Abstract
Having found existing techniques for treatment of incisional hernias unsatisfactory, we developed a new laparoscopic approach with a Parietex Composite mesh. This study shows the preliminary results in order to analyze the validity of the concept on efficacy and safety. Three trocars are needed for this procedure. Non-reabsorbable sutures are mandatory for closure of large defects to avoid having to ultimately extrude the mesh. Ten to12 cardinal stitches are applied on the polyester side of the mesh. The mesh is anchored to the anterior abdominal wall by transabdominal non-reabsorbable sutures without the use of staples or tacks. One hundred twenty patients with ventral and incisional hernias were included in this study. Early and late complications are reported, showing lower rates of morbidity and no mortality. This technique is satisfactory on the technical front, and the results are as good, or better, than in other trials.
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References
Santora TA, Roslyn JJ (1993) Incisional hernia. Surg Clin North Am 73: 557–570
George CD, Ellis H (1986) The results of incisional hernia repair: a twelve-year review. Ann R Coll Surg Engl 68: 185–187
Hesselink VJ, Luijendijk RW, De Wilt H, Heide R, Jeekel J (1993) An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 176: 228–234
Paul A, Korenkov M, Peters S, Kohler L, Fischer S, Troidl W (1998) Unacceptable results of the Mayo procedure for repair of abdominal incisional hernias. Eur J Surg 164: 361–367
Ramshaw BJ, Esartia P, Schwab J, Mason EM, Wilson RA, Duncan TD, Miller J, Lucas GW, Promes J (1999) Comparison of laparoscopic and open ventral herniorraphy. Am Surg 65: 827–832
Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13: 545–554
Van der Linden FT, van Vroonhoven TJ (1988) Long-term results after surgical correction of incisional hernia. Neth J Surg 40: 127–129
Heniford BT, Park A, Ramshaw BJ, Voeller G (2000) Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 190: 645–650
LeBlanc KA, Booth WV, Whitaker JM, Bellanger DE (2001) Laparoscopic incisional and ventral herniorraphy: our initial 100 patients. Hernia 5: 41–45
Himpens J, Leman G, Sonneville T, Cadiere GB (2001) Laparoscopic treatment of incisional hernia (2001) Le Journal de Coelio-Chirurgie 40:84–88
Leber GE, Garb JL, Alexander AI, Reed WP (1998) Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133: 378–382
Amid PK, Shulman AG, Lichtenstein IL, Sostrin S, Young J, Hakakha M (1994) Experimental evaluation of a new composite mesh with the selective property of incorporation to the abdominal wall without adhering to the intestines. J Biomed Mater Res 28: 373–375
Balique JG, Alexandre JH, Arnaud JP, Benchetrit S, Bouillot JL, Fagniez PL, Flament JB, Gouillat C, Jarsaillon P, Lepère M, Magne E, Mantion G (2000) Intraperitoneal treatment of incisional and umbilical hernias: intermediate results of a multicenter prospective clinical trial using an innovative composite mesh. Hernia 4 (Suppl 1): S10-S16
Moreno-Egea A, Lirón R, Girela E, Aguayo JL (2001) Laparoscopic repair of ventral and incisional hernias using a new composite mesh (Parietex). Surg Laparosc Endosc Percutan Tech 11: 103–106
Franklin ME, Dorman JP, Glass JL, Balli JE, Gonzalez JJ (1998) Laparoscopic ventral and incisional hernia repair. Surg Laparosc Endosc 8: 294–299
Phillips EH, Arregui M, Carroll BJ, Corbitt J, Crafton WB, Fallas MJ, Filipi C, Fitzgibbons RJ, Franklin MJ, McKernan B, et al. (1995) Incidence of complications following laparoscopic hernioplasty. Surg Endosc 9: 16–21
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: 95–101
Mueller MD, Tschudi J, Herrmann U, Klaiber C (1995) An evaluation of laparoscopic adhesiolysis in patients with chronic abdominal pain. Surg Endosc 9: 802–804
Park A, Roth S (1999) Laparoscopic incisional/ventral herniorrhaphy—A five year experience. Transactions of the 2nd American Hernia Society meeting, p 48, Las Vegas USA 22–24 February 1999
Park A, Birch DW, Lovrics P (1998) Laparoscopic and open incisional hernia repair: a comparison study. Surgery 124: 816–22
Benchetrit S, Debaert M, Détruit B, Dufilho A, Gaujoux D, Lagoutte J, Lepère M, Martin Saint Léon L, Pavis d'Escurac X, Rico E, Sorrentino J, Thérin M (1998) Laparoscopic and open abdominal wall reconstruction using Parietex meshes. Clinical results in 2,700 hernias. Hernia 2:57–62
Ramshaw B, Abiad F, Voeller G, Wilson R, Mason E (2003) Polyester (Parietex) mesh for total extraperitoneal laparoscopic inguinal hernia repair: initial experience in the United States. Surg Endosc 17: 498–501
Bellon JM, Jurado F, Garcia-Moreno F, Corrales C, Carrera-San Martin A, Bujan J (2002) Healing process induced by three composite prostheses in the repair of abdominal wall defects. J Biomed Mater Res 63: 182–190
Mutter D, Jamali FR, Moody DL, Rodeheaver GT, Thérin M, Marescaux J (2000) The concept of protected mesh to minimize adhesion formation in intraperitoneal abdominal wall reinforcement. Preclinical evaluation of a new composite mesh. Hernia 4 (Suppl 1): S3-S9
Amid PK, Lichtenstein IL, Shulman AG, Hakakha M (1995) Biomaterials for "tension-free" hernioplasties and principles of their applications. Minerva Chir 50: 821–826
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Chelala, E., Gaede, F., Douillez, V. et al. The suturing concept for laparoscopic mesh fixation in ventral and incisional hernias: Preliminary results. Hernia 7, 191–196 (2003). https://doi.org/10.1007/s10029-003-0143-z
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DOI: https://doi.org/10.1007/s10029-003-0143-z