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01-07-2016 | Review Article

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

Authors: Katsuhito Suwa, Tomoyoshi Okamoto, Katsuhiko Yanaga

Published in: Surgery Today | Issue 7/2016

Abstract

The laparoscopic technique for repairing ventral and incisional hernias (VIH) is now well established. However, several issues related to laparoscopic VIH repair, such as the high recurrence rate for hernias with large fascial defects and in extremely obese patients, are yet to be resolved. Additional problems include seroma formation, mesh bulging/eventration, and non-restoration of the abdominal wall rigidity/function with only bridging of the hernial orifice using standard laparoscopic intraperitoneal onlay mesh repair (sIPOM). To solve these problems, laparoscopic fascial defect closure with IPOM reinforcement (IPOM-Plus) has been introduced in the past decade, and a few studies have reported satisfactory outcomes. Although detailed techniques for fascial defect closure and handling of the mesh have been published, standardized techniques are yet to be established. We reviewed the literature on IPOM-Plus in the PubMed database and identified 16 reports in which the recurrence rate, incidence of seroma formation, and incidence of mesh bulging were 0–7.7, 0–11.4, and 0 %, respectively. Several comparison studies between sIPOM and IPOM-Plus seem to suggest that IPOM-Plus is associated with more favorable surgical outcomes; however, larger-scale studies are essential.

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Title: Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature
Authors: Katsuhito Suwa
Tomoyoshi Okamoto
Katsuhiko Yanaga
Publication date: 01-07-2016
Publisher: Springer Japan
Published in: Surgery Today / Issue 7/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-015-1219-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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