Long-term results following repair of neonatal abdominal wall defects with gore-tex

Background The abdominal wall expanding system (AWEX) was first applied in 2012 and published in 2017. This novel technique was developed to reconstruct complex incisional hernias and residual skin-grafted laparostoma after treatment of an open abdomen, when primary midline closure was impossible. The main aim was the anatomical reconstruction of the abdominal wall and the avoidance of dissecting techniques (component separation). Methods Between 2012 and 2019, 33 patients underwent AWEX hernia repair in three certified hernia centers. The retracted abdominal wall was stretched with the AWEX system intraoperatively for approximately 30 min. Hernia size was measured preoperatively, on CT, and intraoperatively. The gain in length on the lateral abdominal wall (decrease in width of the defect) after stretching and any residual midline gap were determined in the OR. Results 33 patients underwent AWEX procedures. Six cases were evaluated separately because of additional procedures (TAR, four cases) and preoperative application of botulinum toxin (two cases). The median (95% confidence interval) measured width of hernia defects was 13 (12–16) cm, the median gain in length on the lateral abdominal wall was 12 (10–15) cm. After median follow-up of 29 (12–54) months, one recurrence from the broken mesh was observed. No method-related complications occurred. Conclusion Based on the 2017 and current results, the AWEX system represents an alternative or supplemental procedure to current techniques for complex abdominal wall reconstruction. The system proved again to be time-saving, safe, effective, and easy to learn. Further studies with enhanced technology are in progress.

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Efficacy evaluation of case-specific approach for surgical treatment of incisional ventral hernia

Polish Journal of Surgery ◽

10.5604/01.3001.0014.9756 ◽

2021 ◽

Vol 93 (5) ◽

pp. 1-5

Author(s):

Svetlana Sokolova ◽

Andrey Sherbatykh ◽

Konstantin Tolkachev ◽

Vladimir Beloborodov ◽

Vadim Dulskiy ◽

...

Keyword(s):

Surgical Treatment ◽

Abdominal Wall ◽

Ventral Hernia ◽

Anterior Abdominal Wall ◽

Abdominal Wall Defect ◽

Long Term Results ◽

Treatment Results ◽

Specific Approach ◽

Incisional Ventral Hernia

The Aim of research is to improve the results of surgical treatment of incisional ventral hernia by applying a case-specific approach and a new method of plastic repair of anterior abdominal wall. The prospective controlled dynamic study is based on incisional ventral hernia treatment results with the use of meshed endoprostheses among 219 patients. On-lay alloplasty was used in patients younger than 60 years of age, without severe concomitant pathology, with small and medium hernias and anterior abdominal wall defect of up to 10 cm (W1 - W2). The article shows a selection algorithm for anterior abdominal wall plastic repair method. It goes through advantages of the author’s proprietary technique. The article displays frequency and patterns of complications, life quality of the patients after various prosthetic plastic repairs. In the main group, positive treatment results were observed in 65.0%, long-term results of the operation were observed in 88.4%, complications occurred in 13.6%, relapse in 4.5%. «On lay» treatment tactics showed positive results in 59.4%, long-term results of the operation were observed in 74.7%, complications occurred in 40%, relapse in 3.1%. After «sub lay» intervention, excellent results were observed in 40.0% of patients, long-term results of the operation were observed in 81.9%, complications occurred in 12%, and relapse in 1.4%.

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Long term comparative evaluation of two types of absorbable meshes in partial abdominal wall defects: an experimental study in rabbits

Hernia ◽

10.1007/s10029-020-02201-x ◽

2020 ◽

Vol 24 (6) ◽

pp. 1159-1173

Author(s):

G. Pascual ◽

M. Rodríguez ◽

B. Pérez-Köhler ◽

S. Benito-Martínez ◽

B. Calvo ◽

...

Keyword(s):

Experimental Study ◽

Abdominal Wall ◽

Comparative Evaluation ◽

Abdominal Wall Defects

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Double Prosthetic Repair for Complex Incisional Hernia Repair: Long-term Results and Evolution of the Technique

The American Surgeon ◽

10.1177/000313481508101126 ◽

2015 ◽

Vol 81 (11) ◽

pp. 1138-1143 ◽

Cited By ~ 1

Author(s):

Alfredo Moreno-Egea

Keyword(s):

Hospital Stay ◽

Average Length ◽

Incisional Hernia Repair ◽

Postoperative Recovery ◽

Long Term Results ◽

Abdominal Wall Defects ◽

Type I ◽

Prosthetic Repair ◽

Group 2

No single approach has emerged as the best way to close complex incisional hernias. The aim of this report is to present the long-term results with a double prosthetic repair. In this prospective observational study over 12 years (Group 1, 8 years; Group 2, 4 years), the following data were collected: age, gender, previous surgery, comorbidities, situation and size of defect, hospital stay, postoperative complications, and recurrence. There were 53 lateral cases and 31 midline cases. About 88.6 per cent of the lateral defects were repaired without needing to approach the intraabdominal cavity (Type I), whereas in the patients with large medial defects this was only achieved in 6.5 per cent of the cases (93.5% required a Type II). The average length of the defects was 18 cm. Global morbidity was 18 per cent early, and 7 per cent late. The statistical analysis over time shows significant differences in the operative time, hospital stay, and consumption of analgesics ( P < 0.001). The recurrence rate has not varied despite the modifications to the technique (use of lighter meshes and fixation with tacks and glue). Complex abdominal wall defects can be corrected using the double prosthetic repair technique with low morbidity rates and with practically no long-term recurrence. The combination of two meshes reduces their density and the use of combined fixation (tacks + glue) improves postoperative recovery.

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Components Separation: A Solution to Complex Abdominal Wall Defects

The American Surgeon ◽

10.1177/000313480807401006 ◽

2008 ◽

Vol 74 (10) ◽

pp. 912-916

Author(s):

Hooman Shabatian ◽

Dong-Joon Lee ◽

Maher A. Abbas

Keyword(s):

Abdominal Wall ◽

Hospital Readmission ◽

Recurrent Hernia ◽

Abdominal Wall Defects ◽

Viable Option ◽

Components Separation ◽

Mean Size ◽

Abdominal Operations

Complex abdominal wall hernias can be challenging to treat. The purpose of this study was to retrospectively review the results of components separation. Seventeen patients underwent components separation between 2000 and 2007. Mean size of the hernia defect was 318 cm2. Mean number of prior abdominal operations/patient was 3.2. Nine patients (53%) had prior failed repair. At time of components separation, five patients (29%) had concurrent gastrointestinal operations and two (12%) had panniculectomy. Mean hospitalization stay was 3.8 days with a readmission rate of 41 per cent. The most common postoperative complications were wound related and occurred in 35 per cent of patients. During a mean follow-up of 21 months, only one patient had recurrent hernia (6%). Five patients (29%) required additional operations. Components separation is a viable option for patients with complex abdominal wall defects. Long-term recurrence is rare but wound related complications, operative reinterventions, and hospital readmission are common.

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Peer review report 1 on “Long term results of open complex abdominal wall hernia repair with self-gripping mesh: A retrospective cohort study”

International Journal of Surgery ◽

10.1016/j.ijsu.2017.07.058 ◽

2017 ◽

Vol 37 ◽

pp. 430

Keyword(s):

Cohort Study ◽

Hernia Repair ◽

Peer Review ◽

Abdominal Wall ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Abdominal Wall Hernia ◽

Long Term Results ◽

Abdominal Wall Hernia Repair

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Comparison of the Conventional and the Ultrasound Methods of Liposuction

The American Journal of Cosmetic Surgery ◽

10.1177/074880689501200301 ◽

1995 ◽

Vol 12 (3) ◽

pp. 219-220 ◽

Cited By ~ 7

Author(s):

Ziya Saylan

Keyword(s):

Abdominal Wall ◽

Conventional Method ◽

Recovery Time ◽

The Other ◽

Long Term Results ◽

Ultrasound Method ◽

Short Recovery Time ◽

Conventional Methods ◽

Very High

This article compares the results of the ultrasound and the conventional methods of liposuction and tries to determine the advantages of the ultrasound method. In comparison to the conventional method, ultrasound liposuction shows much better results in saddlebags, the abdominal wall, and the buttocks. The treatment of cellulite with ultrasound liposuction has proved to be more successful and the lift effect of the skin remains 4–6 months longer than with conventional liposuction. On the other hand, the long-term results do not show any significant differences between the two methods; we have observed equal results from both techniques after six months. Ultrasound liposuction at the knees, inner thighs, arms, and ankles has proven not to be very successful. The advantages of the ultrasound method are less pain, less bruising, less blood in the aspirate, and a short recovery time. The disadvantages are the very high expenses and the impossibility of using the aspirated fat again.

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