scholarly journals Sutureless Laparoscopic Ventral Hernia Repair in Obese Patients

2011 ◽  
Vol 15 (2) ◽  
pp. 154-159 ◽  
Author(s):  
Ehab Akkary ◽  
Lucian Panait ◽  
Kurt Roberts ◽  
Andrew Duffy ◽  
Robert Bell
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Laparoscopic Ventral Hernia Repair ◽  
Obese Patients

scholarly journals Laparoscopic Ventral Hernia Repair Combined with Sleeve Gastrectomy in Morbidly Obese Patients: Early Outcomes

2019 ◽  
Vol 05 (03) ◽  
pp. e87-e91 ◽  
Author(s):  
Ahmed M.S.M. Marzouk ◽  
Heba O.E. Ali
Keyword(s):  
Sleeve Gastrectomy ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Mesh Size ◽  
Laparoscopic Ventral Hernia Repair ◽  
Abdominal Pressure ◽  
Morbidly Obese ◽  
Obese Patients ◽  
The Mean

Background Morbid obesity is a serious chronic condition with, among other symptoms, increased intra-abdominal pressure and subsequent abdominal wall hernias. The optimal management of these manifestations is still controversial. The objective of this study was to assess the early postoperative outcomes of a surgical approach combining laparoscopic ventral hernia repair (LVHR) with sleeve gastrectomy in morbidly obese patients. Methods In this retrospective study, we reviewed the files of patients who are obese with a primary ventral hernia of less than 10 cm in diameter who received simultaneous laparoscopic sleeve gastrectomy and LVHR at our institution between February 2016 and July 2018. LVHR was performed using an intraperitoneal only mesh. The individual mesh size was chosen based on the number and size of the defects. Clinical and radiological follow-ups were performed between 9 and 15 months. Results A total of 15 patients were included. Five of them were males. The mean body mass index was 45.2 kg/m2 (range: 38.7–56.2 kg/m2). The mean hernia defect size was 2.6 cm (range: 1.3–4.2 cm). Mesh size was 10 × 15 cm in five, 20 × 15 cm in seven, and 25 cm× 20 cm in three patients. All patients were discharged without complications on the second postoperative day. Mean follow-up was at 12 months. One patient presented with hernia recurrence 14 months after surgery and four patients presented with self-limited seroma. Conclusion Despite ambiguous guidelines and ongoing debate regarding simultaneous bariatric surgery and ventral hernia repair, the short-term outcomes of this approach appeared promising, provided that patients are carefully selected and receive an individually tailored approach.

Laparoscopic ventral hernia repair (LVHR) in morbidly obese patients

Hernia ◽  
2007 ◽  
Vol 12 (3) ◽  
pp. 233-238 ◽  
Author(s):  
Z. Tsereteli ◽  
B. A. Pryor ◽  
B. T. Heniford ◽  
A. Park ◽  
G. Voeller ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Laparoscopic Ventral Hernia Repair ◽  
Morbidly Obese ◽  
Obese Patients

scholarly journals Postoperative Comparison In Open Vs. Laparoscopic Ventral Hernia Repair In Obese Patients

2017 ◽  
Vol 23 (1) ◽  
pp. 13-16
Author(s):  
Iuliana Dogaru ◽  
M. Avram ◽  
M. Gherghinoiu ◽  
V. Morosan ◽  
N. Ciufu ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Laparoscopic Approach ◽  
Operation Time ◽  
Laparoscopic Ventral Hernia Repair ◽  
Open Approach ◽  
Obese Patients ◽  
Hospitalization Costs

Abstract Introduction: Obesity is an important problem in our society. Recent studies shows that laparoscopic ventral hernia repair has advantages in obese patients comparing with the standard open approach. This study wants to compare length of stay (LOS), hospitalization costs (HC) and operative time (OT) in laparoscopic and open ventral hernia repair. Methods: A retrospective study of obese patients (BMI>30kg/m2) that underwent ventral hernia repair between 2014 and 2015 were included. We compared demographics, hernia size, OT, LOS, HC between the two approaches. Results: 100 patients with ventral hernia repair were included, 11 had laparoscopic approach (11%). Laparoscopy was performed only in elective surgery and for small defects. The operation time was almost the same (119.09 vs.118.87 min). The length of stay was significantly longer in open approach (8.53 vs. 2.9 days) and hospitalization costs were higher for laparoscopic repair. Conclusions: Laparoscopy offers a better length of stay, but the costs remains higher for this approach.

scholarly journals Laparoscopic ventral hernia repair in obese patients under spinal anesthesia

2013 ◽  
Vol 11 (9) ◽  
pp. 926-929 ◽  
Author(s):  
Dimitrios Symeonidis ◽  
Ioannis Baloyiannis ◽  
Stavroula Georgopoulou ◽  
Georgios Koukoulis ◽  
Evangelos Athanasiou ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Spinal Anesthesia ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Laparoscopic Ventral Hernia Repair ◽  
Obese Patients

scholarly journals Role of Tranexamic Acid for Seroma Prevention in Obese Patients Undergoing Laparoscopic Ventral Hernia Repair Under Spinal Anesthesia

2021 ◽  
Vol 15 (10) ◽  
pp. 3488-3490
Author(s):  
Rizwan Khan ◽  
Mahabub Aalam ◽  
Naeem Ahmed ◽  
Muddasar Pervaiz ◽  
Zahid Saeed
Keyword(s):  
Body Mass Index ◽  
Hernia Repair ◽  
Tranexamic Acid ◽  
Spinal Anesthesia ◽  
Ventral Hernia ◽  
Body Mass ◽  
Ventral Hernia Repair ◽  
Seroma Formation ◽  
Laparoscopic Ventral Hernia Repair ◽  
Obese Patients

Objective: The aim of this study is to determine the effectiveness of tranexamic acid for seroma prevention in obese patients undergoing laparoscopic ventral hernia repair under spinal anesthesia. Study Design: Cross sectional study Place and Duration: Jinnah Postgraduate Medical Center (JPMC) Karachi, 1st July 2020 to 30th June 2021. Methods: There were one hundred and ten patients f both genders had abdominal hernia were included in this study. We have taken written consent from all the patients for detailed demographics age, sex and body mass index. Patients were undergone for laparoscopic ventral hernia repair under spinal anesthesia in OPD. The size and contents of the defect were determined by an abdominal and pelvic ultrasound. All patients received postoperative tranexamic acid. Drains were put in to measure the amount of seroma that was produced as a result of the procedure. SPSS 22.0 was used to analyze all of the data. Results: 42.23±6.55 years were the mean age of the patients. Mean Body mass index was 32.13±3.43 kg/m2. Majority of the patients 74 (67.3%) were females and rest of the patients 36 (32.7%) were males. In 91 (82.7%) cases seroma reduction was calculated within week. Only 41 of the 110 patients had drain output of less than 150 ml, 55 had drain output of 150-300 ml, and 14 had drain output greater than 300 ml. Seroma formation was found among 7 (6.4%) cases. Conclusion: Tranexamic acid was found to be efficient in minimizing postoperative seroma formation in ventral hernia repairs, according to the findings of this study. Keywords: Laparoscopic, Tranexamic acid, Plasminogen, Seroma, Obese Patients

scholarly journals Long term outcome and elasticity of a polyester mesh used for laparoscopic ventral hernia repair

Hernia ◽  
2021 ◽  
Author(s):  
P. J. O’Dwyer ◽  
C. Chew ◽  
H. Qandeel
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Laparoscopic Repair ◽  
Ventral Hernia Repair ◽  
Laparoscopic Ventral Hernia Repair ◽  
Ct Scans ◽  
Unique Problem ◽  
Polyester Mesh

Abstract Background Repair of a ventral hernia is increasingly being performed by a laparoscopic approach despite lack of good long term follow up data on outcomes. The aim of this study was to examine the long term performance of a polyester mesh and to assess its elastic properties in patients undergoing laparoscopic ventral hernia repair. Methods All patients being assessed for a ventral hernia repair between August 2011 and November 2013 were placed on a prospective database. Those undergoing laparoscopic repair with a polyester mesh were seen at clinic at one month and one year, while their electronic records were assessed at 34 months (range 24–48 months) and 104 months (range 92–116 months). In addition, CT scans of the abdomen and pelvis performed for any reason on these patients during the follow up period were reviewed by a consultant gastrointestinal radiologist. Mechanical failure testing of the mesh was also performed. Results Thirty-two of the 100 patients assessed for ventral hernia repair had a laparoscopic repair with a polyester mesh. Nineteen (59%) had CT scans performed during the follow-up period. No recurrence was recorded at 34 months, while three (9.4%) had a recurrence at 104 months. Two had central breakdown of the mesh at 81 and 90 months, while 1 presented acutely at 116 months after operation. Mesh had stretched across the defect by an average of 21% (range 5.7–40%) in nine patients. Mechanical testing showed that this mesh lost its elasticity at low forces ranging between 1.8 and 3.2 N/cm. Conclusion This study shows that late recurrence is a problem following laparoscopic ventral hernia repair with polyester mesh. The mesh loses it elasticity at a low force. This combined with degradation of mesh seems the most likely cause of failure. This is unlikely to be a unique problem of polyester mesh and further long-term studies are required to better assess this operative approach to ventral hernia repair.

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