Skip to main content
main-content
Erschienen in: Surgical Endoscopy 2/2013

01.02.2013

Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias

verfasst von: Alexander Daniel Schroeder, Eike Sebastian Debus, Michael Schroeder, Wolfgang Matthias Johann Reinpold

Erschienen in: Surgical Endoscopy | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Abstract

Background

Incisional hernia is a frequent complication after abdominal surgery. Today open sublay mesh repair and the laparoscopic intraperitoneal onlay mesh repair are the most widely used techniques for its cure. We developed a laparoscopic transperitoneal sublay mesh repair for the treatment of small- and medium-size ventral and incisional hernias. Outcomes of the new technique and the Rives–Stoppa repair were compared.

Methods

This prospective cohort study with a control group involved 93 patients. Between 2008 and 2010, 43 patients underwent the laparoscopic transperitoneal sublay mesh repair. During the same period of time, a control group of 50 patients underwent an open sublay repair after Rives and Stoppa. In 2011, all patients were invited for follow-up. This included pain assessments and physical examinations with use of ultrasound.

Results

The two groups were comparable in terms of patient characteristics and hernia data. The operating time was slightly longer for the laparoscopic technique. The hospital stay was shorter in the laparoscopy group. There was less chronic pain in the laparoscopy group, but this difference was not statistically significant. There was no significant difference in postoperative complications, use of analgetics, foreign body sensation, and paresthesia between the two groups. We found one long-term hematoma in the laparoscopy group and one seroma in the open group. In this series, there were no recurrences and no wound infections.

Conclusions

Our initial results indicate that the new laparoscopic transperitoneal sublay mesh repair is a safe and effective method for the treatment of small- and medium-size ventral and incisional hernias.
Literatur
1.
Zurück zum Zitat Höer J, Lawong G, Klinge U, Schumpelick V (2002) Factors influencing the development of incisional hernia. A retrospective study of 2,983 laparotomy patients over a period of 10 years. Chirurg 73:474–480 PubMedCrossRef Höer J, Lawong G, Klinge U, Schumpelick V (2002) Factors influencing the development of incisional hernia. A retrospective study of 2,983 laparotomy patients over a period of 10 years. Chirurg 73:474–480 PubMedCrossRef
2.
Zurück zum Zitat Franchi M, Ghezzi F, Buttarelli M, Tateo S, Balestreri D, Bolis P (2001) Incisional hernia in gynecologic oncology patients: a 10-year study. Obstet Gynecol 97:696–700 PubMedCrossRef Franchi M, Ghezzi F, Buttarelli M, Tateo S, Balestreri D, Bolis P (2001) Incisional hernia in gynecologic oncology patients: a 10-year study. Obstet Gynecol 97:696–700 PubMedCrossRef
3.
Zurück zum Zitat Mudge M, Hughes LE (1985) Incisional hernia: a 10-year prospective study of incidence and attitudes. Br J Surg 72:70–71 PubMedCrossRef Mudge M, Hughes LE (1985) Incisional hernia: a 10-year prospective study of incidence and attitudes. Br J Surg 72:70–71 PubMedCrossRef
4.
Zurück zum Zitat Winslow ER, Fleshman JW, Birnbaum EH, Brunt LM (2002) Wound complications of laparoscopic vs open colectomy. Surg Endosc 16:1420–1425 PubMedCrossRef Winslow ER, Fleshman JW, Birnbaum EH, Brunt LM (2002) Wound complications of laparoscopic vs open colectomy. Surg Endosc 16:1420–1425 PubMedCrossRef
5.
Zurück zum Zitat Anthony T, Bergen PC, Kim LT, Henderson M, Fahey T, Rege RV, Turnage RH (2000) Factors affecting recurrence following incisional herniorrhaphy. World J Surg 24:95–100 PubMedCrossRef Anthony T, Bergen PC, Kim LT, Henderson M, Fahey T, Rege RV, Turnage RH (2000) Factors affecting recurrence following incisional herniorrhaphy. World J Surg 24:95–100 PubMedCrossRef
6.
Zurück zum Zitat Luijendijk RW, Hop WC, van den Tol MP, De Lange DC, Braaksma MM, Ijzermans JN, Boelhouwer RU, De Vries BC, Salu MK, Wereldsma JC, Bruijninckx CM, Jeekel J (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398 PubMedCrossRef Luijendijk RW, Hop WC, van den Tol MP, De Lange DC, Braaksma MM, Ijzermans JN, Boelhouwer RU, De Vries BC, Salu MK, Wereldsma JC, Bruijninckx CM, Jeekel J (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398 PubMedCrossRef
7.
Zurück zum Zitat Liakakos T, Karanikas I, Panagiotidis H, Dendrinos S (1994) Use of Marlex mesh in the repair of recurrent incisional hernia. Br J Surg 81:248–249 PubMedCrossRef Liakakos T, Karanikas I, Panagiotidis H, Dendrinos S (1994) Use of Marlex mesh in the repair of recurrent incisional hernia. Br J Surg 81:248–249 PubMedCrossRef
8.
Zurück zum Zitat Toniato A, Pagetta C, Bernante P, Piotto A, Pelizzo MR (2002) Incisional hernia treatment with progressive pneumoperitoneum and retromuscular prosthetic hernioplasty. Langenbecks Arch Surg 387:246–248 PubMedCrossRef Toniato A, Pagetta C, Bernante P, Piotto A, Pelizzo MR (2002) Incisional hernia treatment with progressive pneumoperitoneum and retromuscular prosthetic hernioplasty. Langenbecks Arch Surg 387:246–248 PubMedCrossRef
9.
Zurück zum Zitat Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578–583 PubMed Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578–583 PubMed
10.
Zurück zum Zitat Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554 PubMedCrossRef Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554 PubMedCrossRef
11.
Zurück zum Zitat Rives J, Pire JC, Flament JB, Convers G (1977) Treatment of large eventrations (apropos of 133 cases). Minerva Chir 32:749–756 PubMed Rives J, Pire JC, Flament JB, Convers G (1977) Treatment of large eventrations (apropos of 133 cases). Minerva Chir 32:749–756 PubMed
12.
Zurück zum Zitat Schumpelick V, Binnebösel M, Conze J (2010) Clinical results after open mesh repair. In: Schumpelick V, Fitzgibbons RJ (eds) Hernia repair sequelae. Springer, New York, pp 227–232 CrossRef Schumpelick V, Binnebösel M, Conze J (2010) Clinical results after open mesh repair. In: Schumpelick V, Fitzgibbons RJ (eds) Hernia repair sequelae. Springer, New York, pp 227–232 CrossRef
13.
14.
Zurück zum Zitat Park A, Birch DW, Lovrics P (1998) Laparoscopic and open incisional hernia repair: a comparison study. Surgery 124:816–821 PubMedCrossRef Park A, Birch DW, Lovrics P (1998) Laparoscopic and open incisional hernia repair: a comparison study. Surgery 124:816–821 PubMedCrossRef
15.
Zurück zum Zitat McGreevy JM, Goodney PP, Birkmeyer CM, Finlayson SR, Laycock WS, Birkmeyer JD (2003) A prospective study comparing the complication rates between laparoscopic and open ventral hernia repairs. Surg Endosc 17:1778–1780 PubMedCrossRef McGreevy JM, Goodney PP, Birkmeyer CM, Finlayson SR, Laycock WS, Birkmeyer JD (2003) A prospective study comparing the complication rates between laparoscopic and open ventral hernia repairs. Surg Endosc 17:1778–1780 PubMedCrossRef
16.
Zurück zum Zitat Lomanto D, Iyer SG, Shabbir A, Cheah WK (2006) Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surg Endosc 20:1030–1035 PubMedCrossRef Lomanto D, Iyer SG, Shabbir A, Cheah WK (2006) Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surg Endosc 20:1030–1035 PubMedCrossRef
17.
Zurück zum Zitat Bencini L, Sanchez LJ, Boffi B, Farsi M, Scatizzi M, Moretti R (2003) Incisional hernia repair: retrospective comparison of laparoscopic and open techniques. Surg Endosc 17:1546–1551 PubMedCrossRef Bencini L, Sanchez LJ, Boffi B, Farsi M, Scatizzi M, Moretti R (2003) Incisional hernia repair: retrospective comparison of laparoscopic and open techniques. Surg Endosc 17:1546–1551 PubMedCrossRef
18.
Zurück zum Zitat Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–399 PubMed Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–399 PubMed
19.
20.
Zurück zum Zitat Sajid MS, Bokhari SA, Mallick AS, Cheek E, Baig MK (2009) Laparoscopic versus open repair of incisional/ventral hernia: a meta-analysis. Am J Surg 197:64–72 PubMedCrossRef Sajid MS, Bokhari SA, Mallick AS, Cheek E, Baig MK (2009) Laparoscopic versus open repair of incisional/ventral hernia: a meta-analysis. Am J Surg 197:64–72 PubMedCrossRef
21.
Zurück zum Zitat Forbes SS, Eskicioglu C, McLeod RS, Okrainec A (2009) Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg 96:851–858 PubMedCrossRef Forbes SS, Eskicioglu C, McLeod RS, Okrainec A (2009) Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg 96:851–858 PubMedCrossRef
22.
Zurück zum Zitat Mason RJ, Moazzez A, Sohn HJ, Berne TV, Katkhouda N (2011) Laparoscopic versus open anterior abdominal wall hernia repair: 30-day morbidity and mortality using the ACS-NSQIP Database. Ann Surg 254:641–652 PubMedCrossRef Mason RJ, Moazzez A, Sohn HJ, Berne TV, Katkhouda N (2011) Laparoscopic versus open anterior abdominal wall hernia repair: 30-day morbidity and mortality using the ACS-NSQIP Database. Ann Surg 254:641–652 PubMedCrossRef
23.
Zurück zum Zitat Deysine M (1998) Pathophysiology, prevention, and management of prosthetic infections in hernia surgery. Surg Clin N Am 78:1105–1115 PubMedCrossRef Deysine M (1998) Pathophysiology, prevention, and management of prosthetic infections in hernia surgery. Surg Clin N Am 78:1105–1115 PubMedCrossRef
24.
Zurück zum Zitat Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, EL Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RKJ, Simons MP, Smietanski M, Sommerling C, Tollens T, Vierendeels T, Kingsnorth A (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13:407–414 PubMedCrossRef Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, EL Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RKJ, Simons MP, Smietanski M, Sommerling C, Tollens T, Vierendeels T, Kingsnorth A (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13:407–414 PubMedCrossRef
25.
Zurück zum Zitat Miserez M, Penninckx F (2002) Endoscopic totally preperitoneal ventral hernia repair. Surg Endosc 16:1207–1213 PubMedCrossRef Miserez M, Penninckx F (2002) Endoscopic totally preperitoneal ventral hernia repair. Surg Endosc 16:1207–1213 PubMedCrossRef
26.
Zurück zum Zitat Huber A, McCabe GP, Boruch AV, Medberry C, Honerlaw M, Badylak SF (2012) Polypropylene-containing synthetic mesh devices in soft tissue repair: a meta-analysis. J Biomed Mater Res B Appl Biomater 100:145–154 PubMed Huber A, McCabe GP, Boruch AV, Medberry C, Honerlaw M, Badylak SF (2012) Polypropylene-containing synthetic mesh devices in soft tissue repair: a meta-analysis. J Biomed Mater Res B Appl Biomater 100:145–154 PubMed
27.
Zurück zum Zitat LeBlanc KA, Elieson MJ, Corder JM III (2007) Enterotomy and mortality rates of laparoscopic incisional and ventral hernia repair: a review of the literature. JSLS 11:408–414 PubMed LeBlanc KA, Elieson MJ, Corder JM III (2007) Enterotomy and mortality rates of laparoscopic incisional and ventral hernia repair: a review of the literature. JSLS 11:408–414 PubMed
Metadaten
Titel
Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias
verfasst von
Alexander Daniel Schroeder
Eike Sebastian Debus
Michael Schroeder
Wolfgang Matthias Johann Reinpold
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Surgical Endoscopy / Ausgabe 2/2013
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-012-2508-9

Weitere Artikel der Ausgabe 2/2013

Surgical Endoscopy 2/2013 Zur Ausgabe

Neu im Fachgebiet Chirurgie

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.