A prospective study between two different techniques for the repair of a large recurrent ventral hernia: a double mesh intraperitoneal repair versus onlay mesh repair

Hernia ◽  
2005 ◽  
Vol 9 (4) ◽  
pp. 310-315 ◽  
Author(s):  
Raafat Y. Afifi
Keyword(s):  
Prospective Study ◽  
Ventral Hernia ◽  
Mesh Repair ◽  
Onlay Mesh ◽  
A Prospective Study ◽  
Intraperitoneal Repair

Laparoscopic versus open ventral hernia mesh repair: a prospective study

2006 ◽  
Vol 20 (7) ◽  
pp. 1030-1035 ◽  
Author(s):  
D. Lomanto ◽  
S.G. Iyer ◽  
A. Shabbir ◽  
W.-K. Cheah
Keyword(s):  
Prospective Study ◽  
Ventral Hernia ◽  
Mesh Repair ◽  
Hernia Mesh ◽  
A Prospective Study ◽  
Hernia Mesh Repair

scholarly journals Retromuscular prefascial mesh placement versus onlay mesh placement in the repair of incisional hernias: a prospective study

2017 ◽  
Vol 5 (1) ◽  
pp. 120
Author(s):  
Ranganath M. Venkatarangaiah ◽  
Darshan A. Manjunath ◽  
Amarnath V. Mudda ◽  
Veerabhadra Radhakrishna
Keyword(s):  
Postoperative Complications ◽  
Incisional Hernia ◽  
Prospective Study ◽  
Mesh Repair ◽  
Mesh Placement ◽  
Exact Test ◽  
Incisional Hernias ◽  
Tertiary Center ◽  
Onlay Mesh ◽  
A Prospective Study

Background: An incisional hernia is a common complication of abdominal surgery with an incidence rate of two to 11%. Although there are various techniques described, the mesh repair has been the gold standard in the elective management of incisional hernias. But the best method of mesh placement is still debatable. Hence a study was conducted to compare the Retromuscular prefascial mesh placement with Onlay mesh placement in the treatment of incisional hernias.Methods: A prospective study was conducted in the Department of General Surgery in a tertiary center from November 2010 to May 2012. All patients with an incisional hernia underwent either Retromuscular prefascial mesh repair or onlay mesh repair. The nature of the previous surgery, size of the defect, operative, and postoperative complications were recorded. Mann Whitney test and Fisher’s exact test was used to evaluate the significance of the difference. A ‘p’ value <0.05 was considered significant.Results: A total of 60 patients were studied with 30 patients each in the Retromuscular prefascial group and the onlay group. Forty (67%) cases of incisional hernia were secondary to lower midline incision and hysterectomy was the most common surgery [30 patients (50%)]. The Retromuscular prefascial mesh group had significantly lesser postoperative complications (2/30 vs. 12/30; p=0.002; Fischer’s exact test) and seroma formation (1/30 vs. 8/30; p=0.02; Fischer’s exact test) compared to the onlay mesh group.Conclusions: Retromuscular prefascial mesh repair was equally effective but associated with fewer complications compared to onlay mesh repair.

scholarly journals Incisional Hernia: A Prospective Study

2021 ◽  
Author(s):  
Anurag Chauhan ◽  
Devendra K. Prajapati ◽  
Vikas Singh
Keyword(s):  
Incisional Hernia ◽  
Prospective Study ◽  
Abdominal Wall ◽  
Mesh Repair ◽  
Abdominal Wall Closure ◽  
Previous Surgery ◽  
Clear Cut ◽  
Hematoma Formation ◽  
Onlay Mesh ◽  
A Prospective Study

AbstractAn incisional hernia is being a universal problem and topic of discussion worldwide. There is no clear-cut guideline of abdominal wall closure after major abdominal surgeries that can effectively prevent the occurrence of incisional hernia. We found out that most of the patients presented with pain over previous surgery scar with swelling. The defect was usually larger than 2 cm. Most postoperative patients complaint of pain, seroma, and hematoma formation. There was a minimal recurrence rate after onlay mesh repair in our setup.

scholarly journals P053 COMPARISON OF CLINICAL OUTCOMES BETWEEN INTRAPERITONEAL ONLAY MESH REPAIR (IPOM PLUS) AND ENHANCED-VIEW TOTALLY EXTRAPERITONEAL REPAIR (ETEP) FOR VENTRAL HERNIAS

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Hiroshi Hirukawa
Keyword(s):  
Ventral Hernia ◽  
Mesh Repair ◽  
Transversus Abdominis ◽  
Incisional Hernias ◽  
Totally Extraperitoneal ◽  
Onlay Mesh ◽  
The Mean ◽  
Totally Extraperitoneal Repair ◽  
Hernia Size ◽  
Ventral Hernias

Abstract Aim We have been performing intraperitoneal on lay mesh repair (IPOM plus) as the standard laparoscopic procedure for ventral hernia in our department. We introduced enhanced-view totally extraperitoneal repair (eTEP) for ventral hernia repair in 2018, and have performed 31 cases so far. We compared the outcomes of IPOM Plus and eTEP at our institution. Material and Methods Ventral hernia cases who underwent surgery at our department between 2018 and 2020 were included in the study. The postoperative outcomes and complications of the IPOM Plus and eTEP groups were evaluated retrospectively. Results There were 12 cases of IPOM plus, and all were incisional hernias. There were 31 cases of eTEP, including 7 cases of primary hernias and 24 cases of incisional hernias. Transversus abdominis muscle release (TAR) was added in 24 cases. The mean hernia size was 6.6 x 7.9 cm with IPOM Plus and 8.0 x 10.1 cm with eTEP, and the average meshes size was 15.5 x 22.0 cm and 20.3 x 23.6 cm, respectively. The mean postoperative hospital stay was 7.8 days and 5 days. Postoperative complications included 1 case of mesh bulging and 1 case of recurrence in the IPOM Plus group, 1 case of seroma and 1 case of intestinal obstruction in the eTEP. Conclusions The surgical outcomes for ventral hernias up to 8 cm wide were similar for IPOM Plus and eTEP. The eTEP can insert a larger mesh and may be useful for wider hernias (&gt;8cm).

Laparoscopic preperitoneal mesh repair or tension-free mesh plug technique? A prospective study of 471 patients with 543 inguinal hernias

2002 ◽  
Vol 168 (11) ◽  
pp. 587-591 ◽  
Author(s):  
Emmanouil Pikoulis ◽  
Christos Tsigris ◽  
Theodoros Diamantis ◽  
Spiros Delis ◽  
Panayiotis Tsatsoulis ◽  
...  
Keyword(s):  
Prospective Study ◽  
Mesh Repair ◽  
Mesh Plug ◽  
Tension Free ◽  
Inguinal Hernias ◽  
A Prospective Study

scholarly journals Early Outcome of Intra Peritoneal Onlay Mesh Repair for Ventral Hernia in Dhaka Medical College Hospital, Dhaka, Bangladesh

2021 ◽  
Vol 9 (2) ◽  
pp. 231-240
Author(s):  
  Rokhsana Sarmin ◽  
Md. Azizur Rahman ◽  
M Rashid-E-Mahbub AH ◽  
Syed Sanaul Islam ◽  
Farah Nobi ◽  
...  
Keyword(s):  
Ventral Hernia ◽  
Mesh Repair ◽  
Medical College Hospital ◽  
College Hospital ◽  
Early Outcome ◽  
Medical College ◽  
Onlay Mesh

scholarly journals A RETROSPECTIVE COMPARATIVE STUDY OF PREPERITONEAL VS ONLAY MESH REPAIR IN CASES OF VENTRAL HERNIAAT TERTIARY CARE INSTITUTE

2019 ◽  
pp. 1-3
Author(s):  
Manubhai V. Pipalia
Keyword(s):  
Ventral Hernia ◽  
Mesh Repair ◽  
Operative Time ◽  
Tertiary Care ◽  
Clinical History ◽  
Onlay Mesh ◽  
Retrospective Comparative Study ◽  
Operative Findings ◽  
Complications Rate ◽  
Preoperative Examination

Background: A ventral hernia is an abnormal protrusion of intra abdominal or preperitoneal content through the anterior abdominal wall fascia and muscle defect. Hernioplasty with prosthetic mesh is surgical treatment modality for all types of ventral hernia.There are various anatomic planes where mesh can be put. This study was planned to compare preperitoneal repair and onlay mesh repair in terms regarding their outcome. Methods: This is a retrospective study with total number of 112 cases of ventral hernia with prosthetic meshplasty was done. In all cases clinical history, preoperative examination findings, intraoperative and post operative findings were noted. All data was categorised according to where mesh was put intra-operatively in anatomical plane of preperitoneal or onlay. Statistical analysis of all data was done and outcome was measured. Results: Mean operative time was less in onlay hernioplasty than preperitoneal hernioplasty but over all complications were high in onlay hernioplasty.Preperitoneal hernioplasty method had lowest complications rate. Conclusions: Preperitoneal hernioplasty is better choice than onlay hernioplasty. AIM:To assess the better method from onlay meshplasty and preperitoneal meshplasty in cases of ventral hernia. OBJECTIVE: To compare the both methods on the bases of operative time ,speed of postoperative period recovery, and postoperative complications.

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