ArticleHernia : the journal of hernias and abdominal wall surgery2018
Previously implanted intra-peritoneal mesh increases morbidity during re-laparoscopy: a retrospective, case-matched cohort study.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 31 citations in OpenAlex.
- Single-surgeon learning curve for robotic-assisted transabdominal retromuscular repair with Hugo RAS™ surgical system.Surgical endoscopy · 2026Article
- Outcomes During the Learning Curve and Feasibility of Implementing the European Hernia Society Recommendation Guidelines for Robotic Abdominal Wall Surgery Within a UK Centre.Journal of abdominal wall surgery : JAWS · 2025Article
- Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry: factors associated with their use and mesh-related outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Does intraperitoneal mesh increase the risk of bowel obstruction? A nationwide French analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Primary Ventral Hernia Repair and the Risk of Postoperative Small Bowel Obstruction: Intra Versus Extraperitoneal Mesh.Journal of clinical medicine · 2023Article
- Preliminary robotic abdominal wall reconstruction experience: single-centre outcomes of the first 150 cases.Langenbeck's archives of surgery · 2023Review
- Prospective cohort study on mesh shrinkage measured with MRI after robot-assisted minimal invasive retrorectus ventral hernia repair using an iron-oxide-loaded polyvinylidene fluoride mesh.Surgical endoscopy · 2023Observational
- Description of the Current Da VinciJournal of abdominal wall surgery : JAWS · 2022Review
- Ventral hernia repair by totally extraperitoneal approach (VTEP): technique description and feasibility study.Surgical endoscopy · 2021Article
- Robotic transabdominal retromuscular umbilical prosthetic hernia repair (TARUP): observational study on the operative time during the learning curve.Hernia : the journal of hernias and abdominal wall surgery · 2018Observational
- The current role of laparoscopic IPOM repair in abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- Retrorectus sublay mesh repair using polypropylene mesh: Cost-effective approach for laparoscopic treatment of ventral abdominal wall hernias.Journal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic ventral hernia repair (LVHR) with intra-peritoneal mesh placement is standard surgical treatment of abdominal wall hernias. During laparoscopic re-intervention, we examined adhesions that develop after previous intra-peritoneal mesh placement and ascertained morbidity and risk of adverse events.
methodsThis is a retrospective, case-matched comparison of three patient groups-previous intra-peritoneal mesh (Group A), previous abdominal surgery (Group B) and no previous abdominal surgery (Group C). Matching was based on surgical procedure performed during laparoscopic re-intervention in Group A. Adhesions were described as grade, extent of previous mesh/scar involvement, involvement of abdominal quadrants and dissection technique required for adhesiolysis, each component being assigned value from 0 to 4. Total adhesion score (TAS) was generated as summative score for each patient (0 to 16). Access/adhesiolysis-related injuries, additional port requirement, deviations from planned surgery, operative time and length of hospital stay was noted. Relative risk of adverse events, i.e., inadvertent injuries and deviations from planned surgery, was calculated for Group A.
resultsAdhesion characteristics were most severe (highest TAS) in Group A. Access injuries occurred in 5, 4, 1.3% in Groups A, B, C, respectively. Adhesiolysis-related injury rate was 9%, 2.6% in Groups A, B, respectively. Relative risk of adverse events was 4 for Group A (compared to Groups B and C combined). Additional port requirement was highest for Group A. Mean operative time and length of hospital stay was significantly longer in Group A for LVHR.
conclusionsIntra-peritoneal mesh placement is associated with adhesion formation that may increase risk during subsequent laparoscopic surgery.
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