Challenges of giant ventral hernia repair in children in an African tertiary care center with limited resources

Hernia ◽  
2008 ◽  
Vol 13 (2) ◽  
pp. 143-147 ◽  
Author(s):  
O. D. Osifo ◽  
A. C. Efobi
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Care Center ◽  
Tertiary Care ◽  
Limited Resources ◽  
Tertiary Care Center ◽  
Giant Ventral Hernia

scholarly journals Intraperitoneal Onlay Mesh in Ventral Hernia Repair – Experience in A Tertiary Care Hospital in Bangladesh

2017 ◽  
Vol 7 (2) ◽  
pp. 106-109
Author(s):  
Md Ezharul Haque Ratan ◽  
Hasina Alam
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Intraperitoneal Onlay Mesh ◽  
Diabetes Status ◽  
Onlay Mesh

Background: Ventral hernias are common problem in surgical practice. Repair of hernia by a prosthetic mesh is a well recognized procedure. But whether the procedure is to be done by open or laparoscopic technique is still a topic of discussion. Laparoscopic intraperitoneal onlay mesh (IPOM) hernioplasty is a newer technique in managing ventral hernia in our country. We are evaluating the usefulness of this procedure as routine operation for ventral hernias.Methods: All patients attending at Bangladesh Institute of Research & Rehabilitation of Diabetes, Endocrine and Metabolic disorders (BIRDEM) outpatient department (OPD) with ventral hernia were approached and counseled for laparoscopic IPOM, but only those who agreed were included in this study. Fifty consecutive patients underwent IPOM by a single surgeon. Preoperative evaluation was done rationally and surgery performed by standard laparoscopic method. Age, sex, diabetes status and additional procedures done were evaluated. Post- operative follow up period was from 3 months to 75 months and any complication or recurrence were noted.Results: We are reporting 50 cases of laparoscopic IPOM, over a time period of 78 months (April 2010- September 2016). Eleven cases were male, 39 female (M: F=1:3.5). 35 (70%) cases were diabetic, 15 (30%) were non-diabetic. Mean age of the patients were 47.7yrs (male 47.7+9.5 yrs, female 47.7- 2.6 yrs, diabetic patients 47.7+ 2.5yrs, non-diabetic patients 47.7-5.9yrs). Indication for IPOM was paraumbilical hernia 29 cases (58%), incisional hernia 14 cases(28%), multiple incisional hernia 2 cases ( 2 large defect in one case, 5 defects of varying size in another patient), umbilical port hernia 2 cases, paraumbilical along with incisional hernia 1 case, epigastric hernia 1 case, lumber hernia 1 case. In 48 cases (96%) polypropylene mesh and only in 2 cases (4%) dual mesh were used. In addition to IPOM procedure, in same sitting laparoscopic cholecystectomy was done in 8 cases, Dilatation & Curettage in 1 case and adhesiolysis in 7 cases. None of the case required conversion to open, neither was there any intra-operative complication. In one case there was recurrence . In another case there was false recurrence due to development of ascites. Four patients developed seroma which were managed conservatively.Conclusion: Laparoscopic intraperitoneal onlay mesh (IPOM) hernioplasty has proved to be an effective surgical procedure for ventral hernia repair. It provides much benefits with low complications and conversion in experienced hands.Birdem Med J 2017; 7(2): 106-109

scholarly journals Prevalence of Obesity in Inguinal Hernia Repair Patients in a Tertiary Care Center

2021 ◽  
Vol 59 (234) ◽  
Author(s):  
Sundar Shrestha ◽  
Pramod Kumar Upadhyay
Keyword(s):  
Body Mass Index ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Body Mass ◽  
Care Center ◽  
Tertiary Care ◽  
Body Mass Index Category ◽  
Tertiary Care Center ◽  
Prevalence Of Obesity

Introduction: Inguinal hernia is a common surgical problem, with a lifetime risk of 27% in men and 3% in women. Its cumulative incidence is 17.2% and 12.3% in body mass index of <25 kg/m2 and 25–30 kg/m2 respectively. Obesity had been regarded as the risk factor for the development of an inguinal hernia. However, recent epidemiologic studies have suggested the decreased prevalence of inguinal hernia in increased weight and body mass index individuals. The aim of this study is to find out the prevalence of obesity in inguinal hernia repair patients in a tertiary care center. Methods: A descriptive cross-sectional observational study was performed in Bir Hospital from May 2018 to December 2019 after taking ethical approval from the institutional review board of NAMS. Convenient sampling was done with a sample size of 219. Statistical analysis was done using SPSS ver. 23 and Microsoft Excel software by descriptive statistics. Results: The mean body mass index was 22.10 ±3.07 kg/m2. Body mass index Category 18.5 – 22.9 kg/m2 had 133 (61%) male and seven (3.2%) female patients, category ≥30 kg/m2 had four (1.8%) male. Most of inguinal hernia repair patients were farmers 158 (72.5%). Common risk factors noted were smoking 142 (65.1%), heavy work 112 (51.4%), chronic cough 65 (29.8%). Most of the complications occurred in the normal body mass index category and the prevalence of complications decreased as the body mass index increased. The recurrence was found in 3 (1.4%) inguinal hernia repairs. Conclusions: The majority of inguinal hernia repair patients were non-obese, and complications were less in obese patients.

scholarly journals Outcomes and Complications of Open, Laparoscopic, and Hybrid Giant Ventral Hernia Repair

2020 ◽  
Author(s):  
Shuo Yang ◽  
Minggang Wang ◽  
Yusheng Nie ◽  
Xuefei Zhao ◽  
Jing Liu
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Hybrid Procedure ◽  
Hernia Recurrence ◽  
Fistula Formation ◽  
Intestinal Fistula ◽  
Hybrid Repair ◽  
Giant Ventral Hernia ◽  
Ventral Hernias

Abstract Background This study aimed to compare outcomes and complications between open, laparoscopic, and hybrid (laparoscopic and open combined) approaches in giant ventral hernia repair. Methods Records of patients with giant ventral hernias who received operations from 2006 to 2013 were retrospectively reviewed. Open, laparoscopic, or a hybrid procedure was performed in every case. The primary outcome was hernia recurrence rate, and secondary outcomes included intraoperative and postoperative complications. Results A total of 82 patients received open repair, 94 laparoscopic repair, and 132 hybrid repair. The median hernia diameter was 13.11 ± 3.4 cm. With a mean follow-up of 41 months, the incidence of hernia recurrence in the hybrid procedure group was 1.3%, which was significantly lower than that in the laparoscopic (20.5%) or open procedure group (8.5%) (P < 0.001). The incidence of intraoperative intestinal injury was 6.1% in open, 4.1% in laparoscopic, and only 1.5% in the hybrid procedure (hybrid vs. open and laparoscopic procedures; P < 0.05). Rates of postoperative intestinal fistula formation in the open, laparoscopic, and hybrid groups were 2.4%, 6.8%, and 3.3%, respectively (P > 0.05). Conclusions Compared with an open and a simple laparoscopic procedure, a hybrid procedure is more effective and safer in the repair of giant ventral hernias.

scholarly journals Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair

2022 ◽  
Vol 10 (1) ◽  
pp. 51-61
Author(s):  
Shuo Yang ◽  
Ming-Gang Wang ◽  
Yu-Sheng Nie ◽  
Xue-Fei Zhao ◽  
Jing Liu
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Giant Ventral Hernia

Concomitant Laparoscopic Ventral Hernia Mesh Repair and Bariatric Surgery: A Retrospective Study from a Tertiary Care Center

2012 ◽  
Vol 22 (5) ◽  
pp. 685-689 ◽  
Author(s):  
P. Praveen Raj ◽  
P. Senthilnathan ◽  
R. Kumaravel ◽  
S. Rajpandian ◽  
P. S. Rajan ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Retrospective Study ◽  
Ventral Hernia ◽  
Mesh Repair ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Hernia Mesh ◽  
Hernia Mesh Repair

scholarly journals Clinical Outcomes of Ventral Hernia Repair with Ventralex Patch- A Retrospective Study from a Tertiary Care Centre

2021 ◽  
Author(s):  
Coelho Victor ◽  
DK Titus ◽  
Beulah Roopavathana ◽  
Abinaya R Nadarajan ◽  
Suchita Chase ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Ventral Hernia ◽  
Laparoscopic Repair ◽  
Average Cost ◽  
Ventral Hernia Repair ◽  
Tertiary Care ◽  
Patch Repair ◽  
Open Technique

Introduction: There are several described techniques for ventral hernia mesh repair in both laparoscopic and open approach. Both approaches have their own pros and cons. Ventralex patch repair is an open technique using dual mesh in the intraperitoneal plane for ventral hernia repair. Aim: To describe an open technique with the use of ventalex patch in the repair of selected ventral hernias and to compare the open technique in terms of cost, operating time, complications and duration of hospital stay with the similar studies using Ventral patch and available literature for open and laparoscopic repair. Materials and Methods: This retrospective study was conducted on 248 patients over a period of seven years who underwent open ventral hernia repair with the Ventralex Patch, at a tertiary care hospital. A retrospective chart review and telephonic interview was conducted postoperatively and at the end of at least 24 months to assess for outcomes, particularly recurrence. Descriptive statistics reported using frequency and percentage for categorical variables. Continuous variables were reported using mean±Standard Deviation (SD). Results: A total of 248 patients underwent hernioplasty with ventralex patch. The mean age was 50.57 years and mean BMI was 28.37 kg/m2. The average duration of operation was 27.5 minutes and hospital stay was 2.275 days. The most common defect size was 2 cm (47.2%). The cost analysis of this technique revealed an average cost of INR 35,142 as opposed to an average cost of INR 88,601 for laparoscopic repair (including disposables) and INR 30,174 for open traditional sub-lay repair. Twenty-one patients developed surgical site infection (8.5%), and 27 patients (10.9%) developed seroma formation. A total of six patients developed superficial skin necrosis. The cumulative hernia recurrence rate at the end of 24 months was 6.5% (16/248). Conclusion: Ventralex patch repair is very efficient and effective in the treatment of selective umbilical, periumbilical, epigastric and incisional hernias with a comparable complication profile in terms of short term complications and recurrence rate compared to available literature.

Enhanced recovery after giant ventral hernia repair

Hernia ◽  
2016 ◽  
Vol 20 (2) ◽  
pp. 249-256 ◽  
Author(s):  
K. K. Jensen ◽  
T. L. Brondum ◽  
H. Harling ◽  
H. Kehlet ◽  
L. N. Jorgensen
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Enhanced Recovery ◽  
Giant Ventral Hernia
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