Ventral hernia: Patient selection, treatment, and management

Holihan, Julie L.; Alawadi, Zeinab M.; Harris, Jennifer W.; Harvin, John A.; Shah, Shinil K.; Goodenough, Christopher J.; Kao, Lillian S.; Liang, Mike K.; Roth, J. Scott; Walker, Peter A.; Ko, Tien C.

doi:10.1067/j.cpsurg.2016.06.003

Cited by 47 publications

(35 citation statements)

References 249 publications

(216 reference statements)

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“…Occult hernia is accurately delineated; the content of sac is defined. Techniques and Innovation in Hernia Surgery 8…”

Section: Diagnosis and Evaluationmentioning

confidence: 99%

“…Below the arcuate line, all three layers of aponeurosis become anterior to the rectus muscle, and it is no longer enveloped. The only fascial layer below the rectus is the transversalis fascia which is separated from the transversus abdominis aponeurosis [7,8]. These layers work together to give strength to the abdominal wall and prevent the intestine, omentum, and other tissues from bulging out.…”

Section: Introductionmentioning

confidence: 99%

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Ventral Hernia: Causes and Management

Rao¹

2019

Hernia Surgery [Working Title]

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Ventral hernia is the most common type of hernia after inguinal hernias. The term "ventral hernia" creates some confusion, because in most countries of the world, especially in Europe, it is considered as incisional hernia, while in the USA, it is usually considered as hernias of anterior abdominal wall except groin hernias. Daily in the world millions of abdominal surgeries are being performed by both open or conventional and laparoscopic techniques, with 3-20% incidence of incisional. That's why mainly incisional hernia and its causes, risk factors, and predisposing conditions and management will be discussed in this chapter, though other ventral hernias will be described briefly. The important causes, risk factors [congenital and acquired (patients and postoperative)], and predisposing conditions for ventral hernias will be discussed in detail. The signs and symptoms produced by ventral hernia (incision) will be described initially and later, and how to investigate to confirm the diagnosis and necessary investigations before surgery for different types of patients is described. In managing the ventral hernia, different treatment options are discussed and described, like conservative management, open method, laparoscopic technique, and more advanced robotic technique. After surgery postoperative care of patient and wound is also discussed.

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“…Occult hernia is accurately delineated; the content of sac is defined. Techniques and Innovation in Hernia Surgery 8…”

Section: Diagnosis and Evaluationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ventral Hernia: Causes and Management

Rao¹

2019

Hernia Surgery [Working Title]

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“…40 Krpata et al have taken this a step further and report that sublay repairs have exceptional recurrence rates (5%) regardless of any of several different high-risk comorbidities including obesity, diabetes mellitus, chronic obstructive pulmonary disease, smoking, and immunosuppression. 27 Even though many of these comorbidities are independently associated with risk of recurrence and postoperative complications in all types of hernia surgery, 41,42 it appears that sublay repairs provide a consistent, durable repair.…”

Section: Component Separationmentioning

confidence: 99%

Retromuscular Sublay Technique for Ventral Hernia Repair

Rhemtulla

Fischer

2018

Seminars in Plastic Surgery

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Rives and Stoppa described the sublay technique of hernia repair more than half a century ago, but it took almost three decades to become truly appreciated and even longer for its full clinical potential and benefits to be realized. Modifications to the original operation have significantly improved surgical approaches, postsurgical outcomes, and quality of life. The retromuscular approach requires technical expertise and a firm grasp of the anatomy. With constant substitution of the terms sublay, retrorectus, retromuscular, preperitoneal, and Rives-Stoppa throughout the literature, the nuances need to be distinguished to appreciate the surgical planes encountered during the operation. This article explains the origin of the nomenclature while clarifying these terms, describing the technique, highlighting outcomes, and discussing future considerations.

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“…Because of advantages such as fewer infections, laparoscopic repair using an intraperitoneal onlay mesh (IPOM) is favoured over open repair. Recurrence rates after laparoscopic ventral hernia repair are high, ranging from 3 to 32 per cent, and depend on the hernia type and size. The mesh can be fixed with tacks and/or sutures, which may be either permanent or absorbable.…”

Section: Introductionmentioning

confidence: 99%