scholarly journals Simultaneous Complex Incisional Hernia Repair and Bariatric Surgery for Obese Patients: a Case Series of a Single-Center Early Experience

2021 ◽  
Vol 10 (2) ◽  
pp. 55
Author(s):  
Juan Carlos Sebastián-Tomás ◽  
José Ángel Díez-Ares ◽  
Nuria Peris-Tomás ◽  
Sergio Navarro-Martínez ◽  
Dolores Periañez-Gómez ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Case Series ◽  
Incisional Hernia Repair ◽  
Early Experience ◽  
Obese Patients ◽  
Single Center

Iatrogenic enterotomy in laparoscopic ventral/incisional hernia repair: a single center experience of 2,346 patients over 17 years

Hernia ◽  
2013 ◽  
Vol 17 (5) ◽  
pp. 581-587 ◽  
Author(s):  
A. Sharma ◽  
R. Khullar ◽  
V. Soni ◽  
M. Baijal ◽  
A. Kapahi ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Single Center ◽  
Single Center Experience ◽  
Ventral Incisional Hernia

scholarly journals EP.TH.108A Descriptive Case Series of Incisional Hernia Repair Using Dual Mesh Technique

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Chloe Theodorou ◽  
Zia Moinuddin ◽  
David Van Dellen
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Surgical Techniques ◽  
Case Series ◽  
Incisional Hernia Repair ◽  
Fistula Formation ◽  
Mesh Technique ◽  
Dual Mesh

Abstract Aims Incisional hernias are a common complication after surgery that cause significant patient morbidity. Symptomatic patients are offered repair but many surgical techniques exist, with abdominal wall reconstruction becoming preferable for large complex defects. This paper describes our experience of abdominal wall reconstruction using a dual mesh technique. Method 22 patients underwent incisional hernia repair between March 2019 and September 2020. All patients received dual mesh, placed in retrorectus or transversalis fascial/retromuscular space. Absorbable BIO-A GORE mesh was used with a polypropylene mesh above. All patients were followed up to assess for complications and recurrence. Results No patients experienced fistula formation, long-term pain or obstructive symptoms. We report one true hernia recurrence (4.5%) and one case of infected mesh (4.5%), these both await further treatment. One patient had a proven wound infection which resolved with conservative treatment. 4 patients (18.2%) experienced seromas, 3 of these resolved spontaneously, one requiring image-guided drainage. Conclusion Incisional hernia repair using combination polypropylene and bio-absorbable mesh provides a safe and effective repair with low recurrence and incidence of surgical site occurrences in the short term. Longer follow up and further studies are needed to evaluate this mesh technique to support ongoing use of absorbable meshes in complex hernia repair.

scholarly journals P016 A COMPARATIVE STUDY BETWEEN ROBOTIC AND LAPAROSCOPIC VENTRAL AND INCISIONAL HERNIA REPAIR WITH THE ETEP - TAR TECHNIQUE

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Fotis Archontovasilis ◽  
Ioannis Tselios
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Comparative Study ◽  
Operative Time ◽  
Case Series ◽  
Incisional Hernia Repair ◽  
Perioperative Outcomes ◽  
Hernia Surgery ◽  
Advantages And Disadvantages ◽  
Ventral And Incisional Hernia

Abstract Aim The aim of this study is to present a single centre’s experience in Robotic and Laparoscopic eTEP TAR technique in ventral and incisional hernia repair. Additionally, the purpose of this study is to compare these Robotic and Laparoscopic techniques in terms of feasibility, efficacy, safety, advantages and disadvantages. Material and Methods This is a case-series comparative study of patients with M1-M5 / W3 ventral and incisional hernia that underwent Robotic or Laparoscopic eTEP-TAR repair in a single institution. Patients’ characteristics were reviewed and perioperative outcomes were extracted. All patients were followed-up at the outpatient surgical unit. Intraoperative and postoperative parameters were analyzed. Results 35 patients (19 males) with a mean age of 57 years underwent Robotic eTEP-TAR (21 patients) and Laparoscopic eTEP-TAR (14 patients) repair of M1-M3/W3 ventral (12 patients) and M2-M5/W3 incisional hernia. There were 3 conversions to open repair in the Robotic group (Rg) and 1 for the Laparoscopic group (Lg). The mean operative time in Rg was 345 minutes, while in Lg was 320 min. All patients were discharged between the first and fifth postoperative day. No major complications or recurrences were revealed during a mean postoperative follow-up time of 26 months. Conclusions Both techniques are feasible, reproducible, and safe, with no major differences in operative time, recurrence and complications rate. Nevertheless, these techniques are highly demanding procedures that should be performed by experienced hernia surgeons, in well-organized centers of excellence in hernia surgery.

Large abdominal hernia repair with closed incision negative pressure therapy: a case series

2021 ◽  
Vol 30 (3) ◽  
pp. 192-196
Author(s):  
Edward Wang ◽  
Leigh Archer ◽  
Amanda Foster ◽  
Mohammed Ballal
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Negative Pressure ◽  
Case Series ◽  
Incisional Hernia Repair ◽  
Abdominal Hernia ◽  
Wound Complications ◽  
Control Group ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Objective: A major challenge of large abdominal incisional hernia repair is the high rates of wound complications. Closed incision negative pressure therapy (CINPT) can offer many treatment advantages in the management of these wounds and has been shown to reduce complications for other postoperative incisions. This study assesses the wound outcomes for hernia repair patients receiving CINPT. Method: A six-year retrospective case series of patients who had undergone large abdominal incisional hernia repair wounds treated with CINPT was conducted. Outcomes for patients treated with CINPT were compared with patients who had not received CINPT acting as a control. Results: A total of 23 patients were treated with CINPT after hernia repair and compared with 12 patients in the control group. A statistically significant decreased rate of return to theatre (odds ratio: 0.12) was found in this study. Non-significant reductions in wound infection, seroma and wound dehiscence were also seen. No adverse events with CINPT therapy were reported. Conclusions: CINPT, when used after large abdominal incisional hernia repair, may help in the prevention of wound complications.

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