scholarly journals Comparative study in healing process and complications inpatient undergoing ventral hernia mesh repair with and without the usage of collagen granules

2020 ◽  
Vol 7 (12) ◽  
pp. 4023
Author(s):  
A. P. Subburaaj ◽  
Sahaya Rani Joycey ◽  
Preethiya S. ◽  
Arun Balaji ◽  
Nabeel Yusaf
Keyword(s):  
Wound Healing ◽  
Comparative Study ◽  
Hospital Stay ◽  
Ventral Hernia ◽  
Mesh Repair ◽  
Mesh Fixation ◽  
Hernia Mesh ◽  
Open Mesh Repair ◽  
Ventral Hernias ◽  
Open Mesh

Background: Ventral hernias are the second most common type of hernias accounting for 21 to 35% of all types of hernias. Collagen is defined as an endogenous substance that forms an important structural component in connective tissue. Collagen granules have an advantage with a reduction in inflammatory cells during healing resulting in decreased days of healing. This study is to compare the outcome of a patient with and without collagen granules usage during ventral hernia open mesh repair.Methods: This prospective comparative study was done in 50 cases of ventral hernias admitted to the department of surgery in VMKV Medical College, Salem between periods of March 2018 to October 2019 were chosen for the study. The test group was treated with collagen granules and the control group was collagen granules not been used during ventral hernia mesh repair.Results: Most common surgical approach used in ventral hernia is open mesh repair. The study shows a group of patients where collagen granules are used after mesh fixation has faster wound healing, reduced seroma, and hematoma collection, and reduced hospital stay, reduced infection compared to the group of patients who undergone non-collagen closure.  Conclusions: The study shows a group of patients where collagen granules are used after mesh fixation has faster wound healing, reduced seroma, and hematoma collection, and reduced hospital stay, reduced infection compared to the group of patients who underwent non-collagen closure.

scholarly journals Primary lumbar hernia: a rarely encountered ventral hernia

2020 ◽  
Vol 7 (5) ◽  
pp. 1669
Author(s):  
Sunil Kumar B. B. ◽  
Ashwini Kumar Kumar Choudhary ◽  
Lavanya Raghupathi
Keyword(s):  
Ventral Hernia ◽  
Mesh Repair ◽  
Lumbar Hernia ◽  
General Surgeon ◽  
Lumbar Region ◽  
Fascial Defect ◽  
Wall Defect ◽  
Open Mesh Repair ◽  
Ventral Hernias ◽  
Open Mesh

Ventral hernia is a fascial defect located on the abdominal wall. Primary ventral hernias are named as umbilical, epigastric, spigelian and lumbar hernias. A lumbar hernia is a parietal wall defect that may occur anywhere in the lumbar region between the 12th rib and the iliac crest. A 47-year-old female, came with complaints of mass in left lower abdomen since 2 months. On clinical examination a defect of 8 × 8 cm was felt in the left lumbar region with positive cough impulse. CECT abdomen and pelvis was done to confirm lumbar hernia. Patient underwent mesh repair for the same. Lumbar and flank hernias are uncommon and are a challenge to treat for any general surgeon. Surgery is considered gold standard either an open mesh repair or laparoscopically.

scholarly journals Adhesions to Mesh after Ventral Hernia Mesh Repair Are Detected by MRI but Are Not a Cause of Long Term Chronic Abdominal Pain

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Odd Langbach ◽  
Stein Harald Holmedal ◽  
Ole Jacob Grandal ◽  
Ola Røkke
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Predictive Value ◽  
Mesh Repair ◽  
Hernia Mesh ◽  
Open Mesh Repair ◽  
Mesh Shrinkage ◽  
Hernia Mesh Repair

Aim. The aim of the present study was to perform MRI in patients after ventral hernia mesh repair, in order to evaluate MRI’s ability to detect intra-abdominal adhesions.Materials and Methods. Single-center long term follow-up study of 155 patients operated for ventral hernia with laparoscopic (LVHR) or open mesh repair (OVHR), including analyzing medical records, clinical investigation with patient-reported pain (VAS-scale), and MRI. MRI was performed in 124 patients: 114 patients (74%) after follow-up, and 10 patients referred for late complaints after ventral mesh repair. To verify the MRI-diagnosis of adhesions, laparoscopy was performed after MRI in a cohort of 20 patients.Results. MRI detected adhesions between bowel and abdominal wall/mesh in 60% of the patients and mesh shrinkage in 20–50%. Adhesions were demonstrated to all types of meshes after both LVHR and OVHR with a sensitivity of 70%, specificity of 75%, positive predictive value of 78%, and negative predictive value of 67%. Independent predictors for formation of adhesions were mesh area as determined by MRI and Charlson index. The presence of adhesions was not associated with more pain.Conclusion. MRI can detect adhesions between bowel and abdominal wall in a fair reliable way. Adhesions are formed both after open and laparoscopic hernia mesh repair and are not associated with chronic pain.

scholarly journals Hybrid laparoscopic/open mesh repair of combined bilateral arcuate line and ventral hernias

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Christophe R Berney
Keyword(s):  
Ventral Hernia ◽  
Clinical Evidence ◽  
Postoperative Outcome ◽  
Hybrid Technique ◽  
Complex Situation ◽  
Safe Alternative ◽  
Mesh Reinforcement ◽  
Open Mesh Repair ◽  
Ventral Hernias ◽  
Open Mesh

Abstract Arcuate line hernia (ALH) is a rare entity with only few cases reported in the literature. ALH is difficult to diagnose clinically and is most of the time asymptomatic, and there is no real consensus on how to better surgically approach this condition. We hereby present the case of a female patient with a symptomatic partly reducible ventral hernia. At laparoscopy, bilateral ALHs were incidentally identified and simultaneously treated, using a safe hybrid technique. The postoperative outcome was uneventful and she is still symptom-free with no clinical evidence of hernia recurrence at 2-year postsurgery. ALH is an uncommon interstitial parietal hernia and its diagnosis is often incidentally made peri-operatively, thus reinforcing the benefit of laparoscopy. In a most complex situation of combined bilateral ALHs with ventral hernia, a hybrid laparoscopic/anterior approach is a safe alternative and we recommend mesh reinforcement of all defects.

A Comparative Prospective Study of Laparoscopic and Open-Mesh Repair for Ventral Hernia

2019 ◽  
Vol 82 (4) ◽  
pp. 465-471
Author(s):  
K. S. V. N. Surya Prakash ◽  
Ramesh Dumbre ◽  
Deepak Phalgune
Keyword(s):  
Prospective Study ◽  
Ventral Hernia ◽  
Mesh Repair ◽  
Open Mesh Repair ◽  
Open Mesh ◽  
Comparative Prospective Study

scholarly journals Laparoscopic ventral hernia mesh repair without the use of transfascial sutures: our experience

2018 ◽  
Vol 5 (7) ◽  
pp. 2417
Author(s):  
Wasim M. D. ◽  
Uday Muddebihal ◽  
U. V. Rao ◽  
Praveen J.
Keyword(s):  
Ventral Hernia ◽  
Mesh Repair ◽  
Mesh Fixation ◽  
Fixation Time ◽  
Abdominal Wall Defects ◽  
Time Saving ◽  
Hernia Mesh ◽  
Post Operative Pain ◽  
Hernia Mesh Repair ◽  
Absorbable Tacks

Background: Repair of the abdominal wall defects can be quite challenging even for most experienced surgeon under best of conditions. In the laparoscopic method there have been many modifications with regard to the type of mesh and methods of fixation. The aim of this study was to identify immediate post-operative pain and the long-term outcomes of laparoscopic ventral hernia mesh repair without the use of transfascial sutures to fix the mesh.Methods: A total of hundred (n=100) patients underwent Laparoscopic Ventral Hernia Mesh Repair by our surgical unit between January 2011 and December 2015. All patients underwent standardized Laparoscopic mesh repair with light weight composite meshes and without the use of transfascial sutures. Only absorbable tackers were used to anchor the mesh. Analgesics stopped after 24 hours or given only on demand. Mesh fixation time, post-operative pain score (visual analogue score), and follow up for pain and recurrence (at 6 months, 12 months and 24 months) were recorded and analyzed.Results: Out of 100 patients (42 men and 58 women), the mean age was 48 years and BMI of the patients was 20-35. Types of hernias operated were 63 para umbilical hernias, 32 incisional and 5 recurrent hernias. The median defect size was 5 cm (Range 3-8 cm) and the mesh sizes used were15 x 15 cm circular (87) and 15 x 20 rectangular (13). The median mesh fixation time with only absorbable tackers was 15 mins (range 15-20 mins). Visual analog scale for pain (VAS) was of median 1 (Range 0-2) at 24 hours. Five patients required analgesics for 48 hours. No patients complained of pain at follow ups (1 month, 6 months, 12 months and 24 months). Mean hospital stay post operatively was 2-3 days. Only one patient had recurrence of hernia within 6 monthsConclusions: Laparoscopic Ventral Hernia Mesh Repair without the use of transfascial sutures is an easy and feasible approach. The use of only absorbable tacks to fix the mesh is time saving and gives less post-operative pain. However, randomized controlled trials are required to compare transfascial sutures with absorbable tacks for fixing the mesh in separate cases to reach a standardized method.

Rare giant inguinal hernia causing end-stage dialysis-dependent renal failure

2020 ◽  
Vol 13 (4) ◽  
pp. e233140
Author(s):  
Jacob Levi ◽  
Karl Chopra ◽  
Mubashar Hussain ◽  
Shafiul Chowdhury
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Obstructive Uropathy ◽  
Kidney Injury ◽  
Past Medical History ◽  
Bladder Hernia ◽  
Open Mesh Repair ◽  
Catheter Tip ◽  
End Stage ◽  
Open Mesh

A 72-year-old man presented with urinary retention, weight loss, haematuria and severe acute kidney injury. He had never before been admitted to hospital and his past medical history included only an inguinal hernia. On examination, he appeared uraemic and had a right-sided painful hernia. A three-way catheter was inserted, bladder washouts performed and irrigation started. An ultrasound showed severe bilateral hydronephrosis and a ‘thickened bladder’ and this was thought to be obstructive uropathy secondary to bladder cancer. Twenty-four hours later his hernia doubled in diameter, became incarcerated and a CT of the abdomen and pelvis showed an inguinal hernia of both bladder and bowel, with the catheter tip inside the bladder hernia. He was taken to theatres and an open mesh repair was performed with a rigid cystoscopy to assist in locating and reducing the bladder. He required intensive care and dialysis postoperatively and remains on regular dialysis following discharge.

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