Pregnancy Following Laparoscopic Mesh Repair of Ventral Abdominal Wall Hernia

Schoenmaeckers, Ernst J. P.; Stirler, Vincent; Raymakers, J.T.; Rakic, S.

doi:10.4293/108680812x13291597716104

Cited by 23 publications

(17 citation statements)

References 13 publications

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“…The laparoscopic approach to ventral/incisional hernia repair in obese patients (BMI [ 30), achieves an infection rate lower than in open procedures [56]. Similar results are shown in other studies [54,[57][58][59][60][61][62].…”

Section: Obese Patientssupporting

confidence: 86%

“…Ultrasound or CT scan are recommended before a scheduled operation, especially in obese patients (BMI [ 30), in an emergency setting and in those suffering for large defects with loss of domain, posttraumatic hernias or recurrences. Recent …”

Section: Strong Recommendation (Panel Consensus 100 %)mentioning

confidence: 99%

“…There have been some concerns about placing a prosthesis in childbearing-age female who will desire a pregnancy, but few studies targeted this specific topic. Two case reports are available on vaginal delivery after abdominal wall laparoscopic repair with PTFE [29,30]. In none of the studies aimed at detecting risk factors, female sex was found to be significant for different perioperative results or recurrence [31][32][33].…”

Section: Strong Recommendation (Panel Consensus 100 %)mentioning

confidence: 99%

“…Some case reports and a case series study suggest that laparoscopic ventral hernia repair be an acceptable and safe therapeutic option also in fertile woman who intend to have further pregnancies and that intraperitoneal implant of a mesh do not cause significant problems during pregnancy or delivery [30]. The perfect mesh for laparoscopic repair should have minimal adhesion formation, excellent tissue ingrowth, and minimal shrinkage: the ideal mesh is not yet available.…”

Section: Safetymentioning

confidence: 99%

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Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

et al. 2015

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The availability of recent level 1 evidence (a meta-analysis of 10 RCTs) allowed to recommend that not only laparoscopic repair is an acceptable alternative to the open repair, but also it is advantageous in terms of shorter hospital stay and wound infection rate. This conclusion appears to be extremely relevant in a clinical setting. Indications about specific conditions could also be issued: laparoscopy is recommended for the treatment of recurrent ventral hernias and obese patients, while it is a potential option for compensated cirrhotic and childbearing-age female patients. Many relevant and controversial topics were thoroughly examined by this consensus conference for the first time. Among them are the issue of safety of the intraperitoneal mesh placement, traditionally considered a major drawback of the laparoscopic technique, the role for the biologic meshes, and various aspects of the laparoscopic approach for particular locations of the defect such as the abdominal border or parastomal hernias.

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Section: Obese Patientssupporting

confidence: 86%

Section: Strong Recommendation (Panel Consensus 100 %)mentioning

confidence: 99%

Section: Strong Recommendation (Panel Consensus 100 %)mentioning

confidence: 99%

Section: Safetymentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The detailed results of the regression analyses are presented in table 5. One patient became pregnant during the follow-up period and completed her pregnancy without adversities [24].…”

Section: Resultsmentioning

confidence: 99%