Laparoscopic Spigelian Hernia Repair: Intraperitoneal Onlay Mesh-Plus Technique—Video Presentation

2018 ◽  
Vol 28 (2) ◽  
pp. 201-203 ◽  
Author(s):  
Dimitrios Zacharoulis ◽  
Eleni Sioka
Keyword(s):  
Hernia Repair ◽  
Spigelian Hernia ◽  
Intraperitoneal Onlay Mesh ◽  
Video Presentation ◽  
Onlay Mesh

scholarly journals Intraperitoneal Onlay Mesh in Ventral Hernia Repair – Experience in A Tertiary Care Hospital in Bangladesh

2017 ◽  
Vol 7 (2) ◽  
pp. 106-109
Author(s):  
Md Ezharul Haque Ratan ◽  
Hasina Alam
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Intraperitoneal Onlay Mesh ◽  
Diabetes Status ◽  
Onlay Mesh

Background: Ventral hernias are common problem in surgical practice. Repair of hernia by a prosthetic mesh is a well recognized procedure. But whether the procedure is to be done by open or laparoscopic technique is still a topic of discussion. Laparoscopic intraperitoneal onlay mesh (IPOM) hernioplasty is a newer technique in managing ventral hernia in our country. We are evaluating the usefulness of this procedure as routine operation for ventral hernias.Methods: All patients attending at Bangladesh Institute of Research & Rehabilitation of Diabetes, Endocrine and Metabolic disorders (BIRDEM) outpatient department (OPD) with ventral hernia were approached and counseled for laparoscopic IPOM, but only those who agreed were included in this study. Fifty consecutive patients underwent IPOM by a single surgeon. Preoperative evaluation was done rationally and surgery performed by standard laparoscopic method. Age, sex, diabetes status and additional procedures done were evaluated. Post- operative follow up period was from 3 months to 75 months and any complication or recurrence were noted.Results: We are reporting 50 cases of laparoscopic IPOM, over a time period of 78 months (April 2010- September 2016). Eleven cases were male, 39 female (M: F=1:3.5). 35 (70%) cases were diabetic, 15 (30%) were non-diabetic. Mean age of the patients were 47.7yrs (male 47.7+9.5 yrs, female 47.7- 2.6 yrs, diabetic patients 47.7+ 2.5yrs, non-diabetic patients 47.7-5.9yrs). Indication for IPOM was paraumbilical hernia 29 cases (58%), incisional hernia 14 cases(28%), multiple incisional hernia 2 cases ( 2 large defect in one case, 5 defects of varying size in another patient), umbilical port hernia 2 cases, paraumbilical along with incisional hernia 1 case, epigastric hernia 1 case, lumber hernia 1 case. In 48 cases (96%) polypropylene mesh and only in 2 cases (4%) dual mesh were used. In addition to IPOM procedure, in same sitting laparoscopic cholecystectomy was done in 8 cases, Dilatation & Curettage in 1 case and adhesiolysis in 7 cases. None of the case required conversion to open, neither was there any intra-operative complication. In one case there was recurrence . In another case there was false recurrence due to development of ascites. Four patients developed seroma which were managed conservatively.Conclusion: Laparoscopic intraperitoneal onlay mesh (IPOM) hernioplasty has proved to be an effective surgical procedure for ventral hernia repair. It provides much benefits with low complications and conversion in experienced hands.Birdem Med J 2017; 7(2): 106-109

Comparison of three separate antiadhesive barriers for intraperitoneal onlay mesh hernia repair in an experimental model

2010 ◽  
Vol 98 (3) ◽  
pp. 442-449 ◽  
Author(s):  
S. Gruber-Blum ◽  
A. H. Petter-Puchner ◽  
J. Brand ◽  
R. H. Fortelny ◽  
N. Walder ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Experimental Model ◽  
Intraperitoneal Onlay Mesh ◽  
Onlay Mesh ◽  
Mesh Hernia Repair

scholarly journals In vivo performance of intraperitoneal onlay mesh after ventral hernia repair

2020 ◽  
Vol 78 ◽  
pp. 105076 ◽  
Author(s):  
Izabela Lubowiecka ◽  
Agnieszka Tomaszewska ◽  
Katarzyna Szepietowska ◽  
Czesław Szymczak ◽  
Maciej Śmietański
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Intraperitoneal Onlay Mesh ◽  
Onlay Mesh

Laparoscopic Intraperitoneal Onlay Mesh Inguinal Hernia Repair

1994 ◽  
Vol 1 (2) ◽  
pp. 106-115 ◽  
Author(s):  
N. X. Nguyen ◽  
J. Camps ◽  
RobertJ. Fitzgibbons
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Intraperitoneal Onlay Mesh ◽  
Onlay Mesh

Outcomes of Laparoscopic-Assisted, Open Umbilical Hernia Repair

2020 ◽  
Vol 86 (8) ◽  
pp. 1001-1004
Author(s):  
Jenny M. Shao ◽  
Sharbel A. Elhage ◽  
Tanu Prasad ◽  
Paul D. Colavita ◽  
Vedra A. Augenstein ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Umbilical Hernia ◽  
Patient Characteristics ◽  
Radiographic Examination ◽  
Intraperitoneal Onlay Mesh ◽  
Institutional Review ◽  
Umbilical Hernia Repair ◽  
Onlay Mesh ◽  
Laparoscopic Assisted

Umbilical hernia repair (UHR) is one of the most commonly performed hernia operations with reported recurrence rate from 1% to 54%. Our aim was to describe an open, laparoscopic-assisted (OLA) technique and its outcome in an institutional review board-approved prospective study at a tertiary hernia center from 2008 to 2019. All patients underwent a standard periumbilical incision, open dissection of the hernia, and closure of the fascial defect with laparoscopic intraperitoneal onlay mesh (IPOM) fixation with permanent tacks. A total of 186 patients were identified who underwent an OLA UHR repair. Patient characteristics are as follows: average age 52.8 ± 12.5 years, male gender 79.6%, body mass index 31.4 ± 8.0 kg/m2, and average hernia defect size of 2.8 ± 4.8 cm2. Forty-one (22.0%) patients had previous failed repair. Sixty-nine (37.1%) patients had another procedure performed at the time of the UHR, most commonly a laparoscopic transabdominal inguinal hernia repair (58%). The mean operative time was 87.3 ± 51.2 minutes, but only 63.9 ± 31.9 minutes for patients undergoing an OLA repair. There were no recurrences (0%) on abdominal physical or radiographic examination with an average follow-up of 16.5 ± 17.7 months. Postoperative complications included wound erythema (2.7%), hematomas (1.1%), seromas (2.7%), and 4.3% received postoperative oral antibiotics. One person was readmitted for seroma drainage, and another required reoperation for small bowel obstruction unrelated to the hernia repair. One patient had chronic pain requiring tack removal. With moderate follow-up, an OLA UHR with mesh appears to be a durable repair with favorable results, including those patients with recurrent hernias.

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