Ventral hernias part 1 : Operative treatment techniques

Chirurg. 2021 Apr 1. doi: 10.1007/s00104-021-01382-0. Online ahead of print.ABSTRACTPrimary (umbilical, epigastric hernias) and secondary (incisional hernias) ventral hernias are among the most common surgical indications in general and visceral surgery. The defect width and defect localization have a considerable impact on treatment decision-making and outcomes. Therefore, preoperative computed tomography (CT) examination is increasingly recommended particularly for larger incisional hernias. Despite the good results reported in meta-analyses and registry analyses, in recent years there has been a marked trend away from the intraperitoneal onlay mesh (IPOM) technique as severe complications have repeatedly been reported. To continue to benefit from the advantages conferred by a minimally invasive access route with fewer wound complications, a myriad of new techniques with small incisions or endoscopic access have been developed. These involve mesh placement in the sublay/retromuscular/preperitoneal position. This provides a relatively differentiated tailored approach.PMID:33792766 | DOI:10.1007/s00104-021-01382-0

Source: Der Chirurg - April 1, 2021 Category: Surgery Authors: F K öckerling W Reinpold C Schug-Pass Source Type: research