Comparative study of biological versus synthetic prostheses in the treatment of ventral hernias classified as grade II/III by the Ventral Hernia Working Group

Background: Ventral hernias are the second most common type of hernias accounting for 21 to 35% of all types of hernias. Collagen is defined as an endogenous substance that forms an important structural component in connective tissue. Collagen granules have an advantage with a reduction in inflammatory cells during healing resulting in decreased days of healing. This study is to compare the outcome of a patient with and without collagen granules usage during ventral hernia open mesh repair.Methods: This prospective comparative study was done in 50 cases of ventral hernias admitted to the department of surgery in VMKV Medical College, Salem between periods of March 2018 to October 2019 were chosen for the study. The test group was treated with collagen granules and the control group was collagen granules not been used during ventral hernia mesh repair.Results: Most common surgical approach used in ventral hernia is open mesh repair. The study shows a group of patients where collagen granules are used after mesh fixation has faster wound healing, reduced seroma, and hematoma collection, and reduced hospital stay, reduced infection compared to the group of patients who undergone non-collagen closure. Conclusions: The study shows a group of patients where collagen granules are used after mesh fixation has faster wound healing, reduced seroma, and hematoma collection, and reduced hospital stay, reduced infection compared to the group of patients who underwent non-collagen closure.

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Prospective repair of Ventral Hernia Working Group type 3 and 4 abdominal wall defects with condensed polytetrafluoroethylene (MotifMESH) mesh

The American Journal of Surgery ◽

10.1016/j.amjsurg.2015.03.033 ◽

2016 ◽

Vol 211 (1) ◽

pp. 1-10 ◽

Cited By ~ 7

Author(s):

Jennifer E. Cheesborough ◽

Jing Liu ◽

Derek Hsu ◽

Gregory A. Dumanian

Keyword(s):

Abdominal Wall ◽

Ventral Hernia ◽

Working Group ◽

Abdominal Wall Defects ◽

Group Type ◽

Type 3

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

International Surgery Journal ◽

10.18203/2349-2902.isj20204135 ◽

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.

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P053 COMPARISON OF CLINICAL OUTCOMES BETWEEN INTRAPERITONEAL ONLAY MESH REPAIR (IPOM PLUS) AND ENHANCED-VIEW TOTALLY EXTRAPERITONEAL REPAIR (ETEP) FOR VENTRAL HERNIAS

British Journal of Surgery ◽

10.1093/bjs/znab395.049 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Hiroshi Hirukawa

Keyword(s):

Ventral Hernia ◽

Mesh Repair ◽

Transversus Abdominis ◽

Incisional Hernias ◽

Totally Extraperitoneal ◽

Onlay Mesh ◽

The Mean ◽

Totally Extraperitoneal Repair ◽

Hernia Size ◽

Ventral Hernias

Abstract Aim We have been performing intraperitoneal on lay mesh repair (IPOM plus) as the standard laparoscopic procedure for ventral hernia in our department. We introduced enhanced-view totally extraperitoneal repair (eTEP) for ventral hernia repair in 2018, and have performed 31 cases so far. We compared the outcomes of IPOM Plus and eTEP at our institution. Material and Methods Ventral hernia cases who underwent surgery at our department between 2018 and 2020 were included in the study. The postoperative outcomes and complications of the IPOM Plus and eTEP groups were evaluated retrospectively. Results There were 12 cases of IPOM plus, and all were incisional hernias. There were 31 cases of eTEP, including 7 cases of primary hernias and 24 cases of incisional hernias. Transversus abdominis muscle release (TAR) was added in 24 cases. The mean hernia size was 6.6 x 7.9 cm with IPOM Plus and 8.0 x 10.1 cm with eTEP, and the average meshes size was 15.5 x 22.0 cm and 20.3 x 23.6 cm, respectively. The mean postoperative hospital stay was 7.8 days and 5 days. Postoperative complications included 1 case of mesh bulging and 1 case of recurrence in the IPOM Plus group, 1 case of seroma and 1 case of intestinal obstruction in the eTEP. Conclusions The surgical outcomes for ventral hernias up to 8 cm wide were similar for IPOM Plus and eTEP. The eTEP can insert a larger mesh and may be useful for wider hernias (>8cm).

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Laparoscopic ventral hernia repair with primary fascial closure versus bridged repair: a risk-adjusted comparative study

Surgical Endoscopy ◽

10.1007/s00464-015-4644-5 ◽

2015 ◽

Vol 30 (8) ◽

pp. 3231-3238 ◽

Cited By ~ 24

Author(s):

John Emil Wennergren ◽

Erik P. Askenasy ◽

Jacob A. Greenberg ◽

Julie Holihan ◽

Jerrod Keith ◽

...

Keyword(s):

Hernia Repair ◽

Comparative Study ◽

Ventral Hernia ◽

Ventral Hernia Repair ◽

Laparoscopic Ventral Hernia Repair ◽

Fascial Closure ◽

Primary Fascial Closure

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The role of computed tomography in optimizing the surgical treatment of ventral hernias

Український радіологічний та онкологічний журнал ◽

10.46879/ukroj.1.2021.70-77 ◽

2021 ◽

Vol 29 (1) ◽

pp. 70-77

Author(s):

K. Yu. Parkhomenko ◽

V. A. Vovk

Keyword(s):

Computed Tomography ◽

Ventral Hernia ◽

Abdominal Cavity ◽

Clinical Manifestations ◽

Spiral Computed Tomography ◽

Spiral Computed ◽

Chronic Appendicitis ◽

Hernia Sac ◽

Ventral Hernias ◽

Preoperative Examination

In spite of a high informative value, spiral computed tomography is currently an additional optional examination and it is not included in domestic and foreign preoperative examination protocols. Purpose – assessing the feasibility of spiral computed tomography in the complex of presurgery examination of patients with ventral hernias. Materials and methods. The paper deals with analyzing the diagnostic findings of 35 patients with ventral hernias treated at Surgery Department of Municipal Non-Commercial Enterprise of Kharkiv Regional Council “Regional Clinical Hospital” during 2018–2019 period. All patients were operated on after compulsory and additional examinations according to the existing guidelines. Spiral computed tomography was an additional examination for all patients. The frequency of symptoms detected by means of computed tomography and confirmed during surgery was analyzed. Results. Most of the signs revealed during tomography and associated with the combined abdominal pathology, were completely confirmed by laparoscopic exploration of the abdominal cavity and pelvis. Spiral computed tomography was of particular value in patients clinically diagnosed with chronic appendicitis. When assessing the ventral hernia, it was possible not only to clearly determine its content and location towards the abdominal line, but also, before surgery, to calculate the width and length of the hernia gate and the volume of the organs in hernia sac. Unlike ultrasonography, computed tomography makes it possible to thoroughly evaluate the dimensions of the hernia gate and the state of the muscular aponeurotic layer of the anterior abdominal wall. Not least important is diagnosing the combined abdominal pathology, including the oncological one, which has no clinical manifestations but still has to be exposed to surgery. Conclusions. In the complex of preoperative examination of patients with ventral hernias, spiral computed tomography provides useful information on the anatomical features of ventral hernia and the combined abdominal pathology that requires surgical intervention. These data aid in planning a favorable type of hernioplasty of ventral hernia and simultaneous surgery. Spiral computed tomography is recommended to be added to the standard protocol of presurgery examination of patients with ventral hernias.

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