Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Hernia
Published in: Hernia 3/2008

01-06-2008 | Original Article

Laparoscopic repair of suprapubic incisional hernias: suturing and intraperitoneal composite mesh onlay. A retrospective study

Authors: C. Palanivelu, M. Rangarajan, R. Parthasarathi, M. V. Madankumar, K. Senthilkumar

Published in: Hernia | Issue 3/2008

Login to get access

Abstract

Background

Suprapubic hernias are those defects located 4 cm from the pubic symphysis. Our aim is to highlight the laparoscopic repair of suprapubic incisional hernias.

Patients and methods

We retrospectively reviewed 17 patients with suprapubic incisional hernias from 1999 to 2007. A modified technique of laparoscopic intraperitoneal composite mesh onlay was performed for these patients.

Results

There were 12 females and 5 males with a mean age of 55.9 years and a mean BMI of 30 kg/m2. The mean hernia size was 87.5 cm2, with an average mesh size of 234 cm2. Mean follow-up was 9 months. Complications were seen in five patients, with an overall recurrence rate of 5.8%.

Discussion

Suprapubic hernias are difficult to manage because of the complexity of dissection and their anatomic proximity to bony, vascular and nerve structures. The lower end of the mesh should be fixed to the Cooper’s ligament and the pubic bone. Laparoscopic repair of these uncommon hernias is safe, effective and provides all the benefits of minimally invasive surgery.
Literature
1.
Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Johannes J (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578–583, discussion 583–585PubMed
2.
LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 3:39–41PubMed
3.
el Mairy AB (1974) A new procedure for the repair of suprapubic incisional hernia. J Med Liban 27:713–718PubMed
4.
Lobel RW, Sand PK (1997) Incisional hernia after suprapubic catheterization. Obstet Gynecol 89:844–846PubMedCrossRef
5.
Losanoff JE, Richman BW, Jones JW (2002) Parapubic hernia: case report and review of the literature. Hernia 6:82–85PubMedCrossRef
6.
Pfannenstiel H (1900) Ueber die vortheile des suprasymphysaren fascienquerschnitts fur die gynakologischen koliotomien. Samml Klin Vortr 268:1735–1756
7.
Luijendijk RW, Jeekel J, Storm RK, Schutte PJ, Hop WCJ, Drogendijk AC, Huikeshoven FJM (1997) The low transverse pfannenstiel incision and the prevalence of incisional hernia and nerve entrapment. Ann Surg 225:365–369PubMedCrossRef
8.
Bendavid R (1990) Incisional parapubic hernias. Surgery 108:898–901PubMed
9.
Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554PubMedCrossRef
10.
Hirasa T, Pickleman J, Shayani V (2001) Laparoscopic repair of parapubic hernia. Arch Surg 1136:1314–1317
11.
Carbonell AM, Kercher KW, Matthews BD, Sing RF, Cobb WS, Heinford BT (2005) The laparoscopic repair of suprapubic ventral hernias. Surg Endosc 9:174–177CrossRef
12.
McKay R, Haupt D (2006) Laparoscopic repair of low abdominal wall hernias by tack fixation to the Cooper’s ligament. Surg Laparosc Endosc Percutan Tech 16:86–90PubMedCrossRef
13.
LeBlanc KA (2001) The critical technical aspects of laparoscopic repair of ventral and incisional hernias. Am Surg 67:809–812PubMed
14.
Matuszewski M, Stanek A, Maruszak H, Krajka K (1999) Laparoscopic treatment of parapubic postprostatectomy hernia. Eur Urol 36:418–420PubMedCrossRef
15.
Joels CS, Matthews BD, Kercher KW, Austin C, Norton HJ, Williams TC, Heniford BT (2005) Evaluation of adhesion formation, mesh fixation strength, and hydroxyproline content after intraabdominal placement of polytetrafluoroethylene mesh secured using titanium spiral tacks, nitinol anchors, and polypropylene suture or polyglactin 910 suture. Surg Endosc 19:780–785PubMedCrossRef
16.
van’t Riet M, de Vos van Steenwijk PJ, Kleinrensink GJ, Steyerberg EW, Bonjer HJ (2002) Tensile strength of mesh fixation methods in laparoscopic incisional hernia repair. Surg Endosc 16:1713–1716PubMedCrossRef
17.
Koehler RH, Voeller G (1999) Recurrences in laparoscopic incisional hernia repairs: a personal series and review of the literature. JSLS 3:293–304PubMed
18.
Norris JP, Flanigan RC, Pickleman J (1994) Parapubic hernia following radical retropubic prostatectomy. Urology 44:922–923PubMedCrossRef
19.
Morales-Conde S (2004) Laparoscopic ventral hernia repair: advances and limitations. Semin Laparosc Surg 11:191–200PubMed
20.
Palanivelu C, Jani KV, Senthilnathan P, Parthasarathi R, Madhankumar MV, Malladi VK (2007) Laparoscopic sutured closure with mesh reinforcement of incisional hernias. Hernia 11(3):223–228PubMedCrossRef
21.
Miserez M, Tomczyk K, Penninckx F (2007) Laparoscopical repair: the local patch. In: Schumpelick V, Fitzgibbons RJ (eds) Recurrent hernia: prevention and treatment. Springer, Berlin, pp 223–233
22.
Chelala E, Gaede F, Douillez V, Dessily M, Alle L (2003) The suturing concept for laparoscopic mesh fixation in ventral and incisional hernias: preliminary results. Hernia 7(4):191–196PubMed
Metadata
Title
Laparoscopic repair of suprapubic incisional hernias: suturing and intraperitoneal composite mesh onlay. A retrospective study
Authors
C. Palanivelu
M. Rangarajan
R. Parthasarathi
M. V. Madankumar
K. Senthilkumar
Publication date
01-06-2008
Publisher
Springer-Verlag
Published in
Hernia / Issue 3/2008
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-008-0337-5

Other articles of this Issue 3/2008

Hernia 3/2008 Go to the issue

Original Article

Recurrent inguinal herniorrhaphy: the centripetal approach utilizing a pre-formed polypropylene plug

Case Report

Thoracoscopic and laparoscopic repair of complicated Bochdalek hernia in adult

Applied Anatomy

The clinical anatomy of the triangle of Grynfeltt

Original Article

Results of AlloDerm use in abdominal hernia repair

Letter to the Editor

Amyand hernia: a classification to improve management

Letter to the Editor

Raymond C. Read (2007) Arthur Keith, the anatomist who evisioned herniosis. Hernia 11:469–471