scholarly journals A Randomised Prospective Study to Evaluate Preperitoneal Mesh Repair Versus Onlay Mesh Repair and Laparoscopic IPOM in Incisional Hernia Surgery

2016 ◽  
Vol 79 (2) ◽  
pp. 96-100 ◽  
Author(s):  
S. Natarajan ◽  
S. Meenaa ◽  
K. A. Thimmaiah
Keyword(s):  
Incisional Hernia ◽  
Prospective Study ◽  
Mesh Repair ◽  
Hernia Surgery ◽  
Onlay Mesh

Meta-analysis of sublay versus onlay mesh repair in incisional hernia surgery

2014 ◽  
Vol 207 (6) ◽  
pp. 980-988 ◽  
Author(s):  
Lucas Timmermans ◽  
Barry de Goede ◽  
Sven M. van Dijk ◽  
Gert-Jan Kleinrensink ◽  
Johannes Jeekel ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Mesh Repair ◽  
Meta Analysis ◽  
Hernia Surgery ◽  
Onlay Mesh

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 Incidence of seroma in sublay versus onlay mesh repair of incisional hernia

2021 ◽  
Vol 61 ◽  
pp. 155-157
Author(s):  
Rashid Ibrahim ◽  
Sabry Abounozha ◽  
Adel Kheder ◽  
Talal Alshahri
Keyword(s):  
Incisional Hernia ◽  
Mesh Repair ◽  
Onlay Mesh

scholarly journals A Study of Intraperitoneal Onlay Mesh Repair Using Barbed Sutures for Abdominal Incisional Hernia

2021 ◽  
Vol 105 (1-3) ◽  
pp. 585-590
Author(s):  
Junpei Takashima ◽  
Keizo Taniguchi ◽  
Toshiaki Yasui ◽  
Masahiro Yamane ◽  
Yutaka Hattori ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Mesh Repair ◽  
Pain Scale ◽  
Barbed Suture ◽  
Intraperitoneal Onlay Mesh ◽  
Barbed Sutures ◽  
Duration Of Surgery ◽  
Onlay Mesh ◽  
The Mean ◽  
Hernial Orifice

Objective We investigated the validity of our intraperitoneal onlay mesh (IPOM) Plus technique with barbed sutures. Background Laparoscopic intraperitoneal onlay mesh repair has become a proven method for treating abdominal incisional hernias in recent years. There have been a few reports on the utility of IPOM Plus, which is IPOM + celiorrhaphy, although this method has not been widely discussed. We adopted the IPOM Plus technique with barbed sutures at our hospital and investigated the validity of this technique. Methods We included 7 patients who underwent IPOM Plus repair from 2015 to 2017 at our hospital. We excluded patients with a hernia hilum &lt;2 cm or ≥10 cm, age &lt; 20 years old, PS3 or more, and uncontrolled comorbidity. The hernial orifice was closed laparoscopically using barbed sutures and subsequently secured by tacking on an onlay mesh. Results The median hernial orifice size of the 7 patients was 45 mm (25 to 55 mm). Hernia onset occurred after laparotomy in all cases. In one case, an abdominal incisional hernia recurred after IPOM used to treat the condition 15 years earlier. The mean duration of surgery was 80.5 minutes (53 to 126 minutes), and the median pain scale score was 3 points (0 to 3 points), indicating little pain. None of the patients reported persistent postoperative pain. The mean duration of the postoperative hospital stay was a median of 3.5 days (2 to 5 days). Both short- and long-term outcomes indicated that no recurrence or complications, such as bulging or seroma, occurred. Conclusions IPOM Plus with intracavitary abdominal suturing using barbed suture for abdominal scar hernia repair may be a valid surgical procedure.

Impact of Surgical Site Infections on Elective Incisional Hernia Surgery: A Prospective Study

2018 ◽  
Vol 19 (3) ◽  
pp. 339-344 ◽  
Author(s):  
Montserrat Juvany ◽  
Carlos Hoyuela ◽  
Miguel Trias ◽  
Fernando Carvajal ◽  
Jordi Ardid ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Prospective Study ◽  
Surgical Site Infections ◽  
Hernia Surgery ◽  
A Prospective Study

Is Onlay Polypropylene Mesh Repair an Available Option for Incisional Hernia Repair? A Retrospective Cohort Study

2019 ◽  
Vol 85 (2) ◽  
pp. 183-187 ◽  
Author(s):  
Oscar Cano-Valderrama ◽  
JosÉ L. Porrero ◽  
Esther Quirós ◽  
Oscar Bonachia ◽  
MarÍA J. Castillo ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Surgical Procedures ◽  
Polypropylene Mesh ◽  
Mesh Repair ◽  
Incisional Hernia Repair ◽  
Hernia Recurrence ◽  
Onlay Mesh

Lately, incisional hernia repair (IHR) with onlay polypropylene mesh has been replaced by other surgical procedures. The aim of this study was to compare the complication and recurrence rate after onlay mesh repair and other surgical procedures for IHR. A retrospective cohort study of patients who underwent IHR in a single center was conducted. The data were obtained from electronic medical records. Patients who had been lost during follow-up were contacted for a visit in the clinic. Univariate and multivariate analysis was performed with Stata 13.0 to analyze the factors associated with postoperative complications and hernia recurrence. Between June 2004 and December 2015, 1078 patients underwent IHR in a single center. Onlay mesh repair was performed in 125 patients (11.6%). Other surgical procedures included Rives procedure (29.3%), sublay mesh repair (38.6%), intrabdominal mesh repair (17.1%), and primary closure (3.4%). After a mean follow-up of 2.8 years, 73 (7%) patients developed a recurrence. A higher percentage of complications were seen after onlay mesh repair than after other surgical procedures (22.4% vs 13.1%, P = 0.005). Nevertheless, recurrence was less frequent after onlay mesh repair (4.2% vs 7.1%, P = 0.241). Logistic regression discarded an association between onlay mesh repair and hernia recurrence or postoperative complications. Incisional hernia repair with onlay polypropylene mesh repair was not associated with a higher incidence of postoperative complications or recurrence rate. So, this procedure should not be discarded in selected patients presenting with incisional hernia.

scholarly journals ONLAY MESH REPAIR OF INCISIONAL HERNIA IS EFFECTIVE WITH LOW RECURRENCE AND COMPLICATIONS

2018 ◽  
Vol 7 (14) ◽  
pp. 1737-1740
Author(s):  
Venkatarao Gopinath H ◽  
Arun Kumar Ragulapadu Vadde ◽  
Suresh Birur Parameswarappa
Keyword(s):  
Incisional Hernia ◽  
Mesh Repair ◽  
Onlay Mesh
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