The quality of life after laparoscopic ventral and incisional hernia repair with closure and non-closure of fascial defect

Saijo, Fumito; Takeuchi, Hiromi; Narushima, Yoichi; Matsumura, Naoki; Sato, Kaoru; Okazaki, Yukari

doi:10.1007/s00595-019-01834-5

Cited by 13 publications

(15 citation statements)

References 12 publications

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“…Intraperitoneal‐onlay‐mesh repair without hernia defect closure (IPOM) and IPOM‐plus have become the worldwide‐prevalent techniques 1‐9 . Although any randomized controlled trials to compare these techniques have not been reported yet, the IPOM has been reportedly more susceptible to seroma, mesh infection, and mesh bulging than the IPOM‐plus 3,8 .…”

Section: Discussionmentioning

confidence: 99%

“…Although the clinical significance of hernia defect closure remains controversial, 1‐9 the intraperitoneal‐onlay‐mesh repair with hernia defect closure (IPOM‐plus) in laparoscopic ventral and incisional hernia repair (LVIHR) has become the common technique in many institutions 2‐9 . The method for defect closure in the IPOM‐plus is roughly divided into the following two methods: the percutaneous suture using a suture‐passer and the intracorporeal suture.…”

Section: Introductionmentioning

confidence: 99%

“…The method for defect closure in the IPOM‐plus is roughly divided into the following two methods: the percutaneous suture using a suture‐passer and the intracorporeal suture. Generally, the former is easy 3,8 but the latter is less easy 2,4‐9 …”

Section: Introductionmentioning

confidence: 99%

“…In such occasions, the thread for defect closure is likely passed only through the posterior fascia of the rectus muscle: that is, the thread cannot penetrate the anterior fascia because of the oblique direction of the suture‐passer. As such, the approximation of the fascial edges of the defect may be likely to dehisce because of the lack of the anterior fascia in the stitches, leading to mesh bulging or hernia recurrence 2‐9 …”

Section: Introductionmentioning

confidence: 99%

“…In the intracorporeal suture, the vertical penetration of the thread through the anterior and posterior fascias can be reliably performed 2,4‐9 . However, this technique requires some technical expertise, its dedicated devices, and the thread‐attached‐to‐the‐needle, which is less cost‐effective than the needleless thread.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Subcutaneous switching suture technique for hernia defect closure during laparoscopic ventral and incisional hernia repair

Morioka

Izumisawa

Ohyama

et al. 2020

Asian J Endoscop Surgery

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Introduction A vertical penetration of the thread through the abdominal wall for the hernia defect closure in laparoscopic ventral/incisional hernia repair (LVIHR) is difficult especially in the large defect cases when applying the existing techniques. Materials Sixteen LVIHRs were performed using the suture technique for defect closure we newly developed. Surgical technique With the subcutaneous switching, our technique only requires the suture‐passer and easily enables the vertical penetration of the thread through the abdominal muscular wall even in the large defect cases. Discussion The defect closure in LVIHR tends to be complicated in the large defect cases. Thus, we devised this technique for the easy, reliable, and firm closure even in the large defect cases. Although the sample size was currently very small, we consider that the favorable outcomes have been obtained through our technique because any noticeable complications, such as mesh bulging or recurrence, have not been observed currently.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%