Evaluation of Seprafilm and Amniotic Membrane as Adhesion Prophylaxis in Mesh Repair of Abdominal Wall Hernia in Rats

Background Mesh is recommended for the repair of most hernias when prevention of recurrence is the primary endpoint. However, mesh may be associated with increased complications for the patient. The aim of this study was to quantify the use of mesh for abdominal wall hernia surgery in NHS England in recent years. Materials and methods The NHS Digital Secondary Uses Service database for 2016/17 and 2017/18 was interrogated for numbers of patient undergoing elective primary hernia surgery. Using the specific hernia code inguinal (T201-9), umbilical (T241-9), incisional (T251-9) and other abdominal wall hernia (T271-9), the use of mesh or suture repair was determined. Recurrent and emergency hernia surgery were excluded. All data were provided by NHS RightCare. Results There are almost 100,000 hernia repairs performed annually in NHS England. For every four hernias, three are repaired with mesh. The percentage repaired by mesh varies by hernia type. Mesh repairs in inguinal, umbilical and incisional hernias accounted for 95%, 50% and 82%, respectively. Conclusions Mesh repair for all hernia types is more common than suture repair. However, for umbilical and other abdominal wall hernias, a significant proportion are repaired without the use of mesh.

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Laparoscopic repairs for anterior abdominal wall hernias

International Surgery Journal ◽

10.18203/2349-2902.isj20190381 ◽

2019 ◽

Vol 6 (2) ◽

pp. 349

Author(s):

Naveen P. G. ◽

Afroz Khan

Keyword(s):

Abdominal Wall ◽

Mesh Repair ◽

Anterior Abdominal Wall ◽

Length Of Hospital Stay ◽

Abdominal Wall Hernia ◽

Early Recovery ◽

Short Operative Time ◽

Inguinal Hernias ◽

Early Return ◽

Tertiary Center

Background: Abdominal wall hernias are familiar surgical problem. Millions of patients are affected each year presenting with most commonly with ventral, incisional, and inguinal hernias. Hernia may be either symptomatic or asymptomatic and may cause pain or are aesthetically distressing. These problems coupled with the risk of obstruction and incarceration are the most common reasons, patients seeking surgical repair of hernias. Laparoscopic repair of hernia demands for significant expertise. Placement of mesh in a sublay position has found to be effective and to have a low recurrence in anterior abdominal wall hernia repairs.Methods: Prospective study involving 50 patients with anterior abdominal wall hernias undergoing laparoscopic mesh repair in a tertiary center. To determine the usefulness of laparoscopic repairs in the surgical treatment of Anterior Abdominal Wall Hernias (AAWH).Results: Laparoscopic Ventral Hernia Repair (LVHR) using Intraperitoneal Onlay Mesh Repair (IPOM) technique, and Transabdominal Preperitoneal Repair (TAPP) for inguinal hernias in author’s experience was safe, good cosmetic and resulted in short operative time, fewer complications, short hospital stays and no recurrence at 2years follow up. Thus, patients have less morbidity, good quality of life.Conclusions: Laparoscopic AAWH repair should be considered as the procedure of choice for anterior abdominal wall hernias. Effective, safe and feasible and reproducible technique with avoidance of large incisions and extensive dissections, lower incidence of wound infections, reduced analgesic requirements, early recovery, short length of hospital stay and early return to normal activities.

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Mesh repair of a large traumatic lateral abdominal wall hernia in an 8-day-old foal

Equine Veterinary Education ◽

10.1111/eve.12502 ◽

2015 ◽

Vol 29 (8) ◽

pp. 422-425 ◽

Cited By ~ 2

Author(s):

E. V. Gillam ◽

A. Mathieu ◽

M. Lacourt

Keyword(s):

Abdominal Wall ◽

Mesh Repair ◽

Abdominal Wall Hernia ◽

Lateral Abdominal Wall

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Over a thousand ambulatory hernia repairs in a primary care setting

Annals of The Royal College of Surgeons of England ◽

10.1308/003588410x12518836439281 ◽

2010 ◽

Vol 92 (2) ◽

pp. 127-130 ◽

Cited By ~ 18

Author(s):

R Dhumale ◽

J Tisdale ◽

N Barwell

Keyword(s):

Primary Care ◽

Abdominal Wall ◽

Mesh Repair ◽

Care Setting ◽

Primary Care Setting ◽

Abdominal Wall Hernia ◽

Prospective Analysis ◽

Complication Rates ◽

Abdominal Wall Hernia Repair ◽

Ventral Hernias

INTRODUCTION This paper outlines the development and feasibility of a dedicated ambulatory primary care hernia service and examines the outcomes achieved during the period 1 March 2005 to 31 December 2008. PATIENTS AND METHODS A prospective analysis of 1164 patients who underwent abdominal wall hernia repair at Probus Surgical Centre during the study period. The operations were carried out by two GPs with a special interest (GPwSI) and one retired surgeon. The techniques used were a Lichtenstein mesh repair or modified Shouldice repair for inguinal hernias and a primary sutured repair for ventral hernias. All procedures were performed as day-cases under local anaesthesia without sedation. All patients were reviewed routinely at 6 weeks. The primary outcomes of the study were recurrence and patient satisfaction levels, and complications such as infection, haematoma and chronic pain. RESULTS No patient required conversion to general anaesthesia. There were three (0.3%) recurrences. Complication rates were low and similar to those obtained in other specialist hernia units. More than 90% of patients were satisfied with the service and would recommend it to a friend. CONCLUSIONS Routine elective abdominal wall hernia repairs can be performed in a primary care setting, safely and with excellent outcomes.

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POLYPROPYLENE MESH REPAIR IN ABDOMINAL WALL HERNIAS;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.10.774 ◽

2017 ◽

Vol 24 (10) ◽

pp. 1566-1571

Author(s):

Malik Azhar Hussain ◽

Naveed Ashraf Malik

Keyword(s):

Abdominal Wall ◽

Recurrence Rate ◽

Polypropylene Mesh ◽

Mesh Repair ◽

Open Repair ◽

Demographic Data ◽

Abdominal Wall Hernia ◽

Quasi Experimental ◽

Operative Notes ◽

Study Setting

Objectives: To determine the beneficial out comes, recurrence rate andcomplications of the repair of abdominal wall hernia reinforced with polyprolene mesh. StudyDesign: This was a retrospective interventional quasi experimental study. Setting: Surgicaldepartments of Central Hospital and Prince Abdul Aziz Bin Musaad Hospital, Arar, SaudiArabia. Duration of Study: November 2012 to October 2016. Material and Methods: Adultpatients of both genders, who underwent repair for various abdominal wall hernias duringabove mentioned period, were included in the study. Their demographic data, relevant historyand physical examination, post-operative notes, prognosis and any complications, includingrecurrence, infection, adhesions, pain and mesh degradation were recorded in a pre-structuredquestionnaire. The data was then analyzed with standard statistical methods. Results: From atotal of 156 patients, 94 (60.3%) were males and 62 (39.7%) female between the age of 20 to75 years. There were relatively fewer complications, including seroma (12.8%), post-operativepain (9.6%), infection (3.8%), adhesions (0.6%) and no recurrence rate. The uneventful recoverywas observed in 73% of cases. Conclusions: Pure polypropylene mesh is economical than thenewer composite meshes for the open repair of abdominal wall hernia, is easily available andcaused relatively fewer complications with no recurrence rate.

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