What is the outcome of the open IPOM versus sublay technique in the treatment of larger incisional hernias?: A propensity score-matched comparison of 9091 patients from the Herniamed Registry

Köckerling, F.; Lammers, B. J.; Weyhe, Dirk; Reinpold, Wolfgang; Zarras, K; Adolf, Daniela; Riediger, Hartwig; Krüger, Colin M.

doi:10.1007/s10029-020-02143-4

Cited by 20 publications

(10 citation statements)

References 34 publications

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“…Based on our inclusion/exclusion criteria, through full-text screening, we i denti fi ed 61 studi es for inclusi on. 1,3,[6][7][8]11,[13][14][15]21,22,[24][25][26][27][28][29][30][31][34][35][36][37][38][39][40][41][44][45][46][49][50][51][52][53][54][55][56][57][58][59][60][61][63][64][65][66][67][69][70][71][72]…”

Section: Resultsmentioning

confidence: 99%

Real-world data and evidence in pain research: a qualitative systematic review of methods in current practice

Vollert

Kleykamp

Farrar

et al. 2023

PR9

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The use of routinely collected health data (real-world data, RWD) to generate real-world evidence (RWE) for research purposes is a growing field. Computerized search methods, large electronic databases, and the development of novel statistical methods allow for valid analysis of data outside its primary clinical purpose. Here, we systematically reviewed the methodology used for RWE studies in pain research. We searched 3 databases (PubMed, EMBASE, and Web of Science) for studies using retrospective data sources comparing multiple groups or treatments. The protocol was registered under the DOI:10.17605/OSF.IO/KGVRM. A total of 65 studies were included. Of those, only 4 compared pharmacological interventions, whereas 49 investigated differences in surgical procedures, with the remaining studying alternative or psychological interventions or epidemiological factors. Most 39 studies reported significant results in their primary comparison, and an additional 12 reported comparable effectiveness. Fifty-eight studies used propensity scores to account for group differences, 38 of them using 1:1 case:control matching. Only 17 of 65 studies provided sensitivity analyses to show robustness of their findings, and only 4 studies provided links to publicly accessible protocols. RWE is a relevant construct that can provide evidence complementary to randomized controlled trials (RCTs), especially in scenarios where RCTs are difficult to conduct. The high proportion of studies reporting significant differences between groups or comparable effectiveness could imply a relevant degree of publication bias. RWD provides a potentially important resource to expand high-quality evidence beyond clinical trials, but rigorous quality standards need to be set to maximize the validity of RWE studies.

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Section: Resultsmentioning

confidence: 99%

Real-world data and evidence in pain research: a qualitative systematic review of methods in current practice

Vollert

Kleykamp

Farrar

et al. 2023

PR9

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“…With the multitude of techniques by laparotomy and mostly by laparoscopy, the most effective technique or the standard procedure for the treatment of IH is undefined [ 9 ]. Laparoscopic repair of IH is associated with shorter hospital stay, lower rates of wound infection, earlier recovery, and recurrence rates under 5% [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Intraperitoneal Onlay Mesh (IPOM) “Swiss Cheese” Ventral Incisional Hernia Repair with Urinary Bladder Mobilization: A Case Report

Grapotte

Cimpean

2022

Am J Case Rep

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Patient: Female, 57-year-old Final Diagnosis: Incisional hernia treatment • swiss cheese hernia treatment Symptoms: Abdominal pain Medication:— Clinical Procedure: Parietal Surgery procedure Specialty: Surgery Objective: Rare coexistence of disease or pathology Background: Incisional hernias (IH) are a common problem worldwide. The development of IH is influenced by factors related to the patient, the operative technique, and the suture material. In the treatment of ventral incisional hernias, laparoscopic IPOM and open sublay mesh repair are the most common techniques used for primary and recurrent hernias, with comparable short- and long-term outcomes. Case Report: We report a case of a pubo-umbilical “swiss cheese” IH treated by laparoscopy with the placement of a nonresorbable mesh in intraperitoneal position. The urinary bladder was mobilized for a convenient mesh fixation and sutured to the mesh in the previous anatomical position, at the level of the upper peritoneal layer. “Swiss cheese” hernia is a particular form of IH, characterized by the presence of multiple small defects. Laparoscopic intraperitoneal onlay mesh (IPOM) IH repair for defects under 10 cm is a reliable alternative to open ventral hernia repair. Transfascial sutures represent a simple solution for the defect closure and are associated with lower incidence of seroma and recurrence. The use of a mesh allows improving the muscle functionality and preventing hernia recurrence and also is associated with reduced recurrence rates compared to primary suture repair and additionally provides superior mechanical stability. Conclusions: In case of pubo-umbilical medial “swiss cheese” IH, mobilization of the urinary bladder is necessary and allows a complete abdominal wall approximation and convenient mesh placement.

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“…Today there are numerous studies that emphasize the advantages of the laparoscopic approach over the open one, such as lower rate of early postoperative complications (surgical site infections, seroma, hematoma), better cosmetic effect, shorter hospital stay [10,11]. The German surgeon Ferdinand Kockerling in 2020 published a large comparative study of the open IPOM technique versus the sublay technique where it does not prove significant differences in terms of SSO, while the chronic pain is greater in the IPOM technique [12]. In another multicenter study, open IPOM technique in treatment of primary ventral hernia shows excellent results in terms of recurrence, pain, quality of life [13].…”

Section: Discussionmentioning

confidence: 99%

“…[9,10] The surgical technique for laparoscopic approach includes: pneumoperitoneum -by open method or with a Veress needle, placing working troacar as far away from the defect as possible, adhesiolysis, measuring the defect and placing the mesh intraperitoneally and fixation of the mesh with the transfascial sutures and absorbable tackers ("Double -Crown") at a distance of about 1.5-2.5 cm. [11,12]…”

Section: Surgical Proceduresmentioning

confidence: 99%

Comparative Analysis between Laparoscopic and Open IPOM Ventral Hernioplasty

Kadri¹,

Panikj²,

Mladenovic³

et al. 2020

JHMN

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Introduction: In everyday surgical practice, ventral hernia repair is one of the most commonly performed surgeries worldwide. Ventral hernioplasty can be performed either with open or laparoscopic approach and in this study both approaches use the IPOM technique of mesh placement. From the clinical experience so far, the laparoscopic approach is characterized by a lower rate of early postoperative complications, shorter hospital stay and a period of convalescence. The aim of the study was to compare early postoperative complications, duration of surgery, hospital stay, recurrence in the first year and convalescence period between patients undergoing open and laparoscopic access with IPOM ventral hernioplasty. Material and methods: The study was designed as a randomized, prospective, comparative study of 63 patients who met the inclusion criteria, operated by IPOM technique and divided into two groups: open access to 32 patients and laparoscopic access to 31 patients. Early postoperative complications, duration of surgery, hospital stay, recurrence in the first year, and convalescence were compared in both groups. Statistical processing and data analysis was performed in the statistical programme SPSS version 23.0. Values of p <0.05 were taken as statistically significant. Results: Regarding the early postoperative complications, it was found that the occurrence of seroma is more common in the laparoscopic group (p = 0.013), while in open hernioplasty the number of surgical site infections is significantly higher (p = 0.03). The hospital stay expressed in days is longer in open hernioplasty (p = 000001). Regarding the duration of the operation (p = 0.8) and the period of convalescence (p = 0.28), there is no statistically significant difference between the two groups. Discussion: The results shown by our experience shows that laparoscopic ventral IPOM hernia repair is characterized by lower rates of SSI, a shorter hospital stay, but without statistical significant benefit in terms of a period of convalescence, duration of surgery and recidive rate in the first year. Тhe choice of treatment and access should be based according to individual patient characteristics. A laparoscopic approach, due to its minimal invasiveness, should be more common in ventral hernioplasty.

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What is the outcome of the open IPOM versus sublay technique in the treatment of larger incisional hernias?: A propensity score-matched comparison of 9091 patients from the Herniamed Registry

Cited by 20 publications

References 34 publications

Real-world data and evidence in pain research: a qualitative systematic review of methods in current practice

Real-world data and evidence in pain research: a qualitative systematic review of methods in current practice

Laparoscopic Intraperitoneal Onlay Mesh (IPOM) “Swiss Cheese” Ventral Incisional Hernia Repair with Urinary Bladder Mobilization: A Case Report

Comparative Analysis between Laparoscopic and Open IPOM Ventral Hernioplasty

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