Open Ventral Hernia Repair with Component Separation

Pauli, Eric M.; Rosen, Michael J.

doi:10.1016/j.suc.2013.06.010

Cited by 183 publications

(91 citation statements)

References 59 publications

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“…Raising skin flaps also may increase the risk of devascularizing tissue, causing necrosis. Several newer techniques, including laparoscopic component separation, perforator-sparing skin flaps, and transverus abdominis release avoid development of skin flaps or devascularization of the skin flaps and may decrease the rate of SSI [16,17]. It was common practice for surgeons to utilize drains when developing skin flaps; in addition, drains were applied routinely for implantation of biologic mesh.…”

Section: Discussionmentioning

confidence: 99%

External Validation of the Ventral Hernia Risk Score for Prediction of Surgical Site Infections

Liang¹,

Goodenough²,

Martindale

et al. 2015

Surgical Infections

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Background: Previously, we reported that the Ventral Hernia Risk Score (VHRS) was more accurate in a Veterans Affairs (VA) population in predicting surgical site infection (SSI) after open ventral hernia repair (VHR) compared with other models such as the Ventral Hernia Working Group (VHWG) model. The VHRS was developed using single-center data and stratifies SSI risk into five groups based on concomitant hernia repair, skin flaps created, American Society of Anesthesiologists (ASA) score ‡ 3, body mass index ‡ 40 kg/m

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Section: Discussionmentioning

confidence: 99%

External Validation of the Ventral Hernia Risk Score for Prediction of Surgical Site Infections

Liang¹,

Goodenough²,

Martindale

et al. 2015

Surgical Infections

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“…Otros factores de riesgo descritos para desarrollar defectos de la pared abdominal en pacientes con diálisis peritoneal son: sexo femenino, edad avanzada, realización de al menos tres laparotomías, obesidad, desnutrición, multiparidad, enfermedad poliquística del riñón, enfermedad cardiovascular o pulmonar subsecuente y terapia dialítica prolongada, además de la realización de herniorrafias previas (13).…”

Section: Discussionunclassified

“…Una vez se realiza la corrección del defecto, el tiempo sugerido para iniciar diálisis peritoneal es de cuatro semanas (13,19,20), debido a que su inicio temprano puede aumentar la tasa de complicaciones tempranas o tardías, siendo la hemodiálisis el manejo a seguir con dichos pacientes.…”

Section: Discussionunclassified

Corrección por laparoscopia de hernia incisional en paciente con diálisis peritonal

et al. 2017

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Comparte ResumenLa hernia incisional es un problema común en pacientes que son llevados a procedimientos quirúrgicos abdominales y predomina en pacientes con laparotomía mediana, en quienes tiene gran impacto en cuanto a la morbilidad y complicaciones, particularmente en pacientes con diálisis peritoneal. El manejo laparoscópico con colocación de malla ha sido la opción recomendada en el caso de las hernias incisionales, por lo que su implementación en pacientes dializados es determinante para reducir la morbilidad y las futuras complicaciones. AbstractIncisional hernia is a common problem in patients who are carried abdominal surgical procedures, predominantly in patients with median laparotomy where have an increased incidence, having a major impact in terms of morbidity and complications, especially in patients with peritoneal dialysis. Laparoscopic management with mesh placement has been the gold standard in its handling so that its implementation in this special population will be crucial to improve morbidity and future complications.Keywords: Peritoneal dialyisis, Incisional hernia, Surgical mesh, Abdominal wall. IntroducciónLos defectos de la pared abdominal hacen parte de las enfermedades con mayor afectación de la morbilidad y la calidad de vida en los pacientes que son llevados a cirugía abdominal; su incidencia es baja y su formación depende tanto de eventos propios de la técnica quirúrgica como de eventos fisiopatológicos del paciente (1).De otro lado, los pacientes que son llevados a diálisis peritoneal que consecuentemente presentan defectos de la pared abdominal, presentan mayor tasas de complicaciones, siendo necesario en ocasiones el retiro del catéter, reparos emergentes o tardíos de la pared abdominal con complicaciones a largo plazo (2).

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“…Matters moved to mobilizing muscle and closing the abdominal wall. Component Separation Repair (CSR), which required dissection of the fascia of the rectus muscle and closure of the midline linea alba [1]. The goal of ventral hernia repair is to restore abdominal muscle strength and abdominal wall function [2,3].…”

Section: Introductionmentioning

confidence: 99%

A Physic Tensile Forces Experiment to Possible Explain the Reason of Failing Ventral Hernia Repair

Frezza¹

2017

GHR

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IntroductionVentral Hernia Repair (VHR) has been a challenging surgery during years. Matters moved to mobilizing muscle and closing the abdominal wall. Component Separation Repair (CSR), which required dissection of the fascia of the rectus muscle and closure of the midline linea alba [1]. The goal of ventral hernia repair is to restore abdominal muscle strength and abdominal wall function [2,3]. The muscle component of the ventral hernia is one of many variables affecting the abdominal wall to contribute to ventral hernia. In this paper we focus on that issue understanding the complexity of the pathology. We hypothesized that evaluating the maximal stress on a set of artificial tensile structures, rubber bands, might open a different view on the effects of daily forces affecting the strength of varied abdominal walls. Materials and MethodsFour sets of six rubber bands were evaluated (Table 1).In the first comparison, we matched rubber band based on their thickness of 0.1x0.35 cm: A) short (4.2 cm), high strength rubber bands (red bands) (modeled the young person with much muscle strength and flexibility, B) long (7 cm), high strength rubber bands of longer length (white bands) modeled abdominal walls with fully stretched muscle, but with similar strength, such as occurs after pregnancy or with obesity. In the second comparison, we match the length (4.2 cm) and change the thickness: A) thick (0.1x0.35 cm), rubber bands (red bands) as above and C) thin (0.1x0.1 cm), rubber bands (yellow bands) modeled elderly or protein deficit patients, obese patient who had experienced an operation. We then use for final comparison a D) thin and short band (0.1x0.1x2 cm).Thickness, width and length of the bands were measured using a vernier caliper. The four bands were then stressed with progressively increasing weights at 20 g increments. Weight at the time of failure was recorded for each of six trials of each band type (Table 1).The Tensile strength was measured in force per cross-sectional area. All the data is reported and compared in table 1. The units of force were derived by multiplying mass (kg) by the acceleration of gravity (9.81 m/sec 2 ) per Newton's second law of motion (F=m x a). This results in a force unit of Newton. The tensile strength was measured by taking the weight (Newton) and dividing it by the cross-sectional area (cm 2 ). Tension and shear forces were summarized to create the condition to apply the log regression (Tables 2 and 3). Ventral hernia repair, a challenging procedure. We consider rubber bands, evaluating the strength of bands of differing length and thickness to see how changes in these parameters affect the elastic materials to try to mimic how abdominal muscle get affected by tensile forces.

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Open Ventral Hernia Repair with Component Separation

Cited by 183 publications

References 59 publications

External Validation of the Ventral Hernia Risk Score for Prediction of Surgical Site Infections

External Validation of the Ventral Hernia Risk Score for Prediction of Surgical Site Infections

Corrección por laparoscopia de hernia incisional en paciente con diálisis peritonal

A Physic Tensile Forces Experiment to Possible Explain the Reason of Failing Ventral Hernia Repair

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