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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
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
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
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
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
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
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
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
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...
August 5, 2016: Surgical Endoscopy
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
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
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
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
Kryspin Mitura
No abstract text is available yet for this article.
January 1, 2016: Polski Przeglad Chirurgiczny
Taras Stetsko, Kamil Bury, Izabela Lubowiecka, Czesław Szymczak, Agnieszka Tomaszewska, Maciej Śmietański
UNLABELLED: Laparoscopic ventral hernia repair has become popular technique. Every year, companies are introducing new products Thus, every mesh prior to introduction in clinical settings should be tested with a dedicated tacker to discover the proper fixation algorithm. The aim of the study was to assess the safety and efficacy of the Ventralight ST implant with an ECHO positioning system and a dedicated fixation device, the SorbaFix stapler, in a prospective cohort of patients. MATERIAL AND METHODS: The study was a prospective single centre cohort study with a one-year followup period...
January 1, 2016: Polski Przeglad Chirurgiczny
Philippe Hauters, Jean-Luc Cardin, Marc Lepere, Alain Valverde, Jean-Pierre Cossa, Sylvain Auvray, Dominique Framery, Constantin Zaranis
BACKGROUND: Parastomal hernia (PSH) is a very frequent complication after creation of a permanent colostomy. The aim of that study is to assess the safety and the long-term efficacy of an intra-peritoneal onlay mesh (IPOM) positioned at the time of primary stoma formation to prevent PSH occurrence. MATERIALS AND METHODS: That multicentre prospective study concerned 29 consecutive patients operated for cancer of the low rectum between 2008 and 2014. There were 14 men and 15 women with a median age of 73 years (range 39-88) and a BMI of 28 (range 21-43)...
December 2016: Surgical Endoscopy
Alessandro Verbo, Paolo Pafundi, Alberto Manno, Rocco Bacccaro, Augusto Veneziani, Rosa Colli, Claudio Coco
BACKGROUND: Laparoscopic approach is now generally accepted for the treatment of incisional hernia. The ideal mesh is still to be found. The aim of this study is to compare the well-known Gore® DUALMESH® Plus (WL Gore & Associates, Flagstaff, AZ) to a new prosthesis, the DynaMesh®-IPOM (FEG Textiltechnik GmbH, Aachen, Germany), to clinically verify its potential benefits in the laparoscopic treatment of incisional hernia. MATERIALS AND METHODS: Comparing the results of the laparoscopic treatment of two groups of patients affected by incisional hernia using Gore® DUALMESH® Plus and DynaMesh®-IPOM...
April 2016: Surgical Technology International
Ramesh Punjani, Imran Shaikh, Vinne Soni
Repair of large ventral hernia is a challenge for even experienced surgeons, as there are large defects with large contents, often with loss of domain. The large defects were bridged by various plastic surgical procedures like myofascial flaps or free flaps with high recurrences and complications. More often, the bridging was done with artificial prosthesis, leaving the defects open. This was accomplished by either open surgery (onlay, inlay, sublay or underlay) or laparoscopic intraperitoneal onlay meshes (IPOMs)...
December 2015: Indian Journal of Surgery
K E Elstner, A S W Jacombs, J W Read, O Rodriguez, M Edye, P H Cosman, A N Dardano, A Zea, T Boesel, D J Mikami, C Craft, N Ibrahim
PURPOSE: The operative management of complex ventral hernia poses a formidable challenge, despite recent advances in surgical techniques. Recurrence rates after complex ventral hernia repair remain high, and increase with each failed attempt. This study examines the effect of pre-operative abdominal wall chemical component relaxation using Botulinum Toxin A (BTA) to induce temporary flaccid paralysis in order to facilitate laparoscopic repair of large complex ventral hernia. METHODS: This is a prospective evaluation of 27 patients from January 2013 to August 2015 who underwent ultrasound guided BTA injections to the lateral abdominal wall muscles prior to elective complex ventral hernia repair...
April 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
René H Fortelny, Anna Hofmann, Christopher May, Ferdinand Köckerling
INTRODUCTION: Although recently published guidelines recommend against the use of synthetic non-absorbable materials in cases of potentially contaminated or contaminated surgical fields due to the increased risk of infection (1, 2), the use of bio-prosthetic meshes for abdominal wall or ventral hernia repair is still controversially discussed in such cases. Bio-prosthetic meshes have been recommended due to less susceptibility for infection and the decreased risk of subsequent mesh explantation...
2016: Frontiers in Surgery
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