Is simultaneous panniculectomy an ideal approach to repair a ventral hernia: a general surgeon’s experience

Background: Laparoscopic Incisional and Ventral Hernia Repair (LIVHR) is a safe and worldwide accepted procedure performed using absorbable tacks. The aim of the study was to evaluate recurrence rate in a long term follow-up and whether the results of laparoscopic IVH repair in the elderly (≥65 years old) are different with respect to results obtained in younger patients. Methods: One hundred and twenty-nine consecutive patients (74 women and 55 men, median age 67 years, range = 30-87 years) with ventral (N = 42, 32.5%) or post incisional (N = 87, 67.5%) hernia were enrolled in the study. Patients were divided into two groups according to their age: group A (N = 55, 42.6%) aged <65 years and group B (N = 74, 57.4%) aged ≥65 years. Results: The mean operative time was not significantly different between groups (66.7 ± 37 vs. 74 ± 48.4 min, p = 0.4). To the end of 2016, seven recurrences had occurred (group A = 3, group B = 4, p = 1). Complications occurred in 8 (16%) patients in group A and 21 (28.3%) patients in group B. Conclusion: In conclusion, our results confirm that the use of absorbable tacks does not increase recurrence frequency and laparoscopic incisional and ventral repair is a safety procedure also in elderly patients.

Download Full-text

Evaluating the results of surgical treatment and quality of life in patients with postoperative ventral hernia and concomitant obesity after different types of hernioplasty

UKRAINIAN JOURNAL OF SURGERY ◽

10.22141/1997-2938.2.33.2017.107649 ◽

2017 ◽

Vol 0 (2.33) ◽

pp. 41-45

Author(s):

I.Ya. Dziubanovskyi ◽

V.I. Piatnochka

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Ventral Hernia ◽

Different Types

Download Full-text

panRGP: a pangenome-based method to predict genomic islands and explore their diversity

Bioinformatics ◽

10.1093/bioinformatics/btaa792 ◽

2020 ◽

Vol 36 (Supplement_2) ◽

pp. i651-i658 ◽

Cited By ~ 1

Author(s):

Adelme Bazin ◽

Guillaume Gautreau ◽

Claudine Médigue ◽

David Vallenet ◽

Alexandra Calteau

Keyword(s):

Escherichia Coli ◽

Gene Transfer ◽

Horizontal Gene Transfer ◽

Species Level ◽

Genomic Islands ◽

Genome Plasticity ◽

Reference Dataset ◽

Prokaryotic Genomes ◽

Ideal Approach ◽

Genomic Regions

Abstract Motivation Horizontal gene transfer (HGT) is a major source of variability in prokaryotic genomes. Regions of genome plasticity (RGPs) are clusters of genes located in highly variable genomic regions. Most of them arise from HGT and correspond to genomic islands (GIs). The study of those regions at the species level has become increasingly difficult with the data deluge of genomes. To date, no methods are available to identify GIs using hundreds of genomes to explore their diversity. Results We present here the panRGP method that predicts RGPs using pangenome graphs made of all available genomes for a given species. It allows the study of thousands of genomes in order to access the diversity of RGPs and to predict spots of insertions. It gave the best predictions when benchmarked along other GI detection tools against a reference dataset. In addition, we illustrated its use on metagenome assembled genomes by redefining the borders of the leuX tRNA hotspot, a well-studied spot of insertion in Escherichia coli. panRPG is a scalable and reliable tool to predict GIs and spots making it an ideal approach for large comparative studies. Availability and implementation The methods presented in the current work are available through the following software: https://github.com/labgem/PPanGGOLiN. Detailed results and scripts to compute the benchmark metrics are available at https://github.com/axbazin/panrgp_supdata.

Download Full-text

Platelet Rich Plasma Enhances Mechanical Strength of Strattice in Rat Model of Ventral Hernia Repair.

Journal of Tissue Engineering and Regenerative Medicine ◽

10.1002/term.3200 ◽

2021 ◽

Author(s):

Joseph S. Fernandez‐Moure ◽

Jeffrey L. Van Eps ◽

Jacob C. Scherba ◽

Iman K. Yazdi ◽

Andrew Robbins ◽

...

Keyword(s):

Hernia Repair ◽

Mechanical Strength ◽

Ventral Hernia ◽

Rat Model ◽

Ventral Hernia Repair ◽

Platelet Rich Plasma

Download Full-text

Long term outcome and elasticity of a polyester mesh used for laparoscopic ventral hernia repair

Hernia ◽

10.1007/s10029-021-02486-6 ◽

2021 ◽

Author(s):

P. J. O’Dwyer ◽

C. Chew ◽

H. Qandeel

Keyword(s):

Hernia Repair ◽

Ventral Hernia ◽

Laparoscopic Repair ◽

Ventral Hernia Repair ◽

Laparoscopic Ventral Hernia Repair ◽

Ct Scans ◽

Unique Problem ◽

Polyester Mesh

Abstract Background Repair of a ventral hernia is increasingly being performed by a laparoscopic approach despite lack of good long term follow up data on outcomes. The aim of this study was to examine the long term performance of a polyester mesh and to assess its elastic properties in patients undergoing laparoscopic ventral hernia repair. Methods All patients being assessed for a ventral hernia repair between August 2011 and November 2013 were placed on a prospective database. Those undergoing laparoscopic repair with a polyester mesh were seen at clinic at one month and one year, while their electronic records were assessed at 34 months (range 24–48 months) and 104 months (range 92–116 months). In addition, CT scans of the abdomen and pelvis performed for any reason on these patients during the follow up period were reviewed by a consultant gastrointestinal radiologist. Mechanical failure testing of the mesh was also performed. Results Thirty-two of the 100 patients assessed for ventral hernia repair had a laparoscopic repair with a polyester mesh. Nineteen (59%) had CT scans performed during the follow-up period. No recurrence was recorded at 34 months, while three (9.4%) had a recurrence at 104 months. Two had central breakdown of the mesh at 81 and 90 months, while 1 presented acutely at 116 months after operation. Mesh had stretched across the defect by an average of 21% (range 5.7–40%) in nine patients. Mechanical testing showed that this mesh lost its elasticity at low forces ranging between 1.8 and 3.2 N/cm. Conclusion This study shows that late recurrence is a problem following laparoscopic ventral hernia repair with polyester mesh. The mesh loses it elasticity at a low force. This combined with degradation of mesh seems the most likely cause of failure. This is unlikely to be a unique problem of polyester mesh and further long-term studies are required to better assess this operative approach to ventral hernia repair.

Download Full-text