scholarly journals Intraperitoneal onlay mesh repair (IPOM) plus technique using a hybrid procedure of open laparotomy and laparoscopic approach (hybrid IPOM plus) for incarceration of umbilical hernia in a severely obese patient: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Shingo Yanari ◽  
Takayuki Suto ◽  
Hisataka Fujiwara ◽  
Yu Ariyoshi ◽  
Akira Umemura ◽  
...  
Keyword(s):  
Case Report ◽  
Obese Patient ◽  
Mesh Repair ◽  
Umbilical Hernia ◽  
Laparoscopic Approach ◽  
Hybrid Procedure ◽  
Intraperitoneal Onlay Mesh ◽  
Severely Obese ◽  
Open Laparotomy ◽  
Onlay Mesh

scholarly journals Retro rectus mesh repair for umbilical hernia in adults: a study of 50 cases

2019 ◽  
Vol 7 (1) ◽  
pp. 49
Author(s):  
Ketan Vagholkar
Keyword(s):  
Gold Standard ◽  
Surgical Outcome ◽  
Mesh Repair ◽  
Umbilical Hernia ◽  
Open Repair ◽  
Laparoscopic Approach ◽  
Open Technique ◽  
Surgical Practice ◽  
Local Complications ◽  
Onlay Mesh

Background: Umbilical hernia is one of the most commonly encountered hernia in surgical practice. A variety of repairs have been tried our ranging from open to laparoscopic. However controversy still persists as to which type of repair is the gold standard for umbilical hernia. Open technique comprises of the onlay mesh repair which is known to develop a variety of complications. Even laparoscopic approach also has failure rates as well as local complications. The aim of the study was to evaluate the surgical outcome of open retro rectus mesh repair for adult umbilical hernias.Methods: 50 consecutive cases of umbilical hernia were repaired by open technique with retro rectus placement of mesh.Results: There were no local complications or any recurrence in any of the fifty patients.Conclusions: Retro rectus placement of mesh in open repair of umbilical hernia in adults is a safe and effective modality of treatment. 

scholarly journals A Study of Intraperitoneal Onlay Mesh Repair Using Barbed Sutures for Abdominal Incisional Hernia

2021 ◽  
Vol 105 (1-3) ◽  
pp. 585-590
Author(s):  
Junpei Takashima ◽  
Keizo Taniguchi ◽  
Toshiaki Yasui ◽  
Masahiro Yamane ◽  
Yutaka Hattori ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Mesh Repair ◽  
Pain Scale ◽  
Barbed Suture ◽  
Intraperitoneal Onlay Mesh ◽  
Barbed Sutures ◽  
Duration Of Surgery ◽  
Onlay Mesh ◽  
The Mean ◽  
Hernial Orifice

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.

scholarly journals P139 LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL REPAIR FOR SMALL AND MEDIUM PRIMARY UMBILICAL AND MIDLINE HERNIAS

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Kryspin Mitura
Keyword(s):  
Mesh Repair ◽  
Laparoscopic Approach ◽  
Mesh Size ◽  
Complication Rates ◽  
Linea Alba ◽  
Hernia Defect ◽  
Transabdominal Preperitoneal ◽  
Open Mesh Repair ◽  
Onlay Mesh

Abstract Aim Complications of open mesh repair for primary umbilical and midline hernias (PUMH) may lead to significant re-admissions and follow-up costs. Although laparoscopic intraperitoneal onlay mesh repair reduces infection rates, especially in overweight patients, it’s controversial in these hernias, mainly due to potential adhesions’ formation. Laparoscopic transabdominal preperitoneal technique (lap-TAPP) may address these issues, as it combines advantages of both open and laparoscopic approaches. The aim of this study is to present the initial results of lap-TAPP for PUMH in regard to its feasibility and complication rates. Material and Methods We evaluated 25 consecutive cases of lap-TAPP repair for PUMH. Patients’s characteristics, intraoperative findings, and postoperative complications after 30-days follow-up were analyzed. Results 21 male and 4 female patients were included in analysis (mean BMI 29.8 kg/m2). Surgery time was 82 minutes (55-120). We found 20 umbilical and 11 epigastric linea alba hernias. Mesh size was 144cm2 (120-225); mean hernia defect width was 25mm (10-40). In 9 patients (36%) the peritoneal rents were created which were easily closed with sutures. All patients were discharged on 1 POD with no complications. After 30-days we found no recurrences or bulging, no pain complaints. We found one subcutaneous small hematoma with no need for intervention. Conclusions Laparoscopic TAPP for small and medium PUMH is a safe and feasible technique with low complication rate. However, this method is technically demanding and time consuming while performed with laparoscopic approach as it requires precise and subtle plane dissection, and non-ergonomic closure hernia defect.

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

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

scholarly journals Single-Incision Laparoscopic Intraperitoneal Onlay Mesh Repair for the Treatment of Multiple Recurrent Inguinal Hernias

2014 ◽  
Vol 18 (3) ◽  
pp. e2014.00354 ◽  
Author(s):  
Hanh Minh Tran ◽  
Kim Tran ◽  
Marta Zajkowska ◽  
Vincent Lam ◽  
Wayne Hawthorne
Keyword(s):  
Mesh Repair ◽  
Single Incision ◽  
Intraperitoneal Onlay Mesh ◽  
Inguinal Hernias ◽  
Onlay Mesh

Abdominal cocoon: precipitated by laparoscopic gas insufflation

2021 ◽  
Vol 14 (4) ◽  
pp. e240024
Author(s):  
Karingattil George Mathew ◽  
Shakeel Akhtar ◽  
Saajan Ignatius Pius
Keyword(s):  
Umbilical Hernia ◽  
Open Repair ◽  
Young Male ◽  
Unexpected Finding ◽  
Abdominal Cocoon ◽  
Intraperitoneal Onlay Mesh ◽  
Sclerosing Peritonitis ◽  
Wise Decision ◽  
Onlay Mesh ◽  
Asymptomatic Phase

A young male in his early 30s presented to us with increasing swelling at the umbilicus, and an umbilical hernia was diagnosed. At laparoscopic intraperitoneal onlay mesh (IPOM) repair, an unexpected finding of a thin innocuous-looking fibrous film over the small bowel was noted. This finding presented a dilemma as to the probable pathology of this material, and a decision had to be made on whether laparoscopic IPOM could be continued. It was prudently decided to abandon the plan of placing a mesh intraperitoneally and an open repair of the umbilical hernia was done. In retrospect this was a wise decision, as, after 7 months he had to have a laparotomy for intestinal obstruction, when the classic thick fibrous encapsulating abdominal cocoon was seen. Hence here we have followed the evolution of the abdominal cocoon from its original asymptomatic phase to the classic encapsulating sclerosing peritonitis with probably laparoscopic gas insufflation being the precipitating factor.

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