 99%