Journal ArticleDOI
Laparoscopic ventral hernia repair: a single center experience.
William S. Cobb,Kent W. Kercher,Brent D. Matthews,Justin M. Burns,N. H. Tinkham,Ronald F. Sing,B. T. Heniford +6 more
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TLDR
As experience grows and length of follow-up expands, LVHR may become the preferred approach for ventral hernia in difficult patients, especially obese patients and patients who have failed prior open repairs.Abstract:
A retrospective chart review at the Carolinas Medical Center was performed on all patients who underwent laparoscopic ventral hernia repair (LVHR) from July 1998 through December 2003. LVHR was successfully completed in 270 of the 277 patients, or 98%, in whom it was attempted. Half of the patients (138/277) had at least one previous failed repair. The average defect measured 143.3 cm(2), and mesh was used in all repairs. The mean operating time was 168.3 min, mean blood loss was 50 cc, and average length of hospitalization was 3.0 days. Thirty-four complications occurred in 31 patients (11%). Only two mesh infections occurred (0.7%). At a mean follow-up period of 21 months, the rate of hernia recurrence was 4.7%. As experience grows and length of follow-up expands, LVHR may become the preferred approach for ventral hernia in difficult patients, especially obese patients and patients who have failed prior open repairs.read more
Citations
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Journal ArticleDOI
Prospective, long-term comparison of quality of life in laparoscopic versus open ventral hernia repair.
Paul D. Colavita,Victor B. Tsirline,Igor Belyansky,Amanda L. Walters,Amy E. Lincourt,Ronald F. Sing,B. Todd Heniford +6 more
TL;DR: In the largest, prospective QOL study comparing LVHR and OVHR, LVHR is associated with a decrease in QOL in the short term, and LOS and infection rates are decreased in LVHR, but overall complication and recurrence rates are equal.
Journal ArticleDOI
Choice of mesh for laparoscopic ventral hernia repair
TL;DR: The literature clearly points in the direction of very few mesh-related complications after LVHR, and the final choice of mesh for LVHR will typically be based on surgeons’ preference and cost while the authors await further data from randomized controlled clinical trials.
Journal ArticleDOI
Comparative evaluation of adhesion formation, strength of ingrowth, and textile properties of prosthetic meshes after long-term intra-abdominal implantation in a rabbit.
Yuri W. Novitsky,Andrew G. Harrell,Joseph A. Cristiano,B. Lauren Paton,H. James Norton,Richard D. Peindl,Kent W. Kercher,B. Todd Heniford +7 more
TL;DR: The aim of this study was to compare the adhesion formation, tissue ingrowth, and textile characteristics one year after intra-abdominal placement of the commonly used prosthetic meshes.
Journal ArticleDOI
Open preperitoneal retrofascial mesh repair for multiply recurrent ventral incisional hernias.
Yuri W. Novitsky,Justin R. Porter,Zach C. Rucho,Stanley B. Getz,Broc L. Pratt,Kent W. Kercher,B. Todd Heniford +6 more
TL;DR: Open preperitoneal retrofascial mesh repair resulted in an effective herniorrhaphy with low perioperative morbidity in patients with MRH, and smoking cessation appears to be important in minimizing infectious complications.
Journal ArticleDOI
The susceptibility of prosthetic biomaterials to infection
Alfredo M. Carbonell,Brent D. Matthews,Didier Dréau,Mareva Foster,Catherine E. Austin,Kent W. Kercher,Ronald F. Sing,B. T. Heniford +7 more
TL;DR: The DM+ material was the least susceptible to infection and silver/chlorhexidine appears to be an effective bactericidal agent for use with mesh biomaterials.
References
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Journal ArticleDOI
A Comparison of Suture Repair with Mesh Repair for Incisional Hernia
R W Luijendijk,Wim C. J. Hop,van den Tol Mp,de Lange Dc,Braaksma Mm,Jan N. M. IJzermans,Boelhouwer Ru,de Vries Bc,Salu Mk,Wereldsma Jc,Bruijninckx Cm,J. Jeekel +11 more
TL;DR: Among patients with midline abdominal incisional hernias, mesh repair is superior to suture repair with regard to the recurrence of hernia, regardless of the size of the hernia.
Journal ArticleDOI
Long-term Complications Associated With Prosthetic Repair of Incisional Hernias
TL;DR: Polyester mesh should no longer be used for incisional hernia repair and the deleterious effect of polyester mesh on long-term complications was confirmed on multiple logistic regression.
Journal ArticleDOI
Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias.
B. Todd Heniford,Adrian Park,Adrian Park,Bruce J. Ramshaw,Guy R. Voeller,John G. Hunter,Robert J. Fitzgibbons +6 more
TL;DR: In this large series of LVHRs, LVHR had a low rate of conversion to open surgery, a short hospital stay, a moderate complication rate, and a low risk of recurrence.
Journal ArticleDOI
The treatment of complicated groin and incisional hernias
TL;DR: The state of hernial surgery has advanced to the point that one must consider the systematic surgical cure of all diagnosed hernias, and the general features and diagnostic and technical consequences of the repair of groin and incisionalHernias are considered.
Journal Article
An evaluation of risk factors in incisional hernia recurrence.
TL;DR: In this article, the authors reviewed the generally accepted risk factors for developing a primary incisional hernia and reviewed the influence of these risk factors on the development of recurrent hernia.