Comparison of the Outcome of Drain Vs Pressure Dressing in Ventral Hernia Repair

OBJECTIVES: The purpose of this study was to compare the outcome of drain vs. pressure in ventral hernia repair. METHODOLOGY: A cross sectional comparative study conducted at the Department of General Surgery, Hayat Abad Medical Complex Peshawar from January 2018 till December 2019. One twenty six patients both male and female were admitted as elective cases through OPD and were divided into “A” and “B” groups. Experienced surgeons of the unit performed all surgeries. Postoperative pain, seroma/hematoma formation, wound infection and hospital stay was noted in both groups. RESULTS: Out of 126 patients, 32 (25.3%) were males while 94 (74.6%) were females with male to female ratio of 1:3. All types of hernia were more common in the age range of 31-50 years. The common complications in both groups were seroma/hematoma formation (7.1%) and wound infection (6.3%). Mean hospital stay was 2-4 days. CONCLUSION: Mesh repair is the standard procedure for ventral hernia repair. Postoperative complications are comparatively lesser in pressure dressing than those with drain placement group.

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Onlay versus sublay mesh repair for ventral hernia

International Surgery Journal ◽

10.18203/2349-2902.isj20180432 ◽

2018 ◽

Vol 5 (3) ◽

pp. 823

Author(s):

Raghuveer M. N. ◽

Suraj Muralidhar ◽

Harshavardhan Shetty ◽

Veena V.

Keyword(s):

Hernia Repair ◽

Hospital Stay ◽

Wound Infection ◽

Ventral Hernia ◽

Mesh Repair ◽

Ventral Hernia Repair ◽

Operating Time ◽

Ethical Review ◽

Lower Complication ◽

Sublay Mesh

Background: Ventral hernia repair is one of the most common surgical operations performed all over the world. Onlay and sublay mesh repairs are the commonly performed techniques for the same. However, the debate still continues about the superiority of both techniques over each other. The aim of this study was to compare the outcome of the onlay versus sublay mesh repair for ventral hernia.Methods: A total of 100 patients with paraumbilical, epigastric, supraumbilical and incisional hernias (with defect size ≤4 inches) were divided into main two groups; A: onlay mesh repair and B: sublay mesh repair. Patients with uncontrolled diabetes and recurrent ventral hernia were excluded. Randomization was done using computer generated software. Patients were evaluated for operating time, postoperative seroma formation, wound infection, drain duration, post-op hospital stay and recurrence of symptoms. Ethical approval for this study was granted by the ethical review committee of Mysore Medical College, Mysore, Karnataka, India.Results: The incidence of post-operative seroma and wound infection was 6.52% and 4.35% in sublay group compared to 21.30% and 19.20% in onlay group which was statistically significant (p<0.05). Mean operating time was found to be more in sublay group than onlay group which was also statistically significant (72.3+9.23 vs. 65.25+10.58 minutes, p<0.05). Mean drainage duration (4.22+0.99 days vs. 5.97+1.24 days) and post-op hospital stay (4.8+1.51 days vs. 6.68+1.46 days) was low in sublay group compared to onlay group which was statistically significant (p<0.05). Recurrence in sublay group was 4.35% compared to 8.51% in onlay group which was not statistically significant (p>0.05).Conclusions: Even though operating time is longer, placement of mesh in sublay position is a better option than onlay placement in open ventral hernia repair because of lower complication rate and post-op morbidity.

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The contribution of specific enhanced recovery after surgery (ERAS) protocol elements to reduced length of hospital stay after ventral hernia repair

Surgical Endoscopy ◽

10.1007/s00464-019-07233-8 ◽

2019 ◽

Vol 34 (10) ◽

pp. 4638-4644 ◽

Cited By ~ 6

Author(s):

Walker Ueland ◽

Seth Walsh-Blackmore ◽

Michael Nisiewicz ◽

Daniel L. Davenport ◽

Margaret A. Plymale ◽

...

Keyword(s):

Hernia Repair ◽

Hospital Stay ◽

Ventral Hernia ◽

Ventral Hernia Repair ◽

Enhanced Recovery ◽

Enhanced Recovery After Surgery ◽

Length Of Hospital Stay ◽

Eras Protocol

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Postoperative Pain After Robot-Assisted Laparoscopic Ventral Hernia Repair

Frontiers in Surgery ◽

10.3389/fsurg.2021.724026 ◽

2021 ◽

Vol 8 ◽

Author(s):

Per Lindström ◽

Göran Rietz ◽

Åsa Hallqvist Everhov ◽

Gabriel Sandblom

Keyword(s):

Postoperative Pain ◽

Hernia Repair ◽

Hospital Stay ◽

Ventral Hernia ◽

Ventral Hernia Repair ◽

Robot Assisted ◽

Potential Benefits ◽

Onlay Mesh ◽

Da Vinci Si

Background: Robot-assisted ventral hernia repair, when performed correctly, may reduce the risk for pain and discomfort in the postoperative period thus enabling shorter hospital stay. The aim of the present study was to evaluate postoperative pain following robot-assisted laparoscopic repair. The approach was selected after an intraoperative decision to complete the repair as: (1). Transabdominal Preperitoneal Repair (TAPP); (2). Trans-Abdominal RetroMuscular (TARM) repair; or (3). Intraperitoneal Onlay Mesh (IPOM) repair depending on anatomical conditions.Methods: Twenty ventral hernia repairs, 8 primary and 12 incisional, were included between 18th Dec 2017 and 11th Nov 2019. There were 8 women, mean age was 60.3 years, and mean diameter of the defect was 3.8 cm. The repairs were performed at Södersjukhuset (Southern General Hospital, Stockholm) using the Da Vinci Si Surgical System®. Sixteen repairs were completed with the TAPP technique, 2 with the TARM technique, and 2 as IPOM repair.Results: Mean hospital stay was 1.05 days. No postoperative infection was seen, and no recurrence was seen at 1 year. At the 30-day follow-up, fifteen patients (75%) rated their pain as zero or pain that was easily ignored, according to the Ventral Hernia Pain Questionnaire. After 1 year no one had pain that was not easily ignored.Conclusion: The present study shows that robot-assisted laparoscopic ventral hernia is feasible and safe. More randomized controlled trials are needed to show that the potential benefits in terms of shorter operation times, earlier discharge, and less postoperative pain motivate the extra costs associated with the robot technique.

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Does a history of wound infection predict postoperative surgical site infection after ventral hernia repair?

The American Journal of Surgery ◽

10.1016/j.amjsurg.2011.12.001 ◽

2012 ◽

Vol 203 (3) ◽

pp. 370-374 ◽

Cited By ~ 23

Author(s):

Jeffrey A. Blatnik ◽

David M. Krpata ◽

Yuri W. Novitsky ◽

Michael J. Rosen

Keyword(s):

Hernia Repair ◽

Surgical Site Infection ◽

Wound Infection ◽

Ventral Hernia ◽

Ventral Hernia Repair ◽

Site Infection ◽

History Of

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Laparoscopic Ventral Hernia Repair versus Open Hernioplasty

10.53350/pjmhs2115102602 ◽

2021 ◽

Vol 15 (10) ◽

pp. 2602-2603

Author(s):

Muhammad Javed Shakir ◽

Imran Sadiq ◽

Ruqqia Naheed Khan ◽

Muhammad Akhlaq Ahmed ◽

Syeda Samina Ashfaq ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Hernia Repair ◽

Hospital Stay ◽

Ventral Hernia ◽

Open Surgery ◽

Ventral Hernia Repair ◽

Clinical Information ◽

Laparoscopic Ventral Hernia Repair ◽

Usual Procedure ◽

The Mean

Background: Ventral hernia repair is the most common and usual procedure which applies various treatment approaches. Aim: To compare the laparoscopic ventral hernia repair surgery with open surgical procedure. Study design: Prospective comparative study Place and duration of study: Department of Surgery Unit-II, Fatima Memorial Hospital, Shadman Lahore from 1stJuly 2016 to 1st March 2021. Methodology: Ninety six patients who underwent either open or laparoscopic surgery. They were divided in two groups. Group A (n=40) was of open surgery and Group B (n=56) was laparoscopic. Patients’ demographic and clinical information was documented, postoperative pain, wound healing, duration of hospital stay, and recurrence rate was also recorded. Results: There were 43 males and 53 females. The mean age of patients was 52.2±14 years. The mean fascial defect size was 6.94±0.3 cm2. Majority of patients were obese. The postoperative study analysis revealed no wound infections and reduced hospital stay in laparoscopic operated patients than open surgery operated cases. Conclusion: Laparoscopic surgery is much safer and more efficient than open surgery protocol for ventral hernia repair in context to wound infection and postoperative complications. Keywords: Ventral hernia, Laparoscopic, Open surgery

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Synthetic Mesh for Large Ventral Hernia Repair Correlated with Evaluation of Quality-of-life A 5 years retrospective study

Revista de Chimie ◽

10.37358/rc.18.5.6304 ◽

2018 ◽

Vol 69 (5) ◽

pp. 1264-1267

Author(s):

George Noditi ◽

Raul Zoler ◽

Gheorghe Noditi ◽

Lazar Fulger

Keyword(s):

Quality Of Life ◽

Hernia Repair ◽

Ventral Hernia ◽

Ventral Hernia Repair ◽

Statistical Significance ◽

Standard Procedure ◽

Synthetic Mesh ◽

Hospital Length ◽

Suture Repair

Ventral hernia mesh repair is considered a standard procedure in most countries and widely accepted as superior to primary suture repair. We conducted a 5 years retrospective observational study on large and giant incizional hernia repair in our Clinics. 176 consecutive patients who had a ventral hernia repair with mesh implant in 2012-2016 were evaluated in terms of demographic characteristics, comorbidities, surgical conditions (defect size, mesh type, positioning of the mesh, length of hospital) and surgical outcomes by means of EuraHS-QoL score pre- and 30 days postoperative to assess quality of life (Qol). Alloplastic substitution with polypropylene, polyester and Dacron mesh has been used in all cases. Polypropylene mesh has been used in most of cases (91%). Most preferred mesh position was intraperitoneal (78%), then retromuscular (15%) and preperitoneal (7%). Immediate postoperative complications appeared in 41 cases (23.3%). Mean hospital length was 14,3 days. We could notice a double pre- and postoperative difference for the pain, with statistical significance (2.71�1.70; p=0.23) and the same pattern of distribution for restriction of activities and for cosmetic discomfort.

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Outcomes of Laparoscopic versus Open Fascial Component Separation for Complex Ventral Hernia Repair

The American Surgeon ◽

10.1177/000313481508100722 ◽

2015 ◽

Vol 81 (7) ◽

pp. 714-719 ◽

Cited By ~ 6

Author(s):

Nathaniel Ng ◽

Mallory Wampler ◽

Humberto Palladino ◽

Francisco Agullo ◽

Brian R. Davis

Keyword(s):

Body Mass Index ◽

Hernia Repair ◽

Wound Infection ◽

Ventral Hernia ◽

Body Mass ◽

Ventral Hernia Repair ◽

Hernia Recurrence ◽

Component Separation ◽

Physical Exam ◽

Recurrence Rates

Ventral hernia recurrence rates have improved with advancements in technique. Open and laparoscopic fascial component separation techniques improve recurrence rates by allowing a tension free closure. This study examines laparoscopic component separation (LCS) and open component separation (OCS) techniques in the repair of complex ventral hernias and compares factors affecting patient outcomes. A retrospective chart review of patients who underwent ventral hernia repair with LCS and OCS was conducted between 2009 and 2013. Patient characteristics and outcomes were documented. Hernia recurrence was determined using physical exam and computed tomography if physical exam was equivocal. Univariate and multivariate analyses were performed. Ten patients underwent LCS and 38 underwent OCS. The rate of wound infection in the LCS group was 20 per cent versus 50 per cent in the OCS group. The overall rate of recurrence after LCS was 20 per cent, and 26 per cent in the OCS group. For body mass index > 30, the recurrence rate was 20 per cent in the LCS group and 29 per cent ( P = 0.5) in the open group. The use of LCS demonstrates a trend in the reduction of hernia recurrence and wound infection overall and in patients with body mass index > 30 compared with OCS.

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Opioid Use and Incidence of Surgical Site Infection after Repair of Ventral and Incisional Hernia - A Prospective Clinical Study in a Tertiary Care Hospital in Tirupati

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/347 ◽

2021 ◽

Vol 8 (22) ◽

pp. 1841-1845

Author(s):

Srikanth Reddy Challapalli ◽

Venkata Prakash Gandikota ◽

Theja Peddavenkatagiri ◽

Harsha Vardhan Reddy Gerigi

Keyword(s):

Hernia Repair ◽

Surgical Site Infection ◽

Hospital Stay ◽

Ventral Hernia ◽

Postoperative Period ◽

Ventral Hernia Repair ◽

Care Hospital ◽

Site Infection ◽

Opioid Use ◽

Opioid Users

BACKGROUND Preoperative opioid use is one of the predisposing factors for complications after most of the surgical procedures. This study intends to evaluate the effect of preoperative opiates on the outcomes following repair of ventral hernia. METHODS We conducted a prospective study of patients who underwent consecutive ventral hernia repair for over one year with institutional review board approval. Data were obtained regarding the usage of opioids during the preoperative period, intraoperative period, and postoperative period. Follow-up of the cases was done during the postoperative period. Data were obtained regarding the postoperative complications, duration of hospital stay, and the analyzed results. RESULTS A striking thirty percent of the total sixty patients have satisfied the criteria for the usage of opioids preoperatively. Preoperative history and operative details were found to be almost similar between the two categories of patients (no preoperative opioid use versus preoperative opioid use). The median hospital stay duration trended towards increased patients with opioid usage versus non-opioid users (P = 0.06). The bowel function's return to the normal was delayed in opioid users compared with non-opioid users (P = 0.018). The risk of superficial surgical site infection was increased among patients who used opioids preoperatively than the patients without preoperative opioid usage (55.5 % vs. 9.5 %; P < 0.001) and remained the same after multivariable logistic regression. CONCLUSIONS Among patients who underwent repair of ventral hernia, those with preoperative opioid usage experienced an increased risk of superficial surgical site infection than patients without preoperative opioid usage. KEYWORDS Opioid, Ventral Hernia Repair, Surgical Site Infection

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