Insufflation Effects on the Abdominal Wall Dimensions and Incisional–Ventral Hernia Orifice Size

2019 ◽  
Vol 243 ◽  
pp. 274-280
Author(s):  
Jarret M. Brashear ◽  
Karl A. LeBlanc
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Incisional Ventral Hernia ◽  
Hernia Orifice ◽  
Orifice Size

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

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%.

scholarly journals General views on treatment technologies for patients with incisional ventral hernia

2021 ◽  
Vol 8 (3) ◽  
pp. 84-96
Author(s):  
E. E. Lukoyanychev ◽  
S. G. Izmajlov ◽  
V. A. Emelyanov ◽  
O. S. Kolchina ◽  
A. I. Rotkov ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Plastic Material ◽  
Relevant Literature ◽  
Intraabdominal Pressure ◽  
Abdominal Pressure ◽  
Incisional Ventral Hernia ◽  
Number Of Patients ◽  
Sublay Technique

Nowadays, the problem of surgical treatment of incisional ventral hernia (IVH) still remains significant. According to the statistical data, the number of patients with postoperative ventral hernias has increased by more than 9 times over the past 25 years. Experts offer many solutions to this problem every year and the surgeon have to find the best method of postoperative rehabilitation in the flow of information. Academic research databases Google Scholar, CyberLeninka and others were used to search for the relevant literature. The following conclusions were drawn from this review. The etiology of IVH is multifactorial. There is no generally accepted evidence-based gradation of risk factors. There is no unified system for selecting the method of hernia repair of the anterior abdominal wall in patients with IVH. The choice of allotransplant material and the method of hernia repair are often individual. The value of the critical level of intraabdominal pressure have not been specified, however, all authors agree that its monitoring should become routine. The sublay technique remains the "gold standard" of plastic surgery by aponeurotic flap, inlay should be used when sublay is impossible to perform. Onlay should be used as a reserve method. In some situations, combinations of techniques are required. More and more laparoscopy is being introduced in the treatment of IVH as an assistance and in therapy. The introduction of new methods of hernia repair based on the uncontrolled separation of the anatomical structures of the abdominal wall imposes special requirements on surgical technology: plastic material, instrumental and technical support, wound closure and pharmacological support, especially in conditions of increased intra-abdominal pressure and tissue tension. We can use medication of pyrimidine’s row (xymedon) for a better implantation of the mesh implant and to increase the resistance of local tissues.

Seven years of preoperative BTA abdominal wall preparation and the Macquarie system for surgical management of complex ventral hernia

Hernia ◽  
2021 ◽  
Author(s):  
A. Jacombs ◽  
K. Elstner ◽  
O. Rodriguez-Acevedo ◽  
J. W. Read ◽  
K. Ho-Shon ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Surgical Management ◽  
Complex Ventral Hernia

scholarly journals Incisional ventral hernia with loss of domain containing right kidney and pancreas head inside

2020 ◽  
Author(s):  
Alberto García Picazo ◽  
Konstantin Shirai ◽  
Miguel Ángel García Ureña ◽  
Almudena Martínez Pozuelo
Keyword(s):  
Ventral Hernia ◽  
Loss Of Domain ◽  
Pancreas Head ◽  
Incisional Ventral Hernia

scholarly journals A Case of a Ventral Hernia due to Rupture of the Abdominal Wall Muscle in a Patient with SLE on Long-term Steroid Therapy

2015 ◽  
Vol 76 (3) ◽  
pp. 626-630
Author(s):  
Masahiro FUKADA ◽  
Nobuhisa MATSUHASHI ◽  
Takao TAKAHASHI ◽  
Kazuya YAMAGUCHI ◽  
Shinji OSADA ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Steroid Therapy ◽  
Abdominal Wall Muscle

scholarly journals Ventral hernia from routine repairs to abdominal wall reconstruction: our initial experience

2020 ◽  
Vol 7 (10) ◽  
pp. 3348
Author(s):  
Sheetal Ishwarappagol ◽  
Rohit Krishnappa
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Abdominal Wall Reconstruction ◽  
Tobacco Consumption ◽  
Transversus Abdominis ◽  
Abdominal Pressure ◽  
Postural Stabilization ◽  
History Of ◽  
And Function ◽  
Ventral Hernias

Background: Loss of continuity of abdominal wall significantly affects the functions of protection of viscera, postural stabilization, and maintenance of intra-abdominal pressure. The newer understanding of abdominal wall reconstruction (AWR) aims at restoring abdominal wall anatomy and function, instead of simply patching the defect. We want to showcase the changing trends and results in hernia repair at a Medical Institution.Methods: This is an observational retrospective study conducted in RRMCH, Bengaluru from July 2018-2019 including all patients with ventral hernia undergoing the specified hernia repairs.Results: A total of 54 patients with ventral hernias undergoing routine hernia repairs/AWR surgeries were retrospectively analysed. The overall mean age was 46.62±12.44 year. Majority subjects were females (n=37; 68.5%), and overweight (Mean BMI=28.07±3.01/m2). 14 patients (25.92%), all males, had history of tobacco consumption. There were 38 (70.37%) primary ventral hernias and 7 recurrent hernias. Overall mean defect size was 10.2±0.4 cm. Most frequently performed was open retro rectus Hernioplasty (n=18; 33.33%), followed by open Preperitoneal Hernioplasty (n=17; 31.48%), laparoscopic intraperitoneal onlay mesh (IPOM) (n=16; 29.62%) and open transversus abdominis release (TAR) (n=3; 5.5%). On statistical analysis, it was found that Open repairs had higher post-operative pain (p=0.0005), longer hospitalization (p=0.0002) and higher incidence of surgical site events (p=0.0134) when compared to Laparoscopic repairs.Conclusion: As known already, minimally invasive techniques of hernia surgeries are shown to have acceptable outcomes when compared to radical open surgeries. Newer techniques of AWR are being employed to routine cases in larger numbers, and not just for complex reconstruction, at most centres with acceptable outcomes. 

scholarly journals Mesh-preservation approach to treatment of mesh infection after large incisional ventral hernia repair—how I do it

2019 ◽  
Vol 7 (22) ◽  
pp. 698-698 ◽  
Author(s):  
Xuefei Yang ◽  
Maimaiti Aihemaiti ◽  
Hao Zhang ◽  
Li Jiang ◽  
Guixi Zhang ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Mesh Infection ◽  
Incisional Ventral Hernia

scholarly journals Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomized multicenter study of 1-month follow-up results

Hernia ◽  
2018 ◽  
Vol 22 (6) ◽  
pp. 1015-1022 ◽  
Author(s):  
M. Ahonen-Siirtola ◽  
T. Nevala ◽  
J. Vironen ◽  
J. Kössi ◽  
T. Pinta ◽  
...  
Keyword(s):  
Ventral Hernia ◽  
Multicenter Study ◽  
Hybrid Approach ◽  
Incisional Ventral Hernia

Abdominal wall

2021 ◽  
pp. 431-448
Keyword(s):  
Inguinal Hernia ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Femoral Hernia ◽  
Rectus Sheath ◽  
Groin Swelling

This chapter outlines the management of the patient with a inguinal hernia, femoral hernia, ventral hernia, incisional hernia, other less common abdominal wall hernias, rectus sheath haematoma or groin disruption. It details how to approach a patient with a groin swelling.

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