Repair of complex incisional hernias using double prosthetic repair: Single-surgeon experience with 50 cases

Moreno-Egea, Alfredo; Mengual-Ballester, Mónica; Cases-Baldó, María José; Aguayo-Albasini, José Luís

doi:10.1016/j.surg.2009.12.014

Cited by 30 publications

(17 citation statements)

References 31 publications

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“…Recurrence after a laparoscopic procedure seems to be significantly higher for subcostal than lumbar defects [45]. In some case of complex incisional hernia, the use of a double-mesh technique may be advisable [155]. The combined use of two running sutures with non-absorbable monofilament material could restore the normal anatomy, thereby improving muscular function of the area, at the cost of the repair not being ''tension-free'' [156].…”

Section: Lumbar Incisional Herniasmentioning

confidence: 99%

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: Lumbar Incisional Herniasmentioning

confidence: 99%

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

et al. 2015

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“…For this reason, in our protocol currently, we have incorporated the use of transmural sutures as a routine procedure for all subcostal hernia groups, obese patients (BMI, [30 kg/m 2 ), and patients with a defect size larger than 15 cm to improve our results. Alternatively, the author suggests for this patient group a double prosthetic repair in an attempt to cause more fibrosis and appropriate tension to help prevent the development of laxity [22][23][24] (Fig. 6).…”

Section: Discussionmentioning

confidence: 99%

Management of non-midline incisional hernia by the laparoscopic approach: results of a long-term follow-up prospective study

Moreno-Egea

Carrillo-Alcaraz

2011

Surg Endosc

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“…Improved results indeed have been shown by two studies from Ho et al [6, 8]. Use of double-mesh alone for ventral hernia repair has also been described in a case report [9] and in a consecutive patient cohort, showing promising results [10]. However, in these cases, combining the two techniques might be even more favorable, especially when using a double-mesh.…”

Section: Introductionmentioning

confidence: 88%

Components Separation Technique Combined with a Double‐Mesh Repair for Large Midline Incisional Hernia Repair

2011

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BackgroundThe surgical treatment of large midline incisional hernias remains a challenge. The aim of this report is to present the results of a new technique for large midline incisional hernia repair which combines the components-separation technique with a double-prosthetic-mesh repair.MethodsThe records of all consecutive patients who received a double-mesh combined with the components-separation technique for ventral hernia repair were reviewed. The clinical, surgical, and follow-up data were analyzed.ResultsNine patients [3 women, 6 men; median age = 62 years (range = 26–77)] were included in the study. Median transverse defect size was 20 cm (range = 15–25). The median duration of hospital stay was 8 days (range = 5–17). Postoperative complications occurred in 66% (6/9). Follow-up [median = 13 months (range = 3–49)] showed no recurrent hernias, but one patient had a small hernia after a relaparotomy for colon carcinoma recurrence. The overall occurrence of wound infections was 44% (4/9). There was no mortality.ConclusionThe components-separation technique in combination with a double-mesh has shown a low recurrence rate in the short-term follow-up. However, there is a considerable occurrence of postoperative wound infections. Long-term results of the hernia recurrence rate have to be awaited.

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Repair of complex incisional hernias using double prosthetic repair: Single-surgeon experience with 50 cases

Cited by 30 publications

References 31 publications

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

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

Management of non-midline incisional hernia by the laparoscopic approach: results of a long-term follow-up prospective study

Components Separation Technique Combined with a Double‐Mesh Repair for Large Midline Incisional Hernia Repair

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