Laparoscopic ventral hernia repair with intraperitoneal onlay mesh —results from a general surgical unit

ConclusionsIPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research

Related Links:

This study was a retrospective review of a prospectively maintained hernia registry from the 1st of February 2019 to 29th of February 2020.Results353 ventral hernia repair cases were recorded of which 47% were incisional hernias and the remainder were primary hernias. The median age was 54  years with even distribution of males and females. Half of the patients were obese with a median BMI of 31 kg/m2. The private sector performed 190 cases (54%) and the public sector 163 cases (46%). The public sector had more current smokers undergoing elective repairs, 28% vs 15%,p = 0.01 and performed more emerg...
Source: Hernia - Category: Sports Medicine Source Type: research
AbstractIntroductionHow best to treat a small (
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionsIn this study, staged mesh repair of complex abdominal wall hernias after bariatric surgery in morbidly obese patients was associated with acceptable morbidity and no hernia recurrences at approximately 1.5  year follow-up.
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionA tailored approach is now employed and seen more so in hernia surgery and this fact is referred to and highlighted in the contemporaneous hernia guidelines published to date. In addition, with the increasing complexity of abdominal wall surgery, the number of procedures actually performed by trainees is no longer considered adequate to overcome any recognized learning curve. Therefore, to supplement general surgery training young surgeons should be offered a clinical fellowship to obtain an additional qualification as an abdominal wall surgeon and thus improve their clinical and operative experience under superv...
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionsBD does not consistently result in 15-min time saving during TEP. Use of a disposable balloon dissector can be deferred in the experienced hands.Trial registrationClinicalTrials.gov (NCT03276871).
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionsIPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
ConclusionSynchronous VHR and BS in a bariatric unit is feasible with low recurrence rate. Laparoscopic VHR has lower complication rates than open, apart from seroma formation. Patients with diabetes have higher risk of infection.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractPurposeTrocar site hernias (TSH) at the umbilical site following laparoscopic cholecystectomy forms the majority of the studies about TSH and there is a missing data in literature about lateral sided TSH. We aimed to evaluate the incidence and factors affecting lateral sided TSH occurrence following laparoscopic abdominal wall hernia repair (LAHR).MethodsPatients who underwent LAHR between March 2013 and 2015 were included in the study. Open approach with blunt dissection for optical trocar insertion and z-shaped suture for closure were used in 22 cases initially (Group 1). Sharp dissection and continuous suture fo...
Source: Hernia - Category: Sports Medicine Source Type: research
This study aims to describe the clinical experience in terms of efficacy and safety with laparoscopic ventral hernia repair using the ParietexTM Composite mesh (Covidien Sofradim Production, Trevoux, France) in severely obese patients (body mass index ≥35) compared with non-severe obese patients in a seven-year single-center cohort. MATERIAL AND METHODS: All patients with a primary ventral or incisional hernia admitted to our hospital from 2006 until December 2012 who underwent a laparoscopic repair with the Parietex Composite mesh were included in this study. Pain scores using a numeric rating were collected prospe...
Source: Minimally Invasive Therapy and Allied Technologies - Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research
We present a case of 60-year-old man with a body mass index of 45.3 kg/m2 with a large recurrent ventral hernia. We performed a lap sleeve gastrectomy with laparoendoscopic anterior component separation with IPOM. The operative steps included hernia contents reduction, conventional sleeve gastrectomy, anterior component separation on either side, intra-corporeal closure of hernia defect and placement of a composite mesh. Patient recovery was uneventful. Concomitant bariatric surgery with laparoendoscopic component separation with IPOM may be safe, but more studies are required.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
More News: Biomedical Science | Databases & Libraries | Eating Disorders & Weight Management | Emergency Medicine | Gastroschisis Repair | General Medicine | Hernia | Hernia Repair | Ireland Health | Laparoscopy | Obesity | Science | Study