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https://www.readbyqxmd.com/read/28876607/laparoscopic-approach-to-combined-bilateral-inguinal-and-ventral-hernias
#1
H Bougard
Herniosis is a well-documented phenomenon amongst patients who develop any hernia over their lifetime. Multiple hernias at different anatomical locations are quite common though they more often occur metachronously. When they present synchronously, there is an additional advantage to tackling these hernias laparoscopically as it affords the advantage of thorough inspection of the entire peritoneal cavity and the ability to address all hernias simultaneously. This video demonstrates one of the modified approached to the groin and midline that facilities a combined procedure without the need for additional port placements...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28763697/chronic-inguinal-pain-after-laparoscopic-intraperitoneal-onlay-mesh-ipom-repair-for-inguinal-hernia-treated-successfully-with-laparoscopic-selective-neurectomy-a-case-report
#2
Keita Hanada, Masato Narita, Kentaro Goto, Haruka Okada, Keisuke Okura, Shunpei Jikihara, Hiroki Nakanishi, Masashi Saji, Ryo Matsusue, Hiroaki Hata, Takashi Yamaguchi, Tetsushi Otani, Iwao Ikai
INTRODUCTION: Laparoscopic intraperitoneal onlay mesh (IPOM) repair is occasionally used for inguinal hernia repair. Here, we report a case of chronic neuropathic pain after laparoscopic IPOM repair for inguinal hernia, which was treated successfully with laparoscopic selective neurectomy. PRESENTATION OF CASE: A 59-year-old man with bilateral inguinal hernia underwent laparoscopic repair. Transabdominal preperitoneal repair was performed on the left side, whereas IPOM repair was performed on the right side due to a peritoneal defect...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28751222/the-use-of-a-composite-synthetic-mesh-in-the-vicinity-of-bowel-for-repair-and-prophylaxis-of-parastomal-hernias-does-it-increase-the-risk%C3%A2-of-short-term-infective-complications
#3
Zhaowei Zhou, Amarvir Bilkhu, Suhail Anwar
AIMS: The use of synthetic meshes in potentially infected operative fields such as in the vicinity of large bowel, is controversial. This study describes our experience with the use of a synthetic composite mesh for prophylaxis and repair of parastomal hernias. METHODS: Data were collected retrospectively over a 7-year period from 2008 to 2015. An IPOM (DynaMesh™) was used either during the formation of the stoma to reinforce the abdominal wall around the stoma or during the surgical repair of existing parastomal hernias, using keyhole or sandwich technique...
July 24, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28741192/parastomal-hernia-repair-with-a-3d-funnel-intraperitoneal-mesh-device-and-same-sided-stoma-relocation-results-of-56-cases
#4
Ines Fischer, Helwig Wundsam, Martin Mitteregger, Gernot Köhler
BACKGROUND: Parastomal hernias (PSHs) are a common and challenging issue. In previous studies, three-dimensional (3D) funnel mesh devices have been used successfully for the repair of PSHs. METHODS: We performed an analysis of prospectively collected data of patients who underwent a same-sided stoma reposition with 3D funnel-shaped mesh augmentation in intraperitoneal (IPOM) position at our department between the years of 2012 and 2015. Primary outcome parameters were intra- and postoperative surgical complications and recurrence rate during the follow-up period...
July 24, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28594257/mri-evaluation-of-an-elastic-tpu-mesh-under-pneumoperitoneum-in-ipom-position-in-a-porcine-model
#5
A Lambertz, L C L van den Hil, A Ciritsis, R Eickhoff, N A Kraemer, N D Bouvy, A Müllen, U Klinge, U P Neumann, C D Klink
BACKGROUND: The frequency of laparoscopic approaches increased in hernia surgery over the past years. After mesh placement in IPOM position, the real extent of the meshes configurational changes after termination of pneumoperitoneum is still largely unknown. To prevent a later mesh folding it might be useful to place the mesh while it is kept under tension. Conventionally used meshes may lose their Effective Porosity under these conditions due to poor elastic properties. The aim of this study was to evaluate a newly developed elastic thermoplastic polyurethane (TPU) containing mesh that retains its Effective Porosity under mechanical strain in IPOM position in a porcine model...
June 8, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28569365/risk-adjusted-procedure-tailoring-leads-to-uniformly-low-complication-rates-in-ventral-and-incisional-hernia-repair-a-propensity-score-analysis-and-internal-validation-of-classification-criteria
#6
U A Dietz, A Fleischhacker, S Menzel, U Klinge, C Jurowich, K Haas, P Heuschmann, C-T Germer, A Wiegering
BACKGROUND: The usual approach in hernia surgery is to select the ideal repair method independent of the patient's characteristics. In the present study, we change the approach to ask which technique is best for the individual patient`s risk profile. For this, two criteria are important: does the patient need reconstruction of the abdominal wall? or does he or she need treatment of symptoms without being exposed to unnecessarily high perioperative risks? METHODS: In a heuristic selection procedure, 486 consecutive patients were classified according to their characteristics as low-risk or high-risk for postoperative complications...
August 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28445099/laparoscopic-spigelian-hernia-repair-intraperitoneal-onlay-mesh-plus-technique-video-presentation
#7
Dimitrios Zacharoulis, Eleni Sioka
BACKGROUND: Spigelian hernia represents a rare entity. Traditionally, it was repaired by the open technique. Various laparoscopic techniques have emerged periodically. Most laparoscopic repairs use the technique of placing an intraperitoneal onlay mesh (IPOM). There is currently a tendency to close the hernia defect. METHODS: A 68-year-old man was admitted to our hospital complaining of vague abdominal pain and discomfort. Physical examination revealed a bulky palpable mass on the left side of the patient...
April 26, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28442833/a-randomised-prospective-study-to-evaluate-preperitoneal-mesh-repair-versus-onlay-mesh-repair-and-laparoscopic-ipom-in-incisional-hernia-surgery
#8
S Natarajan, S Meenaa, K A Thimmaiah
Incisional hernia remains a very common postoperative complication. These are encountered with an incidence of up to 20 % following laparotomy. These hernias enlarge over time, making the repair difficult, and serious complications like bowel obstruction, strangulation and enterocutaneous fistula can occur. Hence, elective repair is indicated to avoid these complications. Implantation of a prosthetic mesh is nowadays considered as the standard treatment due to low hernia recurrence. The most common mesh repair techniques used are the onlay repair, sublay repair and laparoscopic intraperitoneal onlay mesh (IPOM)...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27994499/adhesion-prevention-efficacy-of-composite-meshes-parietex-%C3%A2-proceed-%C3%A2-and-4dryfield-%C3%A2-ph-covered-polypropylene-meshes-in-an-ipom-rat-model
#9
Markus Winny, Lavinia Maegel, Leonie Grethe, Torsten Lippmann, Danny Jonigk, Harald Schrem, Alexander Kaltenborn, Juergen Klempnauer, Daniel Poehnert
Background: Adhesions to intraperitoneally implanted meshes (IPOM) are a common problem following hernia surgery and may cause severe complications. Recently, we showed that missing peritoneal coverage of the intestine is a decisive factor for adhesion formation and 4DryField(®) PH (4DF) gel significantly prevents intestine-to-mesh adhesions even with use of uncoated Ultrapro(®) polypropylene mesh (UPM). The present study investigates adhesion prevention capability of coated Parietex(®) mesh (PTM) and Proceed(®) mesh (PCM) in comparison to 4DF treated UPM...
2016: International Journal of Medical Sciences
https://www.readbyqxmd.com/read/27867954/laparoscopic-repair-of-inguinal-hernia-in-adults
#10
Xue-Fei Yang, Jia-Lin Liu
Laparoscopic repair of inguinal hernia is mini-invasive and has confirmed effects. The procedures include intraperitoneal onlay mesh (IPOM) repair, transabdominal preperitoneal (TAPP) repair and total extraperitoneal (TEP) repair. These procedures have totally different anatomic point of view, process and technical key points from open operations. The technical details of these operations are discussed in this article, also the strategies of treatment for some special conditions.
October 2016: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27800586/liquid-antiadhesive-agents-for-intraperitoneal-hernia-repair-procedures-artiss-%C3%A2-compared-to-coseal-%C3%A2-and-adept-%C3%A2-in-an-ipom-rat-model
#11
Simone Gruber-Blum, R H Fortelny, C Keibl, J Brand, M Lechner, H Redl, A H Petter-Puchner
BACKGROUND: Adhesion formation remains an important issue in hernia surgery. Liquid agents were developed for easy and versatile application, especially in laparoscopy. The aim of this study was to compare the antiadhesive effect of fibrin sealant (FS, Artiss(®)), Icodextrin (ID, Adept(®)) and Polyethylene glycol (PEG, CoSeal(®)) alone and in combination and to evaluate the resulting effect on tissue integration of the mesh. METHODS: A total of 56 Sprague-Dawley rats were operated in open IPOM technique...
October 31, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27757549/adhesion-prevention-in-ventral-hernia-repair-an-experimental-study-comparing-three-lightweight-porous-meshes-recommended-for-intraperitoneal-use
#12
COMPARATIVE STUDY
L D'Amore, F Ceci, S Mattia, M Fabbi, P Negro, F Gossetti
BACKGROUND: In ventral hernia repair, when prosthetic material is placed intraperitoneally, it may lead to an inflammatory reaction resulting in adhesions between the mesh and abdominal viscera. Several meshes have been developed to minimize this process. In this experimental study, the ability of different combined meshes to attenuate the adhesion formation was examined. METHODS: Three commercially available lightweight porous combined meshes were placed intraperitoneally to repair an abdominal wall defect in rats: DynaMesh-IPOM (PVDF + PP), TiMesh (titanium-coated filament PP) and C-QUR/FX (omega-3 fatty acid-coated filament PP)...
February 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27728955/laparoscopic-stapled-sublay-repair-with-self-gripping-mesh-a-simplified-technique-for-minimally-invasive-extraperitoneal-ventral-hernia-repair
#13
Alexandra M Moore, Lisa N Anderson, David C Chen
INTRODUCTION: Minimally invasive laparoscopic and robotic techniques for ventral hernia repair have evolved to achieve the benefits and minimize the limitations of both the open Rives-Stoppa sublay mesh repair and laparoscopic intraperitoneal onlay mesh (IPOM) repair. By combining the principles of a retromuscular repair with the benefits of a minimally invasive approach, these techniques attempt to decrease recurrence, increase functionality, exclude mesh from the viscera, limit infection and wound complications, and minimize pain...
October 26, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27659375/parietex%C3%A2-composite-mesh-versus-dynamesh-%C3%A2-ipom-for-laparoscopic-incisional-and-ventral-hernia-repair-a-retrospective-cohort-study
#14
COMPARATIVE STUDY
A Tandon, K Shahzad, S Pathak, C M Oommen, Q M Nunes, N Smart
INTRODUCTION Laparoscopic incisional and ventral hernia repair (LIVHR) is widely accepted and safe but the type of mesh used is still debated. We retrospectively compared postoperative outcomes with two different meshes commonly used in LIVHR. METHODS This is a retrospective study of patients who underwent incisional hernia repair between January 2008 and December 2010. Two meshes were used: Parietex™ Composite (Covidien, New Haven, CT, USA) and the DynaMesh(®)-IPOM (FEG Textiltechnik mbH, Aachen, Germany)...
November 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27495336/postoperative-complications-as-an-independent-risk-factor-for-recurrence-after-laparoscopic-ventral-hernia-repair-a-prospective-study-of-417-patients-with-long-term-follow-up
#15
Henry Mercoli, Stylianos Tzedakis, Antonio D'Urso, Marius Nedelcu, Riccardo Memeo, Nicolas Meyer, Michel Vix, Silvana Perretta, Didier Mutter
BACKGROUND: Laparoscopic ventral hernia repair (LVHR) has become widely used. This study evaluates outcomes of LVHR, with particular reference to complications, seromas, and long-term recurrence. METHODS: A review of a prospective database of consecutive patients undergoing LVHR with intraperitoneal onlay mesh (IPOM) was performed at a single institution. Patient's characteristics, surgical procedures, and postoperative outcomes were analyzed and related to long-term recurrence...
March 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/27426656/central-mesh-failure-after-laparoscopic-ipom-procedure
#16
Jeroen Van Besien, Koen Vindevoghel, Casper Sommeling
Central mesh failure after laparoscopic repair of a ventral hernia is a rare finding. We present a case of a 42-year-old man with clear umbilical hernia recurrence 4 years after IPOM procedure with an oxidized cellulose composite polypropylene mesh, using the double crown technique. Laparoscopy showed that a segment of small intestine herniated through a central defect in the prosthesis. A primary repair of the umbilical hernia recurrence was performed through a small transverse infraumbilical incision suturing both the fascia and mesh with interrupted non-resorbable monofilament sutures...
October 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27239913/-intraperitoneal-and-retromuscular-abdominal-wall-repair-using-ultra-light-and-titanium-containing-polypropylene-mesh-experimental-research
#17
V V Parshikov, A A Mironov, A A Kazantsev, A I Alekhin
AIM: To study experimental possibility of light, ultra-light and titanium-containing endoprostheses implantation for postoperative hernias correction. MATERIAL AND METHODS: Abdominal wall repair was simulated in 72 rabbits. In the first group polypropylene mesh with fibers diameter of 90 microns and surface density of 36 g/m2 was used. In the second group we applied polypropylene mesh with fibers diameter of 65 microns and thin layer of titanium. Their surface density was 16 g/m2...
2016: Khirurgiia
https://www.readbyqxmd.com/read/27171332/ventral-incisional-hernia-vih-repair-after-liver-transplantation-olt-with-a-biological-mesh-experience-in-3-cases
#18
S Schaffellner, M Sereinigg, D Wagner, E Jakoby, D Kniepeiss, P Stiegler, J Haybäck, H Müller
BACKGROUND: Hernias after orthotopic liver transplant (OLT) occur in about 30 % of cases. Predisposing factors in liver cirrhotic patients of cases are ascites, low abdominal muscle mass and cachexia before and immunosuppression after OLT. Standard operative transplant-technique even in small hernias is to implant a mesh. For patients after liver transplantation a porcine non-cross linked biological patch being less immunogenic than synthetic and cross-linked meshes is chosen for ventral incisional hernia repair...
May 2016: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/27149956/mechanical-behaviour-of-knit-synthetic-mesh-used-in-hernia-surgery
#19
Agnieszka Tomaszewska
PURPOSE: There is a discussion in literature concerning mechanical properties and modelling of surgical meshes. An important feature of elastic modulus dependency on load history is taken into account in this paper, as implants are subjected to variable loading during human activity. The example of DynaMesh®-IPOM surgical implant is studied. METHODS: The analysis is based on failure tension tests and cyclic loading and unloading tests performed for the material samples...
2016: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/27096776/different-approach-to-laparoscopic-ipom-ventral-hernia-surgery-what-has-the-last-decade-taught-us
#20
REVIEW
Kryspin Mitura
No abstract text is available yet for this article.
January 1, 2016: Polski Przeglad Chirurgiczny
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