Small bowel lesion due to spiral tacks after laparoscopic intraperitoneal onlay mesh repair for incisional hernia

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 <2 cm or ≥10 cm, age < 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.

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

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2020.12.029 ◽

2021 ◽

Vol 61 ◽

pp. 155-157

Author(s):

Rashid Ibrahim ◽

Sabry Abounozha ◽

Adel Kheder ◽

Talal Alshahri

Keyword(s):

Incisional Hernia ◽

Mesh Repair ◽

Onlay Mesh

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From intraperitoneal onlay mesh repair to preperitoneal onlay mesh repair

Asian Journal of Endoscopic Surgery ◽

10.1111/ases.12388 ◽

2017 ◽

Vol 10 (2) ◽

pp. 119-127 ◽

Cited By ~ 20

Author(s):

George Pei Cheung Yang

Keyword(s):

Mesh Repair ◽

Intraperitoneal Onlay Mesh ◽

Onlay Mesh

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

BIRDEM Medical Journal ◽

10.3329/birdem.v7i2.32446 ◽

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

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Evaluation of a Biocomposite Mesh Modified with Decellularized Human Amniotic Membrane for Intraperitoneal Onlay Mesh Repair

ACS Omega ◽

10.1021/acsomega.9b03866 ◽

2020 ◽

Vol 5 (7) ◽

pp. 3550-3562 ◽

Cited By ~ 1

Author(s):

Zhengni Liu ◽

Xiaoqiang Zhu ◽

Tonghe Zhu ◽

Rui Tang

Keyword(s):

Amniotic Membrane ◽

Mesh Repair ◽

Human Amniotic Membrane ◽

Intraperitoneal Onlay Mesh ◽

Onlay Mesh

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Surgical Procedures and Results of Modified Intraperitoneal Onlay Mesh Repair for Inguinal Hernia After Radical Prostatectomy

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2020.0141 ◽

2020 ◽

Vol 30 (11) ◽

pp. 1189-1193

Author(s):

Masakazu Ohuchi ◽

Noriyuki Inaki ◽

Kunihiko Nagakari ◽

Shintaro Kohama ◽

Kazuhiro Sakamoto ◽

...

Keyword(s):

Inguinal Hernia ◽

Radical Prostatectomy ◽

Surgical Procedures ◽

Mesh Repair ◽

Intraperitoneal Onlay Mesh ◽

Onlay Mesh

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

The American Surgeon ◽

10.1177/000313481908500226 ◽

2019 ◽

Vol 85 (2) ◽

pp. 183-187 ◽

Cited By ~ 2

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.

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