scholarly journals Prosthetic Mesh Repair for Incarcerated Inguinal Hernia

2016 ◽  
Vol 33 (4) ◽  
pp. 434-440 ◽  
Author(s):  
Cihad Tatar ◽  
Ishak Sefa Tuzun ◽  
Tamer Karsidag ◽  
Mehmet Celal Kizilkaya ◽  
Erdem Yilmaz
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Prosthetic Mesh ◽  
Incarcerated Inguinal Hernia ◽  
Prosthetic Mesh Repair

The Use of Prosthetic Mesh in the Emergency Management of Acute Incarcerated Inguinal Hernias

2019 ◽  
Vol 26 (3) ◽  
pp. 344-349 ◽  
Author(s):  
Jing Liu ◽  
Zhiwei Zhai ◽  
Jie Chen
Keyword(s):  
Wound Infection ◽  
Mesh Repair ◽  
Intestinal Resection ◽  
Laparoscopic Approach ◽  
Wound Infection Rate ◽  
Prosthetic Mesh ◽  
Incarcerated Inguinal Hernia ◽  
Inguinal Hernias ◽  
Significant Difference ◽  
Prosthetic Mesh Repair

Introduction. Tension-free hernia repair has been regarded as a gold standard treatment for selected inguinal hernias, but the use of prosthetic mesh in acute incarcerated inguinal hernias is controversial. Our study focused on evaluating the safety and efficacy of the prosthetic mesh repair for emergency cases. Methods. Patients with acute incarcerated inguinal hernias who underwent emergency prosthetic mesh repair during 2009 to 2014 at our department were included. Patient characteristics, operative approaches and results, and complications were retrospectively analyzed. Results. A total of 167 patients were included in our study. One hundred and twenty-two patients underwent open surgery while the remaining 45 patients underwent transabdominal preperitoneal laparoscopic approach. The hernia was indirect inguinal in 133 patients (79.6%), direct inguinal in 15 patients (9.0%), and femoral in 19 patients (11.4%). The overall wound infection rate of these patients was 3%. Nonviable intestinal resection was performed in 25 patients (8.4%), only 2 of whom underwent wound infection. Another 3 patients who developed wound infection had viable hernia content. There was no mesh-related infection. There was no statistically significant difference in wound infection rates between patients with viable hernia contents and those with nonviable contents ( P < .05). Conclusion. The use of the prosthetic mesh in the treatment of acute incarcerated inguinal hernia is safe and effective. Nonviable intestinal resection cannot be regarded as a contradiction of the mesh repair.

Outcomes of primary and recurrent inguinal hernia repair with prosthetic mesh in a single region over 15 years

2021 ◽  
Vol 103 (7) ◽  
pp. 493-495
Author(s):  
L Smith ◽  
D Magowan ◽  
R Singh ◽  
BM Stephenson
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Primary Repair ◽  
Prosthetic Mesh ◽  
Recurrent Inguinal Hernia ◽  
Open Approach ◽  
Symptomatic Recurrence ◽  
Single Region ◽  
Open Mesh Repair ◽  
Recurrent Herniation

Background Sutured inguinal hernia repairs are now uncommon, with evidence suggesting that those augmented with mesh are associated with a lower recurrence rate. We aimed to explore the suggestion that the established use of mesh does indeed lower the rate of operation for recurrence in a single National Health Service region. Method We collected retrospective Office of Population Censuses and Surveys coded data across one region of all primary and recurrent inguinal hernia repairs over 15 years (2004–2019). Electronic records of recurrent repairs were scrutinised to identify year and type of previous primary repair. Results In total, 7,234 repairs were performed during this time, of which 289 (4%) were for symptomatic recurrence. Operations for primary repair increased year on year (111 in 2004 to 402 in 2019). Frequency of operation for recurrent herniation declined with increasing use of mesh (8.8% in 2004 to 3.5% in 2019). The majority of repairs (73%) for recurrence were by an open approach. As opposed to an open mesh repair, a primary laparoscopic repair was associated with an earlier recurrence. Conclusions Inguinal hernia repairs are increasing in frequency but operations for later symptomatic recurrence following an open primary prosthetic mesh repair are not.

scholarly journals Repair of incisional hernias - Experience with a combined fascial and prosthetic mesh repair

2012 ◽  
Vol 1 (2) ◽  
pp. 6-9
Author(s):  
SM Amjad Hossain ◽  
Khairun Nahar
Keyword(s):  
Hospital Stay ◽  
Mesh Repair ◽  
Rectus Sheath ◽  
Early Mobilization ◽  
Prosthetic Mesh ◽  
Biliary Surgery ◽  
Total Period ◽  
Incisional Hernias ◽  
Prosthetic Mesh Repair

Repairs of incisional (ventral) hernia is one of the commonly performed operation in Bangladesh. This is a prospective study conducted in Shaheed Suhrawardy Hospital, Dhaka and a private Hospital (BDM Hospital) at Dhaka city from June 2001 to 31st May 2004 with a total period of 3 years and with total patients 43. Incisional hernias develop in upto 11% of surgical abdominal wounds with a possible recurrence, following repairs of 44%. There are several methods of repair of incisional hernias, including laparoscopic method of repair which is gaining popularity day by day. But we describe our experience with a combined fascial and prosthetic mesh repair. Of total 43 patients treated, 27 were female & 16 were male. The original operation was gynaecological in 27, bowel related surgery in 15 cases & biliary surgery in 4 patients. The incisions were midline in 31 patients, transverse in 10 patients and paramedian in 2 patients. The hernias were considered subjectively to be large in 21, medium in 16 and small in 6 patients. A parameter was compiled for each patient, noting intraoperative and post postoperative complications , post operative hospital stay and analgesic requirements. Post operative complications included seroma formation in 6 patients. One patient developed wound infection and require removal of the mesh 10 Control infection. Post operative hospital stay ranged from 2 to 17 days. Of total 43 patients 36 were available for follow- up. Seven drops from follow up. Follow up was from 6 months to 36 months. One (2.5%) of these patients complained of persistent lump and one reported persistent pain. Hernia recurrence in one patient (2.5%) , 35 was found to have no recurrence. We advocate these technique because it is applicable to all hernias,most of the mesh is behind the rectus sheath and has two points of fixation, it is relatively pain free allowing early mobilization has a less complication rate and low recurrence rate.DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12158 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.6-9

Prosthetic mesh repair of large and recurrent diaphragmatic hernias

2007 ◽  
Vol 21 (5) ◽  
pp. 737-741 ◽  
Author(s):  
Nir Lubezky ◽  
Boaz Sagie ◽  
Andrei Keidar ◽  
Amir Szold
Keyword(s):  
Mesh Repair ◽  
Prosthetic Mesh ◽  
Prosthetic Mesh Repair ◽  
Diaphragmatic Hernias

Recommendations for patient management after manual reduction of incarcerated inguinal hernia: a literature review

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Tissue Repair ◽  
Laparoscopic Approach ◽  
Current Evidence ◽  
Surgical Team ◽  
Incarcerated Inguinal Hernia ◽  
Manual Reduction ◽  
Inguinal Hernias ◽  
Increased Risk

Introduction: Topic of this review is to provide a systematic overview of the current evidence on the management of patients after manual reduction of an incarcerated inguinal hernia. Methods: Available literature regarding incarcerated or strangulated inguinal hernias published until March 2019 was obtained and reviewed. 32,021 papers were identified, of which only 20 were of a sufficient value to be used in this review. Results: The terms ‘incarcerated’ and ’strangulated’ are used interchangeably in the literature making separate analysis of these two entities almost impossible, although manual reduction is very unlikely to be successful when the hernia has strangulated contents. Following successful manual reduction, mesh repair is generally superior compared to pure tissue repair with regard to recurrence rates. Nevertheless, mesh repair is associated with a significant increase in the surgical site infection (SSI) rate, especially when bowel necrosis is present. The laparoscopic approach provides the benefits of avoiding an unnecessary laparotomy and reducing associated morbidity, but it does require the availability of appropriate equipment and an appropriately skilled surgical team. Conclusion: A mesh repair is generally superior to a pure tissue repair in the surgical management of emergency inguinal hernias, reducing the recurrence rate, but can be associated with an increased risk of SSI depending on the level of contamination. The laparoscopic approach is recommended if an experienced surgical team and necessary equipment are available.

Sign in / Sign up

Export Citation Format

Share Document