Trans‐cutaneous Closure of Central Defects (TCCD) in Laparoscopic Ventral Hernia Repairs (LVHR)

Abstract

The incidence of seroma, mesh and tissue eventration, and hernia recurrence was significantly lower following LVHR-TCCD when compared to sLVHR. Subjective improvement in overall patient satisfaction, cosmetic satisfaction, and functional status was reported with closing the central defect. The LVHR-TCCD technique may be superior for treating ventral hernias due to lower complication rates and higher patient satisfaction and functional status.

Unidirectional barbed sutures as a novel technique for laparoscopic ventral hernia repair

“…A randomized clinical trial involving laparoscopic ventral repair demonstrated increased pain from transfascial fixation sutures for mesh placement [20]. Contrarily, pain rates did not increase in another study describing laparoscopic repair with transcutaneous closure of the defects [10]. Pain assessment in this current study reported no significant difference in patients who underwent primary closure with barbed sutures compared to the mesh-only technique.…”

“…Several approaches in laparoscopic ventral hernia repair have been described in literature in the last few decades [9,10]. The forms of suture, mesh, fixation device, and surgical techniques depend on the experience of the surgeon and postoperative factors such as pain, seroma formation, and adhesions.…”

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

“…A skin, B left rectus abdominis muscle, C right rectus abdominis muscle, D peritoneum (hernia sac), E EndoClose™ a median follow-up period of 10.5-50.4 months. To date, three reports [27,30,31] have indicated that IPOM-Plus was associated with a lower recurrence rate compared with that of sIPOM based on their data: 0 and 16.7, 3.0 and 4.8, and 5.7 and 15.1 %, respectively. However, two studies [32,33] reported that IPOM-Plus did not contribute to a reduction in the recurrence rate.…”

“…Out of these articles, four [30,31,33,34] compared sIPOM with IPOM-Plus, and only one report was a randomized controlled study (RCT) [34]. (Table 1) The publication year, number of patients, and the size (surface area and width) of the hernial orifice in the previous literature are shown in Table 1.…”

“…In this article, we reviewed the literature on IPOMPlus, including the details of the surgical procedures and outcomes using the PubMed database for papers published between 1993 and April 2015 using the terms laparoscopic AND (ventral or incisional) AND hernia AND (defect closure or augmentation repair) as keywords, and 16 relevant articles [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] were reviewed. Out of these articles, four [30,31,33,34] compared sIPOM with IPOM-Plus, and only one report was a randomized controlled study (RCT) [34].…”