scholarly journals P149 THE IMPACT OF COVID-19 ON TACKOMESH RANDOMISED CONTROLLED TRIAL COMPARING SPIRAL-TACK MESH-FIXATION DEVICES IN LAPAROSCOPIC INCISIONAL HERNIA REPAIR USING THE MANCHESTER TECHNIQUE

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
James Pilkington ◽  
Catherine Fullwood ◽  
Aali Sheen
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Controlled Trial ◽  
Mesh Fixation ◽  
Operating Time ◽  
Incisional Hernia Repair ◽  
Fascial Closure ◽  
Fixation Time ◽  
Laparoscopic Incisional Hernia Repair ◽  
The Impact

Abstract Aim Provide a report on all patients who underwent laparoscopic incisional hernia repair as part of the TACKoMesh RCT prior to unblinding of treatment arms. Material and Methods Trial recruitment was for primary incisional hernia with a defect diameter of 3–10cm. 63 patients (target 74-136) were operated on prior to the outbreak of COVID-19. Post-operative pain is the primary trial outcome. Surgery was performed with either spiral-tack mesh-fixation device (Protack (permanent) or Reliatack (absorbable)), Symbotex IPOM mesh, and fascial closure with no 1 Maxon suture(s) using extracorporeal knot ties – the Manchester Technique. Data was collected on trial forms and lifestyle questionnaires (SF-36 and CCS). All data were explored and described in RStudio v1.4.1106. Results Patients were aged 36-80 and 36(57.1%) patients were male. Mean preoperative BMI was 30.91(sd5.11,range21.15–43.93). Mean operating time was 80.81(37.34,20-240)minutes. In 13(20.6%) patients multiple hernia defects were identified. A good degree of fascial closure was achieved in all patients using a median of 3(IQR 2.0-3.5)knots. Median mesh-fixation time was 286(159.5-428.0)seconds and a mean 25.24(5.49,14-41)tacks/patient were used. Median length of hospital stay was 3.5(2.0–6.0)days. Patients were asked “Please indicate on this scale [VAS 0–10] the pain that you currently experience from your incisional hernia during activity?”. Median responses for Day0/pre-op, Day1, Day6, Day30 and Day365 were 4.5, 8.0, 6.0, 3.0 and 1.5 respectively. At one year, 7(11%) patients had experienced hernia recurrence and 33(52%) post-operative seroma. Conclusions Target recruitment was not possible owing to COVID-19. The Manchester Technique has comparable recurrence rates. Reported pain increases post-operatively but is reduced at post-operative day30 and day365.

scholarly journals Initial Experience Of Laparoscopic Incisional Hernia Repair

1970 ◽  
Vol 5 (2) ◽  
pp. 41-45
Author(s):  
SK Biswas ◽  
MM Arefin ◽  
JC Saha ◽  
T Ahmed ◽  
MM Rahman
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Laparoscopic Repair ◽  
Operating Time ◽  
Incisional Hernia Repair ◽  
Safe Alternative ◽  
Laparoscopic Incisional Hernia Repair ◽  
Open Mesh Repair ◽  
The Mean ◽  
A Prospective Study

The laparoscopic incisional hernia repair is a safe alternative to open mesh repair. The procedure has the advantages of minimal access surgery and lower recurrence rate. A prospective study of laparoscopic incisional hernia repair of our first 11 patients was performed from July 2008 to December 2009. No serious intraoperative or postoperative morbidity was encountered, only two patients developed seroma. The mean operating time was 90 minutes (60 to 180 minutes). The mean day of discharge after surgery was 3 days (2-7 days). No patient developed a recurrence during mean follow up period of 10 months. Laparoscopic repair of incisional hernia has been shown to be feasible, safe and effective. However, careful patient selection and acquiring the necessary advanced laparoscopic surgical skills coupled with the proper use of equipment are mandatory before embarking on this procedure.Key Words: Incisional hernia; Laparoscopic repair; Mesh; Polypropylene DOI: 10.3329/fmcj.v5i2.6819Faridpur Med. Coll. J. 2010;5(2):41-45

Lightweight polypropylene mesh fixation in laparoscopic incisional hernia repair

2013 ◽  
Vol 22 (5) ◽  
pp. 283-287 ◽  
Author(s):  
Giuseppe Cavallaro ◽  
Fabio Cesare Campanile ◽  
Mario Rizzello ◽  
Francesco Greco ◽  
Olga Iorio ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Polypropylene Mesh ◽  
Mesh Fixation ◽  
Incisional Hernia Repair ◽  
Laparoscopic Incisional Hernia Repair ◽  
Lightweight Polypropylene Mesh

Tensile strength of mesh fixation methods in laparoscopic incisional hernia repair

2002 ◽  
Vol 16 (12) ◽  
pp. 1713-1716 ◽  
Author(s):  
M. Riet ◽  
P.J. Steenwijk ◽  
G.J. Kleinrensink ◽  
E.W. Steyerberg ◽  
H.J. Bonjer
Keyword(s):  
Tensile Strength ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Mesh Fixation ◽  
Incisional Hernia Repair ◽  
Laparoscopic Incisional Hernia Repair ◽  
Fixation Methods

scholarly journals Does mesh shrinkage in any way depend upon the method of mesh fixation in laparoscopic incisional hernia repair?

2010 ◽  
Vol 25 (5) ◽  
pp. 1690-1690 ◽  
Author(s):  
Rehan N. Khan ◽  
Vikas Jindal ◽  
Virinder Kumar Bansal ◽  
Mahesh C. Misra ◽  
Subodh Kumar
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Mesh Fixation ◽  
Incisional Hernia Repair ◽  
Laparoscopic Incisional Hernia Repair ◽  
Mesh Shrinkage

Tensile strength and adhesion formation of mesh fixation systems used in laparoscopic incisional hernia repair

2009 ◽  
Vol 24 (6) ◽  
pp. 1318-1324 ◽  
Author(s):  
Christian Hollinsky ◽  
Thomas Kolbe ◽  
Ingrid Walter ◽  
Anja Joachim ◽  
Simone Sandberg ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Mesh Fixation ◽  
Adhesion Formation ◽  
Incisional Hernia Repair ◽  
Laparoscopic Incisional Hernia Repair

scholarly journals A comparative study of open versus laparoscopic incisional hernia repair

2017 ◽  
Vol 4 (3) ◽  
pp. 916
Author(s):  
Jagan Mohan Reddy Bathalapalli ◽  
Surya Ramachandra Varma Gunturi ◽  
Ram Mohan Rao V. ◽  
Mythili P.
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Laparoscopic Repair ◽  
Laparoscopic Hernia Repair ◽  
Operating Time ◽  
Incisional Hernia Repair ◽  
Open Group ◽  
Open Approach ◽  
Laparoscopic Incisional Hernia Repair ◽  
Operative Recovery

Background: Incisional hernia occurs in 5-11% of patients subjected to abdominal operations. Laparoscopic hernia repair has revolutionized the treatment of incisional hernia by reducing the morbidity and improved post-operative outcomes. The objectives of this study were to compare open incisional hernia repair with laparoscopic incisional hernia repair in our patient population with respect to Operating time, post-operative complications, post-operative recovery, duration of analgesic administration, and cosmetic results.Methods: This is a prospective study of Forty patients who were admitted at Osmania General Hospital, Hyderabad, Telangana, India with a clinical diagnosis of incisional hernia, 20 patients in each group (open and laparoscopic).Results: Both the study groups were comparable in terms of patient characteristics. The duration of laparoscopic repair was significantly more when compared to open repair (mean time 133.75 mins versus 85.8 min respectively). Analgesic requirement, wound infection rate and complication rate were higher in open group. The laparoscopic patients tolerated oral feeds earlier compared to open patients. The duration of hospital stay was significantly longer for open group than for laparoscopic group (mean 9.6 days versus 6.4 days respectively). The cosmetic end result was better in laparoscopic patients.Conclusions: Though ours is a small study, with the benefits of laparoscopy it will be prudent to recommend laparoscopic repair as the first line of management for incisional hernia where the facilities and trained expertise were available. However, there is still a role for traditional open approach in patients who have a specific contraindication to laparoscopic repair or any additional procedures that are not amenable for laparoscopy.

scholarly journals Onlay repair using self-gripping mesh for lateral trocar site hernia after laparoscopic incisional hernia repair: A case report with short and mid-term outcomes

2020 ◽  
Author(s):  
Shingo Tsujinaka ◽  
Rintaro Fukuda ◽  
Ryo Maemoto ◽  
Erika Machida ◽  
Nao Kakizawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Fascial Closure ◽  
Long Term Outcome ◽  
Laparoscopic Incisional Hernia Repair ◽  
Prediction And Prevention ◽  
Onlay Technique ◽  
Onlay Repair

IntroductionTrocar site hernia (TSH) is an uncommon complication after laparoscopic surgery, but may potentially require surgical intervention. The available data have shown the importance of prediction and prevention, and the optimal surgical approach for TSH remains unclear and its long-term outcome is scarcely available. Here, we present a case of a lateral TSH after laparoscopic incisional hernia repair, which was successfully repaired using the onlay technique with a self-gripping mesh.Case PresentationA 74-year-old woman presented with an abdominal incisional hernia at the midline after an open cholecystectomy. She underwent laparoscopic surgery for incisional hernia with intraperitoneal onlay mesh repair. Fascial closure was performed for trocar sites. After 12 months, she noticed a painful bulge in the left upper quadrant suggestive of TSH. At the time of diagnosis, her body mass index was 32 kg/m2. TSH repair was performed under general anesthesia. A 3 × 3 cm defect was identified, and the hernial content was found to be the omentum. Defect closure was performed using interrupted sutures followed by placement of a self-gripping mesh (11 × 11 cm in size, obtaining a 4 cm overlap for the defect). The operative time was 80 min. The postoperative course was uneventful except for a spontaneously resolved seroma. CT scan at the 1-year follow-up and physical examination at the 2-year visit showed no recurrence.ConclusionOur proposed onlay repair using self-gripping mesh may be considered as the treatment of choice for cases of lateral TSH after laparoscopic incisional hernia repair.

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