scholarly journals The Management of Incisional Hernia

2006 ◽  
Vol 88 (3) ◽  
pp. 252-260 ◽  
Author(s):  
Andrew Kingsnorth
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Failure Rate ◽  
Anterior Abdominal Wall ◽  
General Surgeon ◽  
Failure Rates ◽  
Large Problem ◽  
Hernia Surgery ◽  
The Past ◽  
Recent Advances

Many thousand laparotomy incisions are created each year and the failure rate for closure of these abdominal wounds is between 10–15%, creating a large problem of incisional hernia. In the past many of these hernias have been neglected and treated with abdominal trusses or inadequately managed with high failure rates. The introduction of mesh has not had a significant impact because surgeons are not aware of modern effective techniques which may be used to reconstruct defects of the abdominal wall. This review will cover recent advances in incisional hernia surgery which affect the general surgeon, and also briefly review advanced techniques employed by specialist surgeons in anterior abdominal wall surgery.

scholarly journals SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Umut Barbaros ◽  
Tugrul Demirel ◽  
Aziz Sumer ◽  
Ugur Deveci ◽  
Mustafa Tukenmez ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Single Incision ◽  
Anterior Abdominal Wall ◽  
Oral Intake ◽  
Operation Time ◽  
Incisional Hernia Repair ◽  
Composite Mesh ◽  
First Case ◽  
The Mean

Aim. Three incisional ventral abdominal wall hernias were repaired by placing a 20 × 30 cm composite mesh via single incision of 2 cm. Methods. All three cases had previous operations and presented with giant incisional defects clinically. The defects were repaired laparoscopically via single incision with the placement of a composite mesh of 20 × 30 cm. Nonabsorbable sutures were needed to hang and fix the mesh only in the first case. Double-crown technique was used in all of the cases to secure the mesh to the anterior abdominal wall. Results. The mean operation time was 120 minutes. The patients were mobilized and led for oral intake at the first postoperative day. No morbidity occurred. Conclusion. Abdominal incisional hernias can be repaired via single incision with a mesh application in experienced centers.

scholarly journals A case report of aponeurotic origin of rectus abdominis

2014 ◽  
Vol 03 (02) ◽  
pp. 84-86
Author(s):  
Challa Ratna Prabha ◽  
Namburu Bhanu Sudha Parimala
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Andhra Pradesh ◽  
Anterior Abdominal Wall ◽  
Pubic Symphysis ◽  
Rectus Abdominis ◽  
General Surgeon ◽  
Pubic Tubercle ◽  
Middle Aged ◽  
Medical College

AbstractRectus abdominis is a long strap like muscle that extends along the entire length of anterior abdominal wall. Normally the rectus abdominis arises by two tendons. The larger lateral tendon attached to the crest of the pubis, pubic tubercle up to pectineal line. The medial tendon is attached to the pubic symphysis. The fleshy fibers of rectus abdominis replaced by aponeurosis below the umbilicus was found during the routine dissections of a middle aged female cadaver at Dr. Pinnamaneni Siddhartha Medical College, Chinnavutapalli, Andhra Pradesh, India. The knowledge of partial or complete absence of rectus abdominis and other anterior abdominal wall musculature is of immense importance for the General surgeon, Anatomist and the Gastroenterologist.

Gravid uterus as a content of anterior abdominal wall incisional hernia

2010 ◽  
Vol 30 (5) ◽  
pp. 518-519 ◽  
Author(s):  
S. Agrawal ◽  
M. Madan ◽  
R. Kumari ◽  
H. Gaikwad ◽  
C. Raghunandan ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Gravid Uterus

scholarly journals The results of surgical treatment of patients with large and complex incisional hernias of the anterior abdominal wall in a multidisciplinary hospital

2018 ◽  
Vol 17 (3) ◽  
pp. 35-44 ◽  
Author(s):  
E. N. Degovtsov ◽  
P. V. Kolyadko ◽  
V. P. Kolyadko ◽  
A. V. Satinov
Keyword(s):  
Surgical Treatment ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Incisional Hernia Repair ◽  
The Body ◽  
Wound Complications ◽  
Postoperative Wound ◽  
Mesh Reinforcement

Objectives. To evaluate the immediate results of surgical treatment of patients with large incisional hernia of the anterior abdominal wall with the use of the mesh implants.Materials and methods. The data were retrospectively collected and analyzed. The study included patients with a large and / or complex incisional hernia. There were 108 patients who underwent incisional hernia repair with mesh reinforcement in the period from 2012 to 2016. In all cases the repairs were made with mesh implants. The average age of patients was (56.4 ± 10.4) years. The body mass index (BMI) was on average (32.6 ± 6.24) kg/m2. The medial localization of the hernia was 102 (94.44%). The width of the hernia defect averaged (12.2 ± 3.7) cm. Implants were placement in onlay positions – 19 (17.6%), sublay – 49 (45.37%), IPOM (Intraperitoneal onlay mesh) – 30 (27.77%) patients, the component separation technique (CST) with mesh reinforcement was used in 10 (9.25%) patients. Active aspiration drainage was performed in 72 (66.66%) patients.Results. The average time for draining the postoperative wound was (5 ± 2.2) days. The number of wound complications was 23 (21.3%), the number of seromas of the postoperative wound prevailed was 16 (14.8%) patients, of which 2 (1.85%) were chronic abdominal wall seromas, hematoma occurred in  2 patients (1.85%), the number of prolonged serous exudation was 7 (6.5%), necrosis of the wound edges occurred in 4 (3.7%) patients. There was no mortality. Reliably more often wound complications occurred in patients with large hernia defects (p = 0.006), and also with an increase in the duration of surgical intervention (p = 0.01). The hospital-stay in patients with complications was significantly greater (p < 0.001), the need for analgesics also increased (p < 0.001).Conclusion. Prevention of wound complications after large and complex incisional hernia repair with mesh reinforcement is an important direction in improving the results of surgical treatment in this category of patients.

Local administration of TGF-β1 to reinforce the anterior abdominal wall in a rat model of incisional hernia

Hernia ◽  
2005 ◽  
Vol 9 (3) ◽  
pp. 252-258 ◽  
Author(s):  
M. Korenkov ◽  
N. Yuecel ◽  
J. Koebke ◽  
J. Schierholz ◽  
Ch. Morsczeck ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Rat Model ◽  
Anterior Abdominal Wall ◽  
Local Administration ◽  
Tgf Β1

scholarly journals early experience with the use of prosthetic mesh as fascia replacement in structural abdominal wall reconstruction

2007 ◽  
Vol 40 (02) ◽  
pp. 164-169
Author(s):  
I A Adigun ◽  
J K Olabanji ◽  
A O Oladele ◽  
O O Lawal ◽  
G H Alabi
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Bowel Resection ◽  
Anterior Abdominal Wall ◽  
Enterocutaneous Fistula ◽  
Abdominal Wall Reconstruction ◽  
Early Experience ◽  
Prosthetic Mesh ◽  
Abdominal Wall Defects ◽  
Black Patients

ABSTRACT Background: Abdominal wall defects occur from various causes and require reconstruction. autogenous tissue is often insufficient and incisional hernia often results. prosthetic mesh is a proven substitute to autogenous tissue but reports on its use is uncommon in our practice environment.Aim: the aim is to report our early experience with the use of prosthetic mesh in black patients in our practice environment.Materials and methods: the summaries of three patients with anterior abdominal wall defects which were managed with the use of a prosthetic mesh are presented as well as their intraoperative and postoperative photographs. one patient had intraperitoneal placement of the mesh and developed no complications.Results: one patient who had bowel resection developed a postoperative enterocutaneous fistula away from the site of the mesh and was managed conservatively. other patients had no complications.Conclusions: the use of prosthetic mesh is recommended.

scholarly journals Patient-reported outcomes after incisional hernia repair

Hernia ◽  
2021 ◽  
Author(s):  
N. van Veenendaal ◽  
M. M. Poelman ◽  
B. van den Heuvel ◽  
B. J. Dwars ◽  
W. H. Schreurs ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Patient Reported Outcomes ◽  
Incisional Hernia Repair ◽  
Hernia Surgery ◽  
Incisional Hernias ◽  
Patient Reported ◽  
Postoperative Symptoms

Abstract Purpose Patient-reported outcomes (PROs) are pivotal to evaluate the efficacy of surgical management. Debate persists on the optimal surgical technique to repair incisional hernias. Assessment of PROs can guide the selection of the best management of patients with incisional hernias. The objective of this cohort study was to present the PROs after incisional hernia repair at long term follow-up. Methods Patients with a history of incisional hernia repair were seen at the out-patient clinic to collect PROs. Patients were asked about the preoperative indication for repair and postoperative symptoms, such as pain, feelings of discomfort, and bulging of the abdominal wall. Additionally, degree of satisfaction was asked and Carolina Comfort Scales were completed. Results Two hundred and ten patients after incisional hernia repair were included with a median follow-up of 3.2 years. The main indication for incisional hernia repair was the presence of a bulge (60%). Other main reasons for repair were pain (19%) or discomfort (5%). One hundred and thirty-two patients (63%) reported that the overall status of their abdominal wall had improved after the operation. Postoperative symptoms were reported by 133 patients (63%), such as feelings of discomfort, pain and bulging. Twenty percent of patients reported that the overall status of their abdominal wall was the same, and 17% reported a worse status, compared to before the operation. Ten percent of the patients would not opt for operation in hindsight. Conclusion This study showed that a majority of the patients after incisional hernia repair still report pain or symptoms such as feelings of discomfort, pain, and bulging of the abdominal wall 3 years after surgery. Embedding patients’ expectations and PROs in the preoperative counseling discussion is needed to improve decision-making in incisional hernia surgery.

scholarly journals Abdominal Pseudocyst

2019 ◽  
Vol 87 (2) ◽  
pp. 30-32
Author(s):  
Hina Hina Jhawer ◽  
Jordan Ho ◽  
John Morrison
Keyword(s):  
Epithelial Cells ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Late Complication ◽  
Surgical Excision ◽  
Current Treatment ◽  
Imaging Findings ◽  
Abdominal Pseudocyst ◽  
Giant Pseudocyst

We report clinical details and imaging findings of a case of a giant pseudocyst occurring in the anterior abdominal wall of a 61-year-old female. This was a late complication following the repair of an incisional hernia with mesh. Surgical excision revealed a well-encapsulated pseudocyst with histopathology confirming absence of epithelial cells. We further discuss current treatment methods for incisional hernias, as well as prevalence, etiology, and management of pseudocysts complicating hernioplasty.

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