Outcome analysis of laparoscopic incisional hernia repair and risk factors for hernia recurrence in liver transplant patients

2015 ◽  
Vol 29 (10) ◽  
pp. 866-871 ◽  
Author(s):  
Sascha Weiss ◽  
Annemarie Weissenbacher ◽  
Robert Sucher ◽  
Christian Denecke ◽  
Andreas Brandl ◽  
...  
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Liver Transplant ◽  
Incisional Hernia Repair ◽  
Hernia Recurrence ◽  
Outcome Analysis ◽  
Laparoscopic Incisional Hernia Repair ◽  
Transplant Patients

scholarly journals Reconstruction of the abdominal wall in anatomical plans. Pre and post – operative keys in repairing “cold’’ incisional hernias.

2016 ◽  
Vol 89 (1) ◽  
pp. 117-121
Author(s):  
Florina Popa ◽  
Oana Rosca ◽  
Alexandru Georgescu ◽  
Claudio Cannistra
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Positive Impact ◽  
Incisional Hernia Repair ◽  
Repair Process ◽  
Hernia Recurrence ◽  
Reconstruction Procedure ◽  
Incisional Hernias ◽  
Claude Bernard

Background and aims. The clinical results of the vertical "vest-over-pants" Mayo repair were evaluated, and the risk factors for incisional hernia recurrence were studied. The purpose of this study is to point out the importance of reducing pre and post operative risk factors in the incisional hernia repair process in order to achieve a physiologically normal abdominal wall.Methods. Twenty patients diagnosed with incisional hernia underwent an abdominal reconstruction procedure using the Mayo (Paletot) technique at Bichat Claude Bernard Hospital between 2005 and 2015. All procedures were performed by a single surgeon and all patients were pre-operatively prepared, identifying all coexisting conditions and treating them accordingly before undergoing surgery.Results. All patients underwent at least one surgical operation before the hernia repair procedure and a quarter had experienced at least three, prior to this one. Nine patients had a body mass index of >30 kg/m2. Additional risk factors and comorbidities included obesity in 45%, diabetes mellitus in 10%, smoking in 55%, and high blood pressure in 40%.Hernia defect width was from 3 cm (25% F) to 15 cm (5% M) of which nine patients (45%) had a 10 cm defect. Most of the patients had an average hospitalization of 7 days. The patients were carefully monitored and were called on periodic consultations  after 3, 6, and 12 months from the moment of the procedure. Patient feedback regarding  hernia recurrence and complaints about the scar were noted. Physical examination is essential in determining the hernia recurrence therefore the scar was examined for any abnormalities that may  have occurred, which was defined as any palpable or detected fascial defect located within seven centimeters of the hernia repair. Post-operative complications: seroma formation, wound hematoma, superficial and deep wound infection, recurrences and chronic pain were followed and no complications were registered during the follow-up period.Conclusions. Reducing the risk factors to a minimum prior to surgery will increase the success of the incisional hernia repair and generate a positive impact on the patient’s quality of life. The lofty goal of significant weight loss prior to elective hernia has shown to be the key factor in using the Mayo technique for incisional hernia repair. This study demonstrates that the Mayo repair technique is a suitable and trustworthy  alternative for repairing incisional hernias with very good results. It’s costs are minimal and it can be easily reproduced, even by less experienced surgeons.

scholarly journals Laparoscopic Incisional Hernia Repair in Liver Transplant and Other Immunosuppressed Patients

2002 ◽  
Vol 2 (4) ◽  
pp. 349-354 ◽  
Author(s):  
Kenneth A. Andreoni ◽  
Harry Lightfoot ◽  
David A. Gerber ◽  
Mark W. Johnson ◽  
Jeffery H. Fair
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Liver Transplant ◽  
Incisional Hernia Repair ◽  
Laparoscopic Incisional Hernia Repair ◽  
Immunosuppressed Patients

Risk Factors for Surgical Site Occurrence or Infection and Recurrence After Incisional Hernia Repair in Abdominal Transplant Population

2021 ◽  
Vol 53 (2) ◽  
pp. 762-767
Author(s):  
Fareed Cheema ◽  
Oya Andacoglu ◽  
Li-Ching Huang ◽  
Sharon E. Phillips ◽  
Flavio Malcher
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair
Sign in / Sign up

Export Citation Format

Share Document