Evaluation of retro muscular mesh repair technique for treatment of ventral hernia

Mohammad M. Alkhayat; Hatem A. Saleh; Mohammed Nazeeh Shaker Nassar; Mohammed Abd-El-Galil El-Balshy

doi:10.18203/2349-2902.isj20180013

Authors

Mohammad M. Alkhayat Department of General Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt
Hatem A. Saleh Department of Vascular and General Surgery, Menoufia University, Egypt
Mohammed Nazeeh Shaker Nassar Department of General Surgery, Menoufia University, Egypt
Mohammed Abd-El-Galil El-Balshy Department of General Surgery, Menoufia University, Egypt

DOI:

https://doi.org/10.18203/2349-2902.isj20180013

Keywords:

Mesh repair, Preperitoneal, Retromuscular, Sublay, Ventral hernia

Abstract

Ventral hernias commonly encountered in surgical practice account for 15-20% of all abdominal wall hernias. Results of tissue repair have been disappointing. The optimal approach for abdominal incisional hernias is still under discussion. The aim of the study was to evaluate the retro muscular mesh repair technique in the treatment of ventral hernia as one of the standard techniques for treatment of such cases. This prospective study on 50 consecutive patients was performed from July 2016 to July 2017. Patients were prepared to be operated by the retro muscular mesh repair technique. All patients were evaluated with respect to operative time and postoperative complications. Results were documented and statistically analysed. In this study on 50 patients, there were 30 female patients (60%) and 20 male patients (40%). The age of the studied patients ranged between 26 and 65 years with mean age of 49.8 years. The mean operative time was 88.5±15.3 min. The mean period of drainage was 2.3±1.3 days. Seroma was encountered in one case only 2%. No recurrence was reported in the studied patients during the period of follow-up (12months). On the basis of this study, we conclude that retro muscular (sublay) mesh repair is the ideal technique for incisional hernia repair.

Metrics

Metrics Loading ...

References

Dabbas N, Adams K, Pearson K, Royle G. Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep. 2011;2:5.

Muysoms FE, Miserez M, Berrevoet F. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13:407-14.

Pawlak M, Bury K, Smietanski M. The management of abdominal wall hernias - in search of consensus. Wideochir Inne Tech Malo Inwazyjne. 2015;10:49-56.

Timmermans L, de Goede B, van Dijk SM, Kleinrensink GJ, Jeekel J, Lange JF. Meta-analysis of sublay versus onlay mesh plasty in incisional hernia surgery. Am J Surg. 2014;207:980-8.

Le-Huu NR, Mege D, Ouaissi M, Sielezneff I, Sastre B. Incidence and prevention of ventral incisional hernia. J Visc Surg. 2012;149:e3-14.

Stumpf M, Conze J, Klinge U, Rosch R, Schumpelick V. Open mesh repair. European Surg. 2003;35(1):21-4.

Buerger JW, Lange JF, Halm JA. Incisional hernia prevention. In: Schumpelick V, Nyhus LM, editors. Meshes: bene ts and risk. Springer; 2004:399-405.

Miserez M, Penninckx F. Endoscopic totally preperitoneal ventral hernia repair. Surg Endosc. 2002;16:1207-13.

Chevel JP. Classification of incisional hernia of the abdominal wall. In: Morales-Conde S, editor. Laparoscopic ventral hernia repair’. Barcelona- Springer; 2002:65-72.

Oh T, Hollands MJ, Langcake ME, Parasyn AD. Incisional hernia repair: a Retrospective review and early experience of laparoscopic repair. Surg. 2004;74:50-6.

Read RC, Yoder G. Recent trends in the management of incisional herniation. Arch Surg. 1989;124:485-8.

Usher FC. Hernia repair with knitted polypropylene mesh. Surg Gynecol Obstet. 1963;117:239-40.

Chowbey PK, Khullar R, Mehrotra M, Sharma A, Soni V, Baijal M. Sir Ganga Ram Hospital classification of groin and ventral abdominal wall hernias. J Minim Access Surg. 2006;2:106-9.

Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg. 2003;238:391-400.

Burger JW, Halm JA, Wijsmuller AR, ten Raa S, Jeekel J. Evaluation of new prosthetic meshes for ventral hernia repair. Surg Endosc. 2006;20:1320-5.

Bhandarkar DS, Katara AN, Shah RS, Udwadia TE. Transabdominal preperitoneal repair of a port-site incisional hernia. J Laparoendosc Adv Surg Tech A. 2005;15:60-2.

Tarnoff M, Rosen M, Brody F. Planned totally extraperitoneal laparoscopic Spigelian hernia repair. Surg Endosc. 2002;16:359.

Earle D, Seymour N, Fellinger E, Perez A. Laparoscopic versus open incisional hernia repair: a single-institution analysis of hospital resource utilization for 884 consecutive cases. Surg Endosc. 2006;20:71-5.