ArticleSurgical endoscopy2016
A simplified laparoscopic approach to ventral hernia repair: a new "finned" mesh configuration with defect closure.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Bridging with reduced overlap: fixation and peritoneal grip can prevent slippage of DIS class A meshes.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the proven benefits of laparoscopic abdominal hernia repair (LAHR), only 25 % of elective ventral hernia repairs are currently performed using this method. This surprising trend may be due to the current limitations of LAHR including lack of defect closure, high seroma rates, and longer OR times. To address these challenges, a new method was developed that uses an innovative "finned" mesh configuration to combine defect closure via open dissection and laparoscopic underlay mesh placement.
methodsA new "finned" mesh is sutured within the defect edges using a traditional open method and then approached laparoscopically for final fixation onto the peritoneal surface of the abdominal wall. The "fin" provides a perpendicular plane for suturing to avoid unintentional contact with any underlying viscera, centers the mesh symmetrically around the closed defect, and prevents mesh migration without stay sutures.
resultsA retrospective review was performed on 108 consecutive patients that had a ventral, incisional, or umbilical hernia repaired using the "finned" mesh between 2007 and 2013. The mean follow-up was 40.83 months. Average operating time was 64.84 min (range 25-144 min) with an average length of stay of 0.80 days (range 0-10 days). There were two intraoperative complications (1.85 %): one small bowel injury and one unexplained incidence of tachycardia. Major post-operative complications included two recurrences (1.85 %) and one small bowel obstruction (0.96 %). Fourteen minor post-operative complications were observed (12.96 %), with the most common being post-operative ileus (n = 4) and urinary retention (n = 3). There were zero incidents of seroma, wound infection, or mesh infection in this study.
conclusionThis innovative laparoscopic method incentivizes surgeons to embrace the technique and its universally accepted advantages by mitigating the most challenging aspects of LAHR. Promising results indicate a potential new standard of care for ventral hernia repair.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.