Risks of subsequent abdominal operations after laparoscopic ventral hernia repair

Patel, Puraj P.; Love, Michael W.; Ewing, Joseph A.; Warren, Jeremy A.; Cobb, William S.; Carbonell, Alfredo M.

doi:10.1007/s00464-016-5038-z

Cited by 64 publications

(26 citation statements)

References 9 publications

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“…There has been concern about the risk of adhesions related to the intraperitoneal mesh. In a series of 733 patients undergoing laparoscopic IPOM, 2 per cent had reoperation for bowel obstruction, and 2 per cent for mesh infection after a mean follow-up of 19 months 89 .…”

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

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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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

228

198

View full text Add to dashboard Cite

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“…Therefore, the number of patients with abdominal meshes is expected to increase. Incisional hernias occur in 2%–20% of all patients after abdominal surgery, and patients who underwent laparoscopic ventral hernia repair are reported to have 17%–25% incidence rates of requiring a subsequent abdominal operation [14,16]. The risk factors of mesh infection in ventral incisional hernia repair include prior surgical site infection (SSI) and enterotomy [17].…”

Section: Discussionmentioning

confidence: 99%

Total laparoscopic surgery for treatment of leiomyoma of the transverse colon in a patient with an abdominal mesh: A case report

Fujimoto

Osada

2019

International Journal of Surgery Case Reports

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“…Placement of mesh in an extraperitoneal position may reduce long-term mesh-related complications compared to standard IPOM, particularly in the event of subsequent abdominal operations [28][29][30][31][32][33]. Laparoscopic TAPP repair of ventral hernia has been described, with favorable results [34,35].…”

Section: Recommendaɵons: Rtappmentioning

confidence: 99%

Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)): Part B

et al. 2019

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In 2014 the International Endohernia Society (IEHS) published the first international “Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias”. Guidelines reflect the currently best available evidence in diagnostics and therapy and give recommendations to help surgeons to standardize their techniques and to improve their results. However, science is a dynamic field which is continuously developing. Therefore, guidelines require regular updates to keep pace with the evolving literature.MethodsFor the development of the original guidelines all relevant literature published up to year 2012 was analyzed using the ranking of the Oxford Centre for Evidence-Based-Medicine. For the present update all of the previous authors were asked to evaluate the literature published during the recent years from 2012 to 2017 and revise their statements and recommendations given in the initial guidelines accordingly. In two Consensus Conferences (October 2017 Beijing, March 2018 Cologne) the updates were presented, discussed, and confirmed. To avoid redundancy, only new statements or recommendations are included in this paper. Therefore, for full understanding both of the guidelines, the original and the current, must be read. In addition, the new developments in repair of abdominal wall hernias like surgical techniques within the abdominal wall, release operations (transversus muscle release, component separation), Botox application, and robot-assisted repair methods were included.ResultsDue to an increase of the number of patients and further development of surgical techniques, repair of primary and secondary abdominal wall hernias attracts increasing interests of many surgeons. Whereas up to three decades ago hernia-related publications did not exceed 20 per year, currently this number is about 10-fold higher. Recent years are characterized by the advent of new techniques—minimal invasive techniques using robotics and laparoscopy, totally extraperitoneal repairs, novel myofascial release techniques for optimal closure of large defects, and Botox for relaxing the abdominal wall. Furthermore, a concomitant rectus diastasis was recognized as a significant risk factor for recurrence. Despite still insufficient evidence with respect to these new techniques it seemed to us necessary to include them in the update to stimulate surgeons to do research in these fields.ConclusionGuidelines are recommendations based on best available evidence intended to help the surgeon to improve the quality of his daily work. However, science is a continuously evolving process, and as such guidelines should be updated about every 3 years. For a comprehensive reference, however, it is suggested to read both the initially guidelines published in 2014 together with the update. Moreover, the presented update includes also techniques which were not known 3 years before.

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Risks of subsequent abdominal operations after laparoscopic ventral hernia repair

Cited by 64 publications

References 9 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

Total laparoscopic surgery for treatment of leiomyoma of the transverse colon in a patient with an abdominal mesh: A case report

Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)): Part B

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