scholarly journals HERNIOPLASTY

2009 ◽  
Vol 16 (02) ◽  
pp. 224-227
Author(s):  
MUHAMMAD FAISAL BILALL ◽  
MUHAMMAD AKRAM ◽  
SUMERA KANWAL ◽  
Jawaid Iqbal
Keyword(s):  
Incisional Hernia ◽  
Wound Infection ◽  
Mesh Repair ◽  
Enterocutaneous Fistula ◽  
Tertiary Care ◽  
Rectus Sheath ◽  
Fistula Formation ◽  
Open Mesh Repair ◽  
Sublay Technique ◽  
Open Mesh

Incisional hernia is a common complication of abdominal surgery and an important source of morbidity. It may be repairedusing open suture, open mesh or laparoscopic mesh techniques. O b j e c t i v e s : To examine the results of open mesh repair using "sublaytechnique" of hernioplasty. Setting: Surgical Unit-I, Department of Surgery at Allied Hospital, a tertiary care teaching hospital affiliated withPunjab Medical College, Faisalabad. Patient & M e t h o d s : Sixty patients (male:16, female:44) were operated for incisional hernia. Openmesh repair was done. Polypropylene mesh was placed over closed posterior rectus sheath layer and over the rectus abdominis, wereavailable. Anterior rectus sheath was closed in front of the implanted mesh. All the patients received injectable third generation cephalosporinfor 48hrs postoperatively. Postoperative recovery in terms of seroma formation, wound infection, intraabdominal adhesions leading tointestinal obstruction, enterocutaneous fistula formation and recurrence were the main factors noted and analyzed statistically. Results:Mean postoperative hospital stay was 03 days. Only one patient developed wound infection. None of the patients developed seromaformation, intestinal obstruction or enterocutaneous fistula. Maximum follow up till this study is 14 months. No recurrence has been reportedso far. C o n c l u s i o n s : Open mesh repair using "sublay technique" does not carry risk of enterocutaneous fistula, carries low risk of seromaformation and wound infection. Proper technique is not associated with recurrence.

Open Mesh Repair of Incisional Hernia Using a Sublay Technique: Long-Term Follow-up

2007 ◽  
Vol 32 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Martin Kurzer ◽  
Allan Kark ◽  
Simon Selouk ◽  
Philip Belsham
Keyword(s):  
Incisional Hernia ◽  
Mesh Repair ◽  
Open Mesh Repair ◽  
Sublay Technique ◽  
Long Term Follow Up ◽  
Open Mesh

Reply to comment to Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia. Jensen K, Jorgensen LN

Hernia ◽  
2015 ◽  
Vol 19 (6) ◽  
pp. 1027-1029 ◽  
Author(s):  
A. Awaiz ◽  
F. Rahman ◽  
M. B. Hossain ◽  
R. M. Yunus ◽  
S. Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Incisional Hernia ◽  
Mesh Repair ◽  
Meta Analysis ◽  
Open Mesh Repair ◽  
Open Mesh

scholarly journals The Role of Antibiotic Prophylaxis in Prevention of Wound Infection After Lichtenstein Open Mesh Repair of Primary Inguinal Hernia

2004 ◽  
Vol 240 (6) ◽  
pp. 955-961 ◽  
Author(s):  
Theo J. Aufenacker ◽  
Dirk van Geldere ◽  
Taco van Mesdag ◽  
Astrid N. Bossers ◽  
Benno Dekker ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Mesh Repair ◽  
Primary Inguinal Hernia ◽  
Open Mesh Repair ◽  
Open Mesh

scholarly journals A prospective study on incisional hernia, its incidence, etiology and management in a tertiary care hospital of Odisha

2019 ◽  
Vol 6 (4) ◽  
pp. 1280
Author(s):  
S. K. Pattanaik ◽  
Afroza Firodous ◽  
Ajax John ◽  
Harsha Pattnaik ◽  
Biplab Mishra ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Mesh Repair ◽  
Tertiary Care ◽  
Operating Time ◽  
Surgical Techniques ◽  
Wound Management ◽  
Anatomical Reconstruction ◽  
Suture Repair ◽  
Care Hospital ◽  
Open Mesh Repair

Background: Incisional hernia (IH) is defined as the hernia protruding through incompletely healed abdominal surgical wound. Management of IH can be preventive (avoidance of infection and suture line tension, proper abdominal wound closure) or operative (anatomical reconstruction or repair with synthetic non-absorbable mesh either by open or laparoscopy method).Methods: A descriptive prospective observational study on 51 patients with age >15 yrs was conducted in the Department of General Surgery, SCB Medical College and Hospital, Cuttack from August 2015 to August 2017. Diagnosis was made with clinical history, physical examination, X-ray abdomen and USG abdomen. The patients underwent different surgical procedures depending on size of defect, patient’s consent and expertise available. Post-operative complications were noted and patients were followed up to 1 year for any recurrence.Results: 28 males and 23 females were included. The mean age was 42.3 years. Most common cause of IH was post-operative wound infection (47.1%). Maximum cases were following emergency surgery (88.2%). Midline incision contributes maximum number (52.9%) followed by Pfannenstiel incision (25.4%). Open hernioplasty was the most common procedure (58.8%) followed by anatomical repair (19.6%) and laparoscopic hernioplasty (15.6%). Recurrence with suture repair was 10%, open mesh repair 3.3% and no recurrence was observed following laparoscopic repair.Conclusions: Prevention of IH is to be taken care of, by avoiding infection during index operation with thorough peritoneal toileting, proper surgical techniques and appropriate antibiotics. Although laparoscopic mesh repair needs more operating time and skill, it has lesser blood loss, hospital stay and recurrence rate when compared to other procedures.

scholarly journals Long-term results of incisional hernia treatment

Medicina ◽  
2007 ◽  
Vol 43 (11) ◽  
pp. 855 ◽  
Author(s):  
Linas Venclauskas ◽  
Jolita Šilanskaitė ◽  
Jurga Kanišauskaitė ◽  
Mindaugas Kiudelis
Keyword(s):  
Physical Activity ◽  
Incisional Hernia ◽  
Mesh Repair ◽  
Study Groups ◽  
Hernia Recurrence ◽  
Suture Repair ◽  
Open Mesh Repair ◽  
Onlay Technique ◽  
Open Mesh

Ventral hernia is a common problem in general surgery practice. Incisional hernia can develop in 15–25% of patients after abdominal surgery. The aim of this study was to compare two different methods of incisional hernia surgery. Materials and methods. A retrospective analysis of database of surgery department from 1997 to 2000 was performed. All patients were divided into two groups. The first group patients were operated using open suture repair (keel technique); the second group patients – using open mesh repair (onlay technique). Long-term follow-up was done by a mail questionnaire. A special questionnaire was sent to all patients. Postoperative evaluation included pain and discomfort in the abdomen, physical activity, and recurrence rate after operation. Statistical evaluation was conduced using descriptive analysis: the unpaired Student t test to compare parametric criterions between two study groups, Mann-Whitney U test to compare the unpaired nonparametric criterions between two study groups, and X2 test to investigate nonparametric criterions between these groups. Results. A total of 202 patients (51 males, 151 females) with incisional hernia were operated during 1997–2000. One hundred seventy-one patients were in the keel technique group, and 31 patients in the onlay technique group. There were no significantly differences in age and sex between these groups. The hospitalization time was significantly longer in the open mesh repair group. The postoperative complication (wound seroma and suppuration) rate was significantly higher in the onlay technique group. One hundred sixty-one patients (79.7%) answered the questionnaire (133 in the keel technique group, 28 the in onlay technique group). The patients’ return to physical activity after surgery was significantly longer in the keel technique group. Forty-one patients (31%) had hernia recurrence in the keel technique group and 3 patients (11%) in the onlay technique group (P<0.05). There were no postoperative deaths in both groups. Conclusions. The rates of postoperative therapeutic complications and hernia recurrence are significantly lower after open mesh repair surgery. Return to normal physical activity after surgery is significantly longer after open suture repair surgery.

Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia

Hernia ◽  
2015 ◽  
Vol 19 (3) ◽  
pp. 449-463 ◽  
Author(s):  
A. Awaiz ◽  
F. Rahman ◽  
M. B. Hossain ◽  
R. M. Yunus ◽  
S. Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Incisional Hernia ◽  
Mesh Repair ◽  
Meta Analysis ◽  
Open Mesh Repair ◽  
Open Mesh

scholarly journals Incisional hernia: conventional open mesh versus laparoscopic repair; a randomized controlled study

2020 ◽  
Vol 7 (10) ◽  
pp. 3211
Author(s):  
Ibrahim F. Alsubaiee
Keyword(s):  
Incisional Hernia ◽  
Laparoscopic Repair ◽  
Mesh Repair ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Patient’S Satisfaction ◽  
Randomized Controlled ◽  
Open Mesh Repair ◽  
Repair Group ◽  
Open Mesh

Background: Incisional hernia is a common complication after laparotomy. Up to now, there is no consensus on the ideal surgical approach of such hernia. The aim of the present study was to compare the surgical outcomes, feasibility and cost effectiveness of the open mesh repair and laparoscopic repair of incisional hernia.Methods: A randomized controlled study conducted between August 2015 and September 2019 in which 64 patients with incisional hernias were randomly selected for either open mesh repair (36 patients) or laparoscopic repair (28 patients).Results: Patients in both groups were similar in their characteristics. The mean operative time was significantly longer in laparoscopic repair than in open mesh repair (128.6±15 minutes versus 89.8±82 minutes, p<0.05). The peri-operative complications and intra-operative blood loss were comparable in the two groups. The use of the drain was significantly higher in open group than in laparoscopic repair group (44.4% versus 10.7%). The overall rate of postoperative complications was similar in both groups, (25% for each group). The rate of wound infection and the length of hospitalization were significantly less in laparoscopic repair group. The results of postoperative pain score, cosmetic outcomes and recurrence rate showed no significant differences between the two groups but patient's satisfaction was significantly higher in laparoscopic repair. p>0.05.Conclusion: Both laparoscopic and conventional open mesh repair of incisional hernia are equivalent and feasible and safe technique. Laparoscopic repair was superior to open mesh repair in term of surgical site infection, hospital stay and patient’s satisfaction only.

Comparison of Post-Operative Complications Between Sublay and Onlay Mesh Repair in Incisional Hernia

2021 ◽  
Vol 15 (12) ◽  
pp. 3384-3386
Author(s):  
Azizullah Khan Sherani ◽  
Saleem Javed ◽  
Muhammad Idrees Achackzai
Keyword(s):  
Incisional Hernia ◽  
Wound Infection ◽  
Mesh Repair ◽  
Seroma Formation ◽  
Onlay Technique ◽  
Sublay Technique ◽  
Operative Complications ◽  
Group A ◽  
Group B ◽  
Post Operative Complications

Objective: To compare the post-operative complications between sublay and onlay mesh repair in incisional hernia. Materials & Methods: This randomized controlled trial was conducted at Department of Surgery, Sandeman Provincial Hospital Quetta from May 2019 to November 2019. Total 250 patients with incisional hernias for more than 3 months, having age 20-40 years either male or female were selected. Then selected patients were placed randomly into two groups i.e. Group A (Sublay group) & Group B (Onlay group), by using lottery method. Patients were called for follow up 15th day for post-operative complications in term of wound infection and seroma formation. Results: The mean age of patients in group A was 34.73 ± 4.32 years and in group B was 34.51 ± 4.67 years. Out of these 250 patients, 161 (64.40%) were female and 89 (35.60%) were males with female to male ratio of 1.8:1. Wound infection was seen in 07 (5.60%) patients in group A (Sublay technique) and 17 (13.60%) patients in group B (Onlay technique) with p-value of 0.033. Seroma formation was seen in 09 (7.20%) patients in group A (Sublay technique) and 26 (20.80%) patients in group B (Onlay technique) with p-value of 0.002. Conclusion: This study concluded that rate of wound infection and seroma formation is less after sublay mesh repair for incisional hernia as compared to onlay repair. Keywords: Hernia, incisional, onlay, sublay, seroma.

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