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Irish Journal of Medical Science (1971 -)

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01-11-2019 | Laparoscopy | Original Article

Laparoscopic ventral hernia repair with intraperitoneal onlay mesh—results from a general surgical unit

Authors: Joshua De Marchi, Florin Remus Sferle, Dermot Hehir

Published in: Irish Journal of Medical Science (1971 -) | Issue 4/2019

Abstract

Background

Symptomatic ventral herniation is a common clinical presentation. The treatment, whether elective or as an emergency, can be difficult and a variety of surgical repairs are utilised. Intraperitoneal onlay mesh (IPOM) involves the placement of a reinforcing prosthesis, usually supported by primary closure of the defect. Intra-abdominal adhesions have been highlighted as a potential complication in utilising this form of mesh placement. Several methods of laparoscopic mesh placement outside of the peritoneal cavity are gaining prominence as potential alternatives to IPOM.

Aims

This study reviews our experience with IPOM in the repair of ventral hernia by a single surgical team.

Methods

A prospectively maintained electronic database of all laparoscopic ventral hernia repair (LVHR) performed within the study period was analysed and reported. Follow-up questionnaires were sent to patients to follow long-term outcomes.

Results

One hundred eight patients underwent LVHR over a 7-year period. Demographics demonstrated an obese patient group (BMI 30.89 ± 4.9 kg/m²), with a variety of hernia sizes and morphologies. Hernia recurrence was found in two patients (1.8%). Twenty-nine (26.8%) patients suffered a complication, but only eight (7.4%) of those required intervention beyond pharmacotherapy. Two patients required mesh explantation.

Conclusions

IPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate.

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Title: Laparoscopic ventral hernia repair with intraperitoneal onlay mesh—results from a general surgical unit
Authors: Joshua De Marchi
Florin Remus Sferle
Dermot Hehir
Publication date: 01-11-2019
Publisher: Springer London
Keywords: Laparoscopy
Incisional Hernia
Published in: Irish Journal of Medical Science (1971 -) / Issue 4/2019
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-019-02012-9

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