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Introduction: Laparoscopic ventral hernia repair is a commonly performed procedure with a variety of mesh options. A relatively new mesh option is a non-woven polypropylene mesh with a silicone barrier designed for intraabdominal placement. This non-woven randomly oriented polypropylene microfiber hernia mesh may have benefits with potentially better biocompatibility compared with other ventral hernia repair mesh options.
Materials And Methods: A clinical quality improvement (CQI) program was initiated for ventral hernia patients to better measure and improve outcomes. From March 2013 to September 2015, 62 laparoscopic ventral hernia repairs were performed with this non-woven polypropylene mesh on 61 patients (one patient had two separate hernia repairs). Attempts were made to obtain long-term (> 2 years) follow up.
Results: There were 36 females and 25 males. The average age was 58.7 years (range 21-85). The average body mass index (BMI) was 36.2 (range 21.4-62.4). There were 51 (82%) incisional hernias and 11 (18%) primary hernias. There were 29 (47%) recurrent hernias. Mean hernia size was 83.4cm2 (range 1-400) and mean mesh size was 508.5cm2 (range 144-936). The mean operating room (OR) time was 108.2 minutes (range 38-418). The mean length of hospital stay was 2.7 days (range 0-13). There was one intraoperative complication-an injury to an inferior epigastric vessel that had a minor postoperative bleed that was self-limiting and required no treatment. There was one postoperative death due to aspiration on postoperative day #4. There has been one recurrence (1.6%) with long-term follow up. There were two patients (3.2%) with suture site pain postoperatively that resolved with suture site injections of local anesthetic in the clinic. There were no patients that required rehospitalization within 30 days after surgery. There were no mesh-related complications and no incidence of mesh removal was required.
Conclusion: The results for laparoscopic ventral hernia repair, using a relatively new non-woven randomly oriented polypropylene microfiber mesh, are good with long-term follow up completed in the majority of patients. More experience with this type of mesh could generate evidence for the benefits of this mesh material in laparoscopic ventral hernia repair.
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Ann Surg Open
December 2024
From the Department of Surgery, NorthShore University Health System, Evanston, IL.
Background: Hernia repairs are one of the most common general surgery procedures and an essential part of training for general surgery residents. The widespread incorporation of robotic hernia repairs warrants the development of a procedure-specific robotic curriculum to assist novice surgeons in improving technical skills.
Objective: To evaluate a robotic hernia simulation-based curriculum for general surgery residents using video review.
Updates Surg
December 2024
General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura, 35111, Egypt.
Ventral hernias are abnormalities in anterior abdominal wall occurring due to an incision or are congenital. This comprehensive review and meta-analysis aim to objectively compare laparoscopic to retro-muscular or any other mesh repair approach to manage ventral incisional hernia. To identify studies that managed ventral incisional hernia using laparoscopic, open, or retro-muscular mesh repair techniques, a comprehensive literature search was performed.
View Article and Find Full Text PDFCan J Surg
December 2024
From the Departments of Surgery (Punia, Ball, Kirkpatrick, Clements), Critical Care Medicine (Kirkpatrick), and the Trauma Program (Kirkpatrick), Cumming School of Medicine, University of Calgary, Calgary, Alta.
SummaryThis discussion describes the long-term follow-up of a prospective randomized controlled trial evaluating the performance of the 2 most common biomesh products utilized in the context of complex abdominal wall reconstructions. Although the incidence of hernia recurrence increased over time to 26% (median follow-up 62 mo), both biomesh products performed similarly. Biomesh product choice should remain cost-conscious.
View Article and Find Full Text PDFSurg Radiol Anat
December 2024
Department of Plastic Surgery, Iida Municipal Hospital, Iida, Japan.
Purpose: This study aimed to investigate the relationship between linea alba width and unclosed pediatric umbilical hernias.
Methods: A retrospective chart review was conducted on patients with pediatric umbilical hernias persisting beyond the age of 2, from April 2014 to March 2021. Additionally, data from children who underwent computed tomography (CT) for other conditions or injuries, such as diarrhea or traffic accidents, were collected from April 2010 to March 2022.
J Robot Surg
December 2024
Department of Surgery, Dipartimento di Scienze della Salute, Asst Santi Paolo e Carlo, University of Milan, Milan, Italy.
Robotic surgery has become a popular method for treating ventral hernias due to its promising peri-operative outcomes. However, the long-term results of this approach are still unclear. In this study, 120 patients underwent robotic trans-abdominal retromuscular mesh placement (r-TARM) with a mean follow-up period of 18.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!