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Laparoscopic Ventral

Cornelius Jacobs, Milena Maria Ploeger, Sebastian Scheidt, Philip Peter Rößler, Rahel Bornemann, Collin Jacobs, Christof Burger, Dieter Christian Wirtz, Fridjof Trommer, Frank Alexander Schildberg
BACKGROUND: Three-dimensional (3-D) endoscopic optics use 2 cameras to simulate the different perspectives of the right and left eye, creating the illusion of spatial depth. Optimised orientation as well as improved hand-eye coordination compared to 2-D-optics could be proven in standardised test setups (black box) and in laparoscopic use. This retrospective study examines whether these results can also be applied to thoracoscopic vertebral body replacement at the thoracolumbar junction...
July 13, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
J C Martín Del Olmo, M Toledano, M L Martín Esteban, M A Montenegro, J R Gómez, P Concejo, M Rodríguez de Castro, F Del Rio
BACKGROUND: Pelvic organ prolapse (POP) is an increasing medical problem with complex diagnostics and controversial surgical management. It causes a series of dysfunctions in the gynecological, urinary, and anorectal organs. Numerous procedures have been proposed to treat these conditions, but in recent years, ventral mesh rectocolposacropexy (VMRCS) has emerged as the procedure of choice for the surgical treatment of POP, especially by a laparoscopic approach. This surgical technique limits the risk of autonomic nerve damage, and the colpopexy allows the correction of concomitant prolapse of the middle compartment...
July 11, 2018: Surgical Endoscopy
Aali J Sheen, J James Pilkington, Minas Baltatzis, Ahmed Tyurkylmaz, Panagiotis Stathakis, Saurabh Jamdar, Ajith K Siriwardena
BACKGROUND: Minimally invasive incisional hernia repair has been established as a safe and efficient surgical option in most centres worldwide. Laparoscopic technique includes the placement of an intraperitoneal onlay mesh with fixation achieved using spiral tacks or sutures. An additional step is the closure of the fascial defect depending upon its size. Key outcomes in the evaluation of ventral abdominal hernia surgery include postoperative pain, the presence of infection, seroma formation and hernia recurrence...
July 11, 2018: BMC Surgery
Maria S Altieri, Jie Yang, Jianjin Xu, Mark Talamini, Aurora Pryor, Dana A Telem
The purpose of our study is to assess outcomes following robotic ventral hernia (RVH) repair. The New York Statewide Planning and Research Cooperative System administrative database was used to identify all patients undergoing laparoscopic ventral hernia (LVH) and RVH between 2010 and 2013. Outcome measures including complications, hospital length of stay (HLOS), 30-day readmissions, and 30-day emergency department (ED) visits were compared. Propensity score (PS) analysis was used to estimate the adjusted marginal differences between patients who underwent robotic-assisted and laparoscopic procedures...
June 1, 2018: American Surgeon
I Belyansky, H Reza Zahiri, Z Sanford, A S Weltz, A Park
BACKGROUND: The enhanced-view totally extraperitoneal (eTEP) hernia repair technique was first described for laparoscopic inguinal hernia repair and later applied to laparoscopic ventral and incisional hernia repair. We present our center's early operative outcomes utilizing principles of this technique during robotic ventral and incisional hernia repair for implementation of the robotic eTEP Rives-Stoppa (eRS) and eTEP transversus abdominis release (eTAR) techniques. METHODS: A review of a prospectively maintained database of hernia patients was conducted identifying 37 patients who underwent robotic eTEP for ventral, incisional, flank or parastomal hernia repair between March and October 2017...
July 4, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
M Lindmark, K Strigård, P Nordin, U Gunnarsson
BACKGROUND AND AIMS: The Swedish National Patient Insurance Company (LÖF) can compensate patients who believe they have been exposed to an avoidable injury or malpractice in healthcare. Its register covers 95% of Swedish healthcare providers. MATERIAL AND METHODS: Data on patients operated for primary or incisional ventral hernia in Sweden between 2010 and 2015 and who had filed a claim, were retrieved from LÖF. A total of 290 cases were identified and included...
June 1, 2018: Scandinavian Journal of Surgery: SJS
D M Pechman, L Cao, C Fong, P Thodiyil, B Surick
INTRODUCTION: Laparoscopic ventral hernia repair (VHR) is associated with decreased morbidity and shorter length of stay (LOS) when compared to open VHR. Despite evidence of the benefits of laparoscopy, its utilization in VHR has lagged behind that of other complex surgical procedures. We hypothesized that utilization is further reduced in emergency cases. The aim of this study was to evaluate the utilization of laparoscopy in emergent VHR and to assess 30-day outcomes for patients undergoing laparoscopic emergent ventral hernia repair (LEVHR) versus open emergent ventral hernia repair (OEVHR)...
June 29, 2018: Surgical Endoscopy
A Tsunoda, T Takahashi, K Hayashi, Y Yagi, H Kusanagi
BACKGROUND: Physiological changes after laparoscopic ventral rectopexy (LVR) in patients with rectoanal intussusception (RAI) remain unclear. This study was undertaken to evaluate physiological and morphological changes after LVR for RAI, and to study clinical outcomes following LVR with special reference to fecal incontinence (FI). METHODS: The study was conducted on patients who had LVR for RAI between February 2012 and December 2016 at our institution Patients with RAI and FI were included in the study...
June 28, 2018: Techniques in Coloproctology
D Prassas, F-J Schumacher
BACKGROUND: Laparoscopic intraperitoneal mesh repair has become one of the most commonly performed minimally invasive procedures. Nevertheless, despite improved overall outcome, postoperative seroma formation remains the most frequent complication. Our objective was to investigate the effectiveness of cauterization of the hernia sac in terms of reducing the incidence of postoperative seroma formation. METHODS: A retrospective analysis of 94 patients who underwent standard laparoscopic intraperitoneal mesh repair without closure of the central defect (sIPOM) between June 2011 and December 2014 was conducted...
June 14, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Adam S Levy, Anant Dinesh, Leaque Ahmed, Norman Morrison, Ryan Engdahl
PURPOSE: An increase in bariatric surgery has led to a rise in postbariatric contouring procedures. Despite a comprehensive preoperative assessment, body habitus in these patients may significantly limit the abdominal exam. Abdominal contouring procedures typically elevate large portions of the skin and fat off the abdominal wall, and unexpected hernia may be discovered intraoperatively. No study to date has characterized such hernia discovery at the time of body contouring surgery. We reviewed our experience of management of incidental hernia found during abdominoplasty or panniculectomy after laparoscopic bariatric surgery...
June 26, 2018: Annals of Plastic Surgery
Daiki Kakiuchi, Kenichiro Saito, Takeshi Mitsui, Yoshinori Munemoto, Yoshihiro Takashima, Susumu Amaya, Masanari Shimada, Yosuke Kato
A 75-year-old woman underwent laparoscopic abdominoperineal resection. Four months after abdominoperineal resection, the patient complained of a perineal bulge and urination disorder. Abdominal CT showed protrusion of the small intestine and bladder to the perineum. The patient underwent laparoscopic hernia repair with mesh. The size of the hernial orifice was 7.0 × 9.0 cm, and it had no solid rim. The mesh was tacked ventrally to the pectineal ligament and dorsally to the sacrum, and then sutured on the lateral side...
June 19, 2018: Asian Journal of Endoscopic Surgery
Mooyad A Ahmed, Qutaiba A Tawfic, Christopher M Schlachta, Nawar A Alkhamesi
OBJECTIVES: The aim of this meta-analysis was to examine postoperative pain and surgical outcomes (operative time, hospital stay, the incidence of seroma and recurrence) with different mesh fixation methods following laparoscopic ventral hernia repair (LVHR). METHODS: Randomized clinical trials compared different methods of mesh fixation in LVHR and reported on pain outcome measures analyzed. The results were expressed as odds ratio (OR) for combined dichotomous and mean difference (MD) for continuous data...
June 18, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
M Ahonen-Siirtola, T Nevala, J Vironen, J Kössi, T Pinta, S Niemeläinen, U Keränen, J Ward, P Vento, J Karvonen, P Ohtonen, J Mäkelä, T Rautio
PURPOSE: The seroma rate following laparoscopic incisional ventral hernia repair (LIVHR) is up to 78%. LIVHR is connected to a relatively rare but dangerous complication, enterotomy, especially in cases with complex adhesiolysis. Closure of the fascial defect and extirpation of the hernia sack may reduce the risk of seromas and other hernia-site events. Our aim was to evaluate whether hybrid operation has a lower rate of the early complications compared to the standard LIVHR. METHODS: This is a multicenter randomized-controlled clinical trial...
June 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Carl M Söderström, Roar Borregaard Medici, Sami Assadzadeh, Søren Følsgaard, Jacob Rosenberg, Mona R Gätke, Matias V Madsen
BACKGROUND: Laparoscopic ventral hernia repair is a common surgical procedure. However, muscle contractions and general muscle tension may impair the surgical view and cause difficulties suturing the hernial defect. Deep neuromuscular blockade (NMB) paralyses the abdominal wall muscles and may help to create better surgical conditions. OBJECTIVES: The current study investigated if deep compared with no NMB improved the surgical view during laparoscopic ventral hernia repair...
June 6, 2018: European Journal of Anaesthesiology
Giovanni Terrosu, Vittorio Cherchi, Umberto Baccarani, Gian Luigi Adani, Dario Lorenzin, Riccardo Pravisani, Serena Bertozzi, Sergio Calandra, Luigino Noce, Antonia Lavinia Zuliani, Andrea Risaliti
In this case report, we share our experience with an emerging complication in laparoscopic surgery caused by the use of barbed sutures for an off-label indication. We describe a postoperative volvulus caused by the adhesion of the small bowel and V-Loc suture after a ventral laparoscopic rectopexy in a 48-year-old female patient. We also suggest cutting flush the end of the V-Loc and extending the follow-up of these patients.
2018: Case Reports in Surgery
David M Krpata, Ajita S Prabhu, Luciano Tastaldi, Li-Ching Huang, Michael J Rosen, Benjamin K Poulose
BACKGROUND: Patients undergoing ventral hernia repair (VHR) are at risk of an inadvertent enterotomy during surgery. Inadvertent enterotomies potentially contaminate the surgical field presenting a management dilemma for the surgeon. The aim of our study was to define the incidence and risk factors for a recognized inadvertent enterotomy and determine its impact on short-term outcomes after ventral hernia repair. METHODS: Using a nationwide hernia registry, the Americas Hernia Society Quality Collaborative, we reviewed all ventral hernia repair performed between 2013 and 2017...
May 26, 2018: Surgery
Angel E Alsina, Alexia Athienitis, Ahmad Nakshabandi, Reinaldo E Claudio, Sadaf Aslam, Jorge Arroyo, Iain Hillenberg, Alejandra Mallorga, Manohar Lahoti, Nyingi Kemmer
BACKGROUND: Elective abdominal surgeries in patients with cirrhosis have been discouraged due to the high risk of complications. This study investigates the outcomes and safety of surgeries for hernias, and laparoscopic cholecystectomies in cirrhotic patients. METHODS: A retrospective cohort study that compared 91 cirrhotic patients to a control group of non-cirrhotic patients operated by liver transplant surgeons was conducted between 2009 and 2015. RESULTS: No statistical significance found in re-admission rates or complication rates (p = 0...
May 12, 2018: American Journal of Surgery
Sanne Harsløf, Pia Krum-Møller, Thorbjørn Sommer, Nellie Zinther, Pål Wara, Hans Friis-Andersen
PURPOSE: The method of anchoring the mesh in laparoscopic ventral hernia repair is claimed to cause postoperative pain, affecting the quality of life of the patients. The aim of this randomized study was to compare the effect of three types of fixation devices on postoperative pain, patient quality of life, and hernia recurrence. METHODS: Patients with ventral hernias between 2 and 7 cm were randomized into one of three mesh fixation groups: permanent tacks (Protack™), absorbable tacks (Securestrap™), and absorbable synthetic glue (Glubran™)...
June 2018: Langenbeck's Archives of Surgery
Sarfaraz Jalil Baig, Pallawi Priya
Introduction: There has been a surge of innovative procedures in the field of abdominal wall hernias. Works of pioneers such as Dr. Yuri Novitsky, Dr. Jorge Daes and Dr. Igor Belyansky have started a new era in the field of hernia surgery. Conventional and popular surgeries for ventral hernias are open onlay mesh hernioplasty, open retromuscular mesh hernioplasty (Rives-Stoppa procedure) and laparoscopic intraperitoneal mesh hernioplasty. Evidence seems to suggest that retromuscular mesh hernioplasty has advantages over other procedures regarding recurrence and surgical site occurrences...
May 24, 2018: Journal of Minimal Access Surgery
Jason Joe Baker, Stina Öberg, Kristoffer Andresen, Frederik Helgstrand, Jacob Rosenberg
BACKGROUND: There are various ways of fixating an intraperitoneal onlay mesh during a laparoscopic ventral hernia repair. The risk of complications is high, and around 22% of the hernias will recur within 3.5 years. The aim of this study was to assess if sutures in addition to tack fixation would reduce the re-operation rate for recurrence compared with permanent tacks without sutures. METHODS: This study was based on the data from the nationwide Danish Ventral Hernia Database, which contains information of ventral hernia repairs from all hospitals in Denmark...
June 2018: Langenbeck's Archives of Surgery
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