Article

Use of a new type of PTFE mesh in laparoscopic incisional hernia repair: the continuing evolution of technique and surgical expertise.

Department of General Surgery, Policlinico A. Gemelli, Catholic University School of Medicine, Rome, Italy.
International surgery (impact factor: 0.36). 89(1):27-31. pp.27-31
Source: PubMed

ABSTRACT We present the results of our first 44 laparoscopic incisional hernia repairs. This study examines the effectiveness of this technique in patients presenting with a first-time or recurrent incisional hernia. From October 2001 to November 2002, a total of 45 consecutive patients underwent laparoscopic incisional hernia repair with a new form of expanded polytetrafluoroethylene (ePTFE) mesh. Patient data, preoperative, intraoperative, and postoperative records, were recorded and analyzed. Mean defect size was 84 cm2, mean mesh size was 311 cm2, mean surgical time was 65 minutes, and mean hospital stay was 2.25 days. Postoperative complications occurred in four patients (9.1%). The laparoscopic approach is a safe, effective, and relatively complication-free option in the management of first-time and recurrent incisional hernias. The use of modified ePTFE mesh with a dual surface in incisional hernia repair enables early tissue attachment, reduces adhesions, and could reduce the incidence of recurrences.

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    Article: Minimally invasive ventral herniorrhaphy: an analysis of 6,266 published cases.
    M A Carlson, C T Frantzides, V K Shostrom, L E Laguna
    [show abstract] [hide abstract]
    ABSTRACT: Over 300,000 ventral abdominal wall hernias are repaired each year in the United States; many of these operations are done with a minimally invasive approach. Despite these numbers, there are few controlled data that evaluate the minimally invasive method of ventral hernia repair. A review of over 6,000 published cases of minimally invasive ventral herniorrhaphy was performed in order to determine major outcome statistics for this procedure. The mean follow-up period was 20 months. The operative mortality was 0.1%. The mean recurrence rate (weighted) was 2.7%, and the major complication rate (mostly bowel injury and infection) was 3%. The results from published cases of minimally invasive ventral herniorrhaphy appear to be competitive with the historical results of open ventral herniorrhaphy. The major caveats of this review are that most of the data are (1) retrospective/uncontrolled and (2) obtained from specialized centers.
    Hernia 03/2008; 12(1):9-22. · 1.84 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

complication-free option
 
dual surface
 
enables
 
ePTFE mesh
 
first 44 laparoscopic incisional hernia repairs
 
first-time
 
incisional hernia
 
intraoperative
 
laparoscopic approach
 
laparoscopic incisional hernia
 
Mean
 
mesh size
 
new form
 
Postoperative complications
 
recurrences
 
recurrent incisional hernia
 
recurrent incisional hernias
 
study examines