Onlay with Adhesive Use Compared with Sublay Mesh Placement in Ventral Hernia Repair: Was Chevrel Right? An Americas Hernia Society Quality Collaborative Analysis

Haskins, Ivy N.; Voeller, Guy; Stoikes, Nathaniel; Webb, David L.; Chandler, Robert G.; Phillips, Sharon; Poulose, Benjamin K.; Rosen, Michael J.

doi:10.1016/j.jamcollsurg.2017.01.048

Cited by 35 publications

(19 citation statements)

References 26 publications

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“…Data from the AHS database (AHS quality collaborative) 74 showed no difference in 30-day morbidity between matched sublay (pooling retromuscular, preperitoneal and intraperitoneal) and onlay repairs of primary ventral and incisional hernias. Two meta-analyses 75,76 , also including both primary ventral and incisional hernias, found that retromuscular mesh placement had the lowest probability of surgical-site infection and recurrence.…”

Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 99%

“…When mesh plug inlay techniques or preformed patches are used, the defect may not be closed as the mesh is fixed to the border of the defect 38,70 . When preperitoneal flat mesh or an onlay mesh is used, the fascial defect is usually closed 48,74 . In the MORPHEUS trial 65 , patients with umbilical hernia were randomized to preperitoneal flat mesh or intraperitoneal patch; the fascia was closed in 86 per cent of patients.…”

Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 99%

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Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Henriksen

Montgomery

Kaufmann

et al. 2020

British Journal of Surgery

227

198

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Background: Umbilical and epigastric hernia repairs are frequently performed surgical procedures with an expected low complication rate. Nevertheless, the optimal method of repair with best short-and long-term outcomes remains debatable. The aim was to develop guidelines for the treatment of umbilical and epigastric hernias. Methods: The guideline group consisted of surgeons from Europe and North America including members from the European Hernia Society and the Americas Hernia Society. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, the Scottish Intercollegiate Guidelines Network (SIGN) critical appraisal checklists, and the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument were used. A systematic literature search was done on 1 May 2018, and updated on 1 February 2019. Results: Literature reporting specifically on umbilical and epigastric hernias was limited in quantity and quality, resulting in a majority of the recommendations being graded as weak, based on low-quality evidence. The main recommendation was to use mesh for repair of umbilical and epigastric hernias to reduce the recurrence rate. Most umbilical and epigastric hernias may be repaired by an open approach with a preperitoneal flat mesh. A laparoscopic approach may be considered if the hernia defect is large, or if the patient has an increased risk of wound morbidity. Conclusion: This is the first European and American guideline on the treatment of umbilical and epigastric hernias. It is recommended that symptomatic umbilical and epigastric hernias are repaired by an open approach with a preperitoneal flat mesh.

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Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 99%

Section: Quality Of Evidence: Strength Of Recommendation: Weakmentioning

confidence: 99%

Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Henriksen

Montgomery

Kaufmann

et al. 2020

British Journal of Surgery

227

198

View full text Add to dashboard Cite

show abstract

“…Ventral hernia repair with onlay mesh placement (over fascia) is technically less challenging than sublay placement (between rectus muscles and rectus sheath). Although placement of mesh over fascia has been associated with higher rate of wound infections based on existing studies, newer case-matched studies showed that onlay mesh placement is a safe alternative in low-risk patients [10]. In patients with large ventral hernias, advanced techniques such as component separation before mesh reinforcement are preferred, as was done in our patient [11].…”

Section: Discussionmentioning

confidence: 78%

Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report

Kwon¹,

Greene²

2019

Journal of Microbiology and Infectious Diseases

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Xanthogranulomatous pyelonephritis is an uncommon destructive process that is associated with urinary tract infection and/or obstruction. We present the case of a 63 year old female who had an unusual case of xanthogranulomatous pyelonephritis due to Streptococcus intermedius in the left kidney. CT scan revealed a chronic obstructive pyelonephritis with associated staghorn calculi, and renal histopathology confirmed xanthogranulomatous pyelonephritis with foamy macrophages. She was a surgically complicated patient, who underwent two ventral hernia repairs along with her left nephrectomy. She ultimately had a complete recovery after surgical treatment and antibiotics.

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“…Onlay mesh placement is the placement of mesh on the anterior fascia and is sometimes referred to as a premuscular location of mesh [4] . This technique, popularized by Chevrel in 1979, is typically approached in an open fashion with the placement of mesh over the anterior fascia following closure of the fascial defect.…”

Section: Mesh Locationmentioning

confidence: 99%

Mesh and plane selection: a summary of options and outcomes

Alimi¹,

Merle²,

Sosin³

et al. 2020

PAR

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Abdominal wall reconstruction is a relevant and important topic not only in plastic and reconstructive surgery, but in the practice of general surgeons. The ideal anatomic location for mesh placement during the repair of ventral hernias has been debated; however, the most common anatomic locations include onlay, inlay, sublay-retromuscular, sublaypreperitoneal, and sublay-intraperitoneal techniques, as defined by the European Hernia Society. Additionally, the availability of numerous synthetic and biologic meshes on the market provides for several options for the practicing surgeon. In this review, we provide a summary of the available literature of both the ideal mesh plane and the appropriate opportunities to use both synthetic and biologic meshes.

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Onlay with Adhesive Use Compared with Sublay Mesh Placement in Ventral Hernia Repair: Was Chevrel Right? An Americas Hernia Society Quality Collaborative Analysis

Cited by 35 publications

References 26 publications

Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society

Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report

Mesh and plane selection: a summary of options and outcomes

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