The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: Mid-term analysis of 400 cases

Chelala, E.; Thoma, M.; Tatete, B.; Lemye, A. C.; Dessily, M.; Alle, J. L.
March 2007
Surgical Endoscopy;Mar2007, Vol. 21 Issue 3, p391
Academic Journal
journal article
Background: The authors describe a minimally invasive treatment of moderate to large incisional and ventral hernia defects using Parietex composite mesh.Methods: All defects are closed laparoscopically or through a minilaparotomy using sutures, and the composite mesh is fixed intraperitonally using transabdominal fixation with nonabsorbable sutures to avoid the use of staple or tack fixation, which has been associated with various complications, including major loop adhesion and mesh migration. The midterm results for 400 patients are presented in terms of efficacy and safety.Results: During a mean follow-up period of 28 months for 80% of the patients, the median operating time was 74 min and the median hospital stay was 3 days. There were eight seromas (2%), all on large defects. Transient pain was experienced by 10 patients (2.5%), and resolved over time with analgesic treatment. There was one early case of sepsis (0.25%), attributable to secondary breakdown of the bowel wall in a case of recurrent incisional hernia, which led to removal of the mesh. Residual chronic parietal pain was reported for 10 patients (2.5%), 2 of whom were released after excision of neuroma; 3 trocar-site herniations (0.75%); and lipoma formation on the site of the hernia sac in 6 cases (1.5%).Conclusion: Laparoscopic ventral hernia treatment using Parietex composite mesh is an effective and safe procedure. Morbidity and recurrence rates are low, and the 2-year outcomes are promising, with no prosthesis migration or complication related to intraperitoneal positioning of the mesh.


Related Articles

  • Laparoscopic repair of incisional and ventral hernias with the new type of meshes: randomized control trial. Grubnik, Vladimir V.; Grubnik, Aleksandra V.; Vorotyntseva, Kseniya O. // Videosurgery & Other Miniinvasive Techniques / Wideochirurgia i;Jun2014, Vol. 2014 Issue 2, p145 

    Introduction: Laparoscopic incisional and ventral hernia repair (LIVHR) was first reported by Le Blanc and Booth in 1993. Many studies are available in the literature that have shown that laparoscopic repair of incisional and ventral hernia is preferred over open repair because of lower...

  • Postoperative abdominal wall hernias: Best repair methodology.  // Internal Medicine Alert;10/29/2010, Vol. 32 Issue 20, p160 

    The article reports on a study which examines the effectiveness of both laparoscopy and open restoration of ventral incisional hernias in treatment of abdominal wall hernia.

  • The utilization of laparoscopy in ventral hernia repair: an update of outcomes analysis using ACS-NSQIP data. Aher, Chetan; Kubasiak, John; Daly, Shaun; Janssen, Imke; Deziel, Daniel; Millikan, Keith; Myers, Jonathan; Luu, Minh // Surgical Endoscopy;May2015, Vol. 29 Issue 5, p1099 

    Background: Numerous prospective studies and randomized controlled trials have demonstrated shorter length of stay, lower morbidity rates, and similar recurrence rates with laparoscopic ventral hernia repair (VHR) when compared to open VHR. Despite these promising results, previous data showed...

  • Laparoscopic ventral hernia repair with the Goretex Dualmesh: long-term results and review of the literature. Topart, Ph.; Ferrand, L.; Vandenbroucke, F.; Lozac'h, P. // Hernia;Dec2005, Vol. 9 Issue 4, p348 

    Since 1993 laparoscopy has become a popular technique of repair of ventral hernias. The authors review the long-term results of a systematic laparoscopic repair of ventral hernias and discuss the current problems compared to open repair. Between 1997 and 2003, 146 patients had a laparoscopic...

  • Laparoscopic incisional hernia repair: are transfascial sutures necessary? A review of the literature. LeBlanc, K.A. // Surgical Endoscopy;Apr2007, Vol. 21 Issue 4, p508 

    Background: Laparoscopic repair of incisional and ventral hernias is rapidly becoming more commonplace in the armamentarium of general surgeons. Its utility and low recurrence rates make it a very attractive option. As with all newer procedures, controversies exist with this...

  • Double rolling and center hitch technique for laparoscopic ventral hernia repair. Ali, Asfar; Bhatia, Parveen; Kalhan, Sudhir; Khetan, Mukund; John, Suviraj; Bindal, Vivek // Journal of Minimal Access Surgery;Apr-Jun2013, Vol. 9 Issue 2, p95 

    BACKGROUND: Intraperitoneal onlay mesh repair is an established modality to treat large ventral hernias. Various techniques of laying the mesh are utilized. We present the Double Rolling and Center Hitch technique to lay a large intraperitoneal onlay mesh. OBJECTIVE: The aim of the study is to...

  • Endoscopic component separation for laparoscopic and open ventral hernia repair: a single institutional comparison of outcomes and review of the technique. Azoury, S.; Dhanasopon, A.; Hui, X.; Tuffaha, S.; De La Cruz, C.; Liao, C.; Lovins, M.; Nguyen, H. // Hernia;Oct2014, Vol. 18 Issue 5, p637 

    Purpose: To our knowledge, there are limited small case series reports on endoscopic component separation (ECS) and no single institutional study comparing the difference in outcomes between laparoscopic and open ventral hernia repairs following endoscopic component separation. Methods: A single...

  • A Memorable Visit with Dr. Edward E. Mason and Family. Rosenthal, Raul J. // Bariatric Times;Sep2014, Vol. 11 Issue 9, preceding p3 

    An introduction is presented in which the editor discusses reports in the issue including managing rhabdomyolisis, bovine pericardium to manage ventral hernia, and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) President Professor Doctor Rudy Weiner interview.

  • A new classification for seroma after laparoscopic ventral hernia repair. Morales-Conde, S. // Hernia;Jun2012, Vol. 16 Issue 3, p261 

    Introduction: Laparoscopic techniques are being used increasingly in the repair of ventral hernias, but different incidences and complications have been described as potential risks of this approach. Seroma formation has been documented as one of the most common complication, although most of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics