Postoperative Pain After Laparoscopic Repair of Primary Umbilical Hernia: Titanium Tacks Versus Absorbable Tacks: A Prospective Comparative Cohort Analysis of 80 Patients With a Long-term Follow-up

Stirler, Vincent; Nallayici, Erol G.; Haas, Robbert J. de; Raymakers, J.T.; Rakic, S.

doi:10.1097/sle.0000000000000467

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…We used the sutures method for fixing tissues with mesh, but the results of using special fixing devices during the operation were presented also. For example, [ 2 ] indicates postoperative pain syndrome and the need to use painkillers up to 12 weeks after surgery, since the fixing nails are made of polydioxanone, hydrolysis of which is completed within 12–18 months after implantation. Special materials used for fixing meshes, for example, ProGrip TM according to the authors [ 11 ] showed a satisfactory (average) fixing strength of 1.3 N/cm (±STE 0.2).…”

Section: Discussionmentioning

confidence: 99%

“…The increasing number of abdominal surgeries leads to an increasing number of IVH. According to different authors, incisional ventral hernias and recurrent abdominal hernias are likely to occur in 2–20% cases after laparotomies and postoperative complications [ 1 2 ]. Most often, IVH develops after gynecological surgeries (26–50% incidence) and biliary tract interventions (20–30% incidence) [ 1 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…According to different authors, incisional ventral hernias and recurrent abdominal hernias are likely to occur in 2–20% cases after laparotomies and postoperative complications [ 1 2 ]. Most often, IVH develops after gynecological surgeries (26–50% incidence) and biliary tract interventions (20–30% incidence) [ 1 2 ]. Analysis showed that the first 3 years after laparotomy are the high-risk period for hernia development (92–97% incidence) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy Evaluation of a Case-Specific Approach for Surgical Treatment of Inicisional Ventral Hernia

Sokolova

Sherbatykh

Tolkachev

et al. 2021

International Journal of Surgery Protocols

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Background: The research aims to improve the surgical treatment results of incisional ventral hernia by applying a case-specific approach and a new method of anterior abdominal wall surgery. Materials and Methods: The paper reports the results of the prospective dynamic cohort study on 219 patients under 60 years of age, with small and medium hernias and up to 10 cm defects in the anterior abdominal wall (W1–W2), who underwent incisional ventral hernia treatment with mesh endoprostheses. Results: The paper offers a selection algorithm for anterior abdominal wall repair surgery and an original proprietary technique. We have developed and described in detail a new ‘extra-sublay’ technique of surgical intervention. The paper displays the frequency and pattern of complications, as well as the quality of life of patients after different prosthetic surgeries. In the main group, 65.0% of patients showed improvement, 88.4% showed long-term surgical success, 13.6% faced complications, and 4.5% experienced recurrence. Conclusion: After receiving the “on lay” treatment, 59.4% of patients showed positive results, 74.7% showed long-term surgical success, 40% had complications, and 3.1% experienced recurrence. After the “sub lay” intervention, 40.0% of patients demonstrated excellent results, 81.9% reached long-term success, 12% had complications, and 1.4% encountered recurrence. Highlights: The article shows a selection algorithm for anterior abdominal wall plastic repair method. One of the factors that cause relapses and ventral hernias themselves is obesity. The authors’ method of the VH surgical treatment has shown good results. Excellent indicators showed 65.0% of patients of the main group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy Evaluation of a Case-Specific Approach for Surgical Treatment of Inicisional Ventral Hernia

Sokolova

Sherbatykh

Tolkachev

et al. 2021

International Journal of Surgery Protocols

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“…The primary outcome measures of most studies (recurrence, patient satisfaction and pain) suffer from lack of standardization in definition 9 10 and measurement. 11 Follow-up tends to be short relative to the usual time-scale of recurrence development. 12 …”

Section: Methodology and Limitations Of Studiesmentioning

confidence: 99%

“…6 The EHS/AHS guidelines state that this decision should be taken on a case-by-case basis. 1 Although not unanimous, the main studies in this field support the safety of synthetic mesh in this environment (►Table 11).…”

Section: Required Removal Of Large Meshmentioning

confidence: 98%

An Evaluation of the Evidence Guiding Adult Midline Ventral Hernia Repair

Sagar

Tapuria

2022

Surg J (N Y)

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Purpose: Several guidelines have been published in recent years to guide the clinician in ventral hernia repair. This review distils this advice, critically assesses their evidence base, and proposes avenues for future study. Methods: A PUBMED search identified four guidelines addressing midline ventral hernia repair published by major surgical societies between 2016 and 2020. The studies used to inform the advice have been critically appraised, including 20 systematic reviews/meta-analyses, 10 randomized controlled trials, 32 cohort studies, and 14 case series. Results: Despite a lack of randomized controlled trials, case heterogeneity, and variation in outcome reporting, key themes have emerged.Preoperative computed tomography scan assesses defect size, loss of domain, and the likely need for component separation. Prehabilitation, frailty assessment, and risk stratification are beneficial in complex cases. Minimally invasive component separation techniques, Botox injection, and progressive pneumoperitoneum represent novel techniques to promote closure of large fascial defects.Rives-Stoppa sublay mesh repair has become the “gold” standard for open and minimally invasive repairs. Laparoscopic repair promotes early return to functional status. The enhanced-view totally extraperitoneal approach facilitates laparoscopic sublay mesh placement, avoiding mesh contact with viscera. Robotic techniques continue to evolve, although the evidence at present remains immature.Synthetic mesh is recommended for use in clean and clean-contaminated cases. However, optimism regarding the use of biologic and biosynthetic meshes in the contaminated setting has waned. Conclusions: Surgical techniques in ventral hernia repair have advanced in recent years. High-quality data has struggled to keep pace; rigorous clinical trials are required to support the surgical innovation.

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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

228

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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Postoperative Pain After Laparoscopic Repair of Primary Umbilical Hernia: Titanium Tacks Versus Absorbable Tacks: A Prospective Comparative Cohort Analysis of 80 Patients With a Long-term Follow-up

Cited by 12 publications

References 15 publications

Efficacy Evaluation of a Case-Specific Approach for Surgical Treatment of Inicisional Ventral Hernia

Efficacy Evaluation of a Case-Specific Approach for Surgical Treatment of Inicisional Ventral Hernia

An Evaluation of the Evidence Guiding Adult Midline Ventral Hernia Repair

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

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