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mesh incisional hernia

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https://www.readbyqxmd.com/read/28219819/laparoscopic-ventral-hernia-repair-with-composite-mesh-analysis-of-risk-factors-for-recurrence-in-185-patients-with-5-years-follow-up
#1
Mario Nardi, Paolo Millo, Riccardo Brachet Contul, Riccardo Lorusso, Antonella Usai, Manuela Grivon, Fabio Persico, Elisa Ponte, Paolo Bocchia, Salvatore Razzi
BACKGROUND: Laparoscopic ventral hernia repair is widely used although its clinical indications are often debated. The aim of this study is to describe our surgical experience in order to establish the safety, efficacy, feasibility of laparoscopic ventral hernia repair and to identify the factors that influence the risk of recurrence in a group of patients treated with only one type of prosthetic mesh and by the same surgical team. MATERIALS AND METHODS: Between January 2007 and December 2016, 512 patients were admitted to the General and Urgent Surgery Unit, with diagnosis of ventral hernia...
February 17, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28170478/recurrence-and-mesh-related-complications-after-incisional-hernia-repair-reply
#2
LETTER
Thue Bisgaard, Dunja Kokotovic, Frederik Helgstrand
No abstract text is available yet for this article.
7, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28170475/recurrence-and-mesh-related-complications-after-incisional-hernia-repair
#3
LETTER
Deepa Cherla, William Hope, Mike K Liang
No abstract text is available yet for this article.
7, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28119777/port-site-incisional-hernia-a-case-series-of-54-patients
#4
A Lambertz, B O Stüben, B Bock, R Eickhoff, A Kroh, C D Klink, U P Neumann, C J Krones
BACKGROUND: The increased use of laparoscopy has resulted in certain complications specifically associated with the laparoscopic approach, such as port-site incisional hernia (PIH). Until today, it is not finally clarified if port-site closure should be performed by fascia suture or not. Furthermore, the optimal treatment strategy in PIH (suture vs. mesh) is still widely unclear. The aim of this study was to present our experience with PIH in two independent departments and to derive possible treatment strategies from these results...
February 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28097449/open-retromuscular-large-mesh-reconstruction-of-lumbar-incisional-hernias-including-the-atrophic-muscular-area
#5
Y Renard, L de Mestier, A Cagniet, N Demichel, C Marchand, J-L Meffert, R Kianmanesh, J-P Palot
PURPOSE: Lumbar incisional hernias (LIH) are a rare wall defect, whose surgical management is challenging because no recommendation exists. Moreover, LIH are frequently associated with flank bulging which should be taken into account during LIH surgical repair. We aimed to describe a cohort of patients operated on for LIH using a homogeneous surgical technique and to report surgical outcomes. METHODS: The records of all consecutive patients operated on in a specialized surgical center between January 2009 and January 2015 were retrospectively reviewed...
January 17, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28078462/assessment-of-predictive-factors-for-recurrence-in-laparoscopic-ventral-hernia-repair-using-a-bridging-technique
#6
P Hauters, J Desmet, D Gherardi, S Dewaele, H Poilvache, P Malvaux
AIM: To assess the long-term incidence and predictive factors for recurrence after laparoscopic ventral hernia repair using a bridging technique. METHODS: The study group consisted of 213 consecutive patients operated by laparoscopy for primary ventral (n = 158) or incisional hernia (n = 55) between 2001 and 2014. Patients had a repair without fascia closure by intra-peritoneal onlay placement of a Parietex(®) composite mesh centred on the defect with an overlap of at least 3 cm...
January 11, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28044960/transversus-abdominis-muscle-release-tar-for-large-incisional-hernia-repair
#7
Valentin Oprea, Victor Gheorghe Radu, Doru Moga
: Background: complex ventral hernia repair is a frequent and challenging topic. Reconstructive techniques are numerous but most of them are unable to achieve the goals of hernioplasty. Posterior component separation with transverses abdominis muscle release (TAR) is a novel approach that offers a solution for complex ventral hernias. METHOD: The posterior rectus sheath is incised and the retrorectus plane is developed. In a modification of the Rives-Stoppa technique, the transversus abdominis is released medial to the linea semilunaris to expose a broad plane that extends from the central tendon of the diaphragm superiorly, to the space of Retzius inferiorly, and laterally to the retro-peritoneum...
November 2016: Chirurgia
https://www.readbyqxmd.com/read/28040255/does-prophylactic-mesh-placement-in-elective-midline-laparotomy-reduce-the-incidence-of-incisional-hernia-a-systematic-review-and-meta-analysis
#8
Zachary M Borab, Sameer Shakir, Michael A Lanni, Michael G Tecce, John MacDonald, William W Hope, John P Fischer
BACKGROUND: Operative intervention to correct incisional hernia affects 150,000 patients annually, with 1 in 3 repairs recurring within 9 years. The aim of this study was to compare the incidence of incisional hernia and postoperative complications in elective midline laparotomy patients after the use of prophylactic mesh placement and primary suture closure. METHODS: A systematic review was performed to identify studies comparing prophylactic mesh placement to primary suture closure in elective, midline laparotomy at index abdominal aponeurosis closure...
December 28, 2016: Surgery
https://www.readbyqxmd.com/read/28032555/mesh-reinforcement-for-the-prevention-of-incisional-hernia-formation-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#9
REVIEW
Xi-Chen Wang, Dan Zhang, Zeng-Xi Yang, Jian-Xin Gan, Lan-Ning Yin
BACKGROUND: European Hernia Society guidelines suggested that the evidence of mesh augmentation for the prevention of incisional hernia (IH) was weak. In addition, previous systematic reviews seldom focused on quality of life and cost-effectiveness related to mesh placement. Therefore, an updated meta-analysis was performed to clarify quality of life, cost-effectiveness, the safety, and effectiveness of mesh reinforcement in preventing the incidence of IH. METHODS: Embase, Pubmed, and the Cochrane library were searched from the inception to May 2016 without language limitation for randomized controlled trials (RCTs) which explored mesh reinforcement for the prevention of IH in patients undergoing abdominal surgeries...
October 4, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/28018702/laparoscopic-fenestration-of-a-giant-pseudocyst-after-totally-extra-peritoneal-inguinal-hernia-repair
#10
Yu-Ting van Loon, Maaike S Ibelings
A giant pseudocyst is a rare complication after hernioplasty and is seldom seen. The pathophysiology is unclear; it characteristically does not contain epithelial lining and can be considered giant if the diameter exceeds 10 cm. Pseudocysts are mostly described after incisional hernia repairs and are usually treated with surgical resection. We report a case of a giant pseudocyst three years after totally extra peritoneal inguinal hernia repair. Laparoscopic fenestration without removing the pseudocyst with or without removal of the polypropylene mesh is a safe and effective minimal invasive approach to the treatment of a symptomatic pseudocyst and should also be considered in the approach of other large symptomatic cysts...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/28012031/first-200-consecutive-transumbilical-single-incision-laparoscopic-teps
#11
G Dapri, L Gerard, M Paesmans, G-B Cadière, S Saussez
BACKGROUND: Endoscopic pre-peritoneal mesh repair (TEP) through single-incision laparoscopy (SIL) permits placement of a large mesh through a final millimetric umbilical scar. This prospective study evaluates the first 200 consecutive SILTEPs performed by a single surgeon. PATIENTS AND METHODS: Between November 2011 and September 2015, 200 consecutive SILTEPs were performed in 161 patients. The mean age was 49.8 ± 16.3 years and the mean BMI was 24.5 ± 3...
December 23, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28008551/surgical-treatment-of-large-incisional-hernias-with-intraperitoneal-composite-mesh-a-cohort-study
#12
B Lasses Martínez, M J Peña Soria, J J Cabeza Gómez, D Jiménez Valladolid, M Flores Gamarra, C Fernández Pérez, A Torres García, I Delgado Lillo
PURPOSE: Patients with large incisional hernias have significant morbidity and their management is a challenge for the surgical team because of the large abdominal wall involvement. The choice of surgical technique is still controversial. The purpose of this study is to analyze the predictive factors for recurrence after intraperitoneal mesh repair in patients with large incisional hernias. METHODS: A retrospective cohort observational study with a prospectively collected database was performed in the Hospital Clinico San Carlos (Madrid, Spain)...
December 22, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27940291/open-retromuscular-mesh-repair-versus-onlay-technique-of-incisional-hernia-a-randomized-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Zaza Demetrashvili, Irakli Pipia, David Loladze, Tamar Metreveli, Eka Ekaladze, George Kenchadze, Kakhi Khutsishvili
INTRODUCTION: The aim of this prospective randomized clinical study was to compare and analyze the results of two methods of treatment of incisional hernia: open retromuscular mesh repair and onlay technique. METHODS: 180 patients who underwent open elective surgery for middle primary incisional hernia were randomized into two groups. The retomuscular mesh repair was used in the first group and the onlay technique - in the second group. Several preoperative and intraoperative factors, also wound complications (wound infection, hematoma, seroma) and hernia recurrence rate were determined and compared between the groups...
January 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/27915385/substantial-variation-among-hernia-experts-in-the-decision-for-treatment-of-patients-with-incisional-hernia-a-descriptive-study-on-agreement
#14
D Kokotovic, I Gögenur, F Helgstrand
PURPOSE: Benign elective procedures give rise to heterogeneity in indication for surgery and surgical technique among specialized surgeons in a variety of surgical fields. The objective was to analyze the extent of agreement in surgical management among expert hernia surgeons when evaluating the same patient in a standardized setting. METHODS: Five Danish hernia experts answered questions concerning indication for surgery and surgical technique for 25 video recorded real-life clinical cases...
December 3, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27884387/initial-results-of-the-national-registry-of-incisional-hernia
#15
José Antonio Pereira, Manuel López-Cano, Pilar Hernández-Granados, Xavier Feliu
INTRODUCTION: The aim of this study was to the data from the National Registry of Incisional Hernia (EVEREG) to determine the reality of the treatment of this condition in Spain. METHODS: EVEREG is an online prospective database which has been functioning since July 2012; operations for incisional hernia are anonymously recorded. RESULTS: Up to March 2015, 4501 hernias from 95 of the 113 participating hospitals were registered. The mean age of the patients was 62...
December 2016: Cirugía Española
https://www.readbyqxmd.com/read/27869487/the-incidence-of-incisional-hernias-following-ileostomy-reversal-in-colorectal-cancer-patients-treated-with-anterior-resection
#16
Balazs Fazekas, Bence Fazekas, J Hendricks, N Smart, T Arulampalam
INTRODUCTION The aim of this study was to identify the rate of incisional hernia formation following ileostomy reversal in patients who underwent anterior resection for colorectal cancer. In addition, we aimed to ascertain risk factors for the development of reversal-site incisional hernias and to record the characteristics of the resultant hernias. MATERIALS AND METHODS Using a prospectively compiled database of colorectal cancer patients who were treated with anterior resection, we identified individuals who had undergone both ileostomy formation and subsequent reversal of their ileostomies from January 2005 to December 2014...
November 21, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27863943/surgical-management-of-chronic-mesh-infection-following-incisional-hernia-repair
#17
H Boullenois, D Moszkowicz, T Poghosyan, J-L Bouillot
No abstract text is available yet for this article.
December 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27846175/comparison-of-absorbable-versus-nonabsorbable-tackers-in-terms-of-long-term-outcomes-chronic-pain-and-quality-of-life-after-laparoscopic-incisional-hernia-repair-a-randomized-study
#18
Virinder K Bansal, Krishna Asuri, Sridhar Panaiyadiyan, Subodh Kumar, Rajeshwari Subramaniam, Rashmi Ramachandran, Rajesh Sagar, Mahesh C Misra
BACKGROUND: Laparoscopic incisional and ventral hernia repair (LIVHR) has been associated with a high incidence acute and chronic pain due to use of nonabsorbable tackers. Several absorbable tackers have been introduced to overcome these complications. This randomized study was done to compare 2 techniques of mesh fixation, that is, nonabsorbable versus absorbable tackers for LIVHR. MATERIALS AND METHODS: Ninety patients admitted for LIVHR repair (defect size <15 cm) were randomized into 2 groups: nonabsorbable tacker fixation (NAT group, 45 patients) and absorbable tacker fixation (AT group, 45 patients)...
December 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27837460/fixation-free-incisional-hernia-repair-in-the-elderly-our-experience-with-a-tentacle-shaped-implant
#19
Giorgio Romano, Pier Giorgio Calò, Enrico Erdas, Fabio Medas, Luca Gordini, Francesco Podda, Giuseppe Amato
BACKGROUND: Incisional hernia in aged patients represents a challenge even for experienced surgeons. Besides increased risk of complications due to comorbidities, mesh fixation and assuring a sufficient mesh overlap of the defect are the main issues in carrying out the repair. AIMS: In order to assure broader coverage of the abdominal wall and a tension- and fixation-free repair, a specifically designed prosthesis was developed for the surgical treatment of incisional hernias...
November 11, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27816206/abdominal-wall-reconstruction-for-large-incisional-hernia-restores-expiratory-lung-function
#20
Kristian K Jensen, Vibeke Backer, Lars N Jorgensen
BACKGROUND: Respiratory complications secondary to intermittent intra-abdominal hypertension and/or atelectasis are common after abdominal wall reconstruction for large incisional hernias. It is unknown if the respiratory function of this patient group is affected long term or impairs activities of daily living. We hypothesized that abdominal wall reconstruction for large incisional hernia would not lead to improved, long-term pulmonary function or respiratory quality of life. METHODS: Eighteen patients undergoing open abdominal wall reconstruction with mesh for a large incisional hernia (horizontal fascial defect width >10 cm) were compared with 18 patients with an intact abdominal wall who underwent colorectal resection...
February 2017: Surgery
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