Occult ventral hernia defects: a common finding during laparoscopic ventral hernia repair

Saber, Alan A.; Rao, Arun J.; Itawi, Edward A.; Elgamal, M. H. A.; Martinez, Ruvie Lou Maria

doi:10.1016/j.amjsurg.2007.04.013

Cited by 26 publications

(11 citation statements)

References 6 publications

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“…The laparoscopy has its advantages in reducing the incidence of recurrence through detection of occult hernias [6,23,28]. Our past observations on the 85 s look interventions corroborated the initial findings in LIVHR [15].…”

Section: Discussionsupporting

confidence: 82%

Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience

Chelala

Baraké

Estievenart

et al. 2015

Hernia

109

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Our long series confirms the unexpected high rate of feasibility in the suturing concept or augmentation technique, and confers additional benefits to the conventional advantages of LIVHR in terms of reducing the overall morbidity, with a low rate of recurrences. Based on our experience and study, the current best indications for a successful LIVHR procedure should be tailored upon the limitations of the defect's width and proper patient selection, to restore adequately the optimal functionality of the abdominal muscles and provide better functional and cosmetic outcomes.

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Section: Discussionsupporting

confidence: 82%

Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience

Chelala

Baraké

Estievenart

et al. 2015

Hernia

109

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show abstract

“…Saber et al 8 reported a 48% incidence of occult hernia defects in their series of 146 laparoscopic repairs. In our study, occult defects were noted significantly more with laparoscopic surgery (32%) compared to open surgery (23%) ( P = .036), which supports the theory that identification of occult defects is improved with laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Ventral Hernia Repair: Outcomes Change with Long-Term Follow-Up

Singhal¹,

Szeto²,

VanderMeer³

et al. 2012

JSLS

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“…With more and more use of LVHR, many patients with VH were found to have occult defects detected by direct visualization at the time of laparoscopy. In one series, nearly half of the patients undergoing laparoscopic ventral hernia repair were found to have occult hernia defects not found on pre-operative physical examination (Saber et al, 2008). Sharma et al in their series of 1,242 LVHR reported 203 occult hernias (Sharma et al, 2011) None of our cases had occult defects.…”

Section: Discussionmentioning

confidence: 54%

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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Occult ventral hernia defects: a common finding during laparoscopic ventral hernia repair

Cited by 26 publications

References 6 publications

Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience

Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience

Ventral Hernia Repair: Outcomes Change with Long-Term Follow-Up

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

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