Ambulatory surgery of umbilical, epigastric and small incisional hernias: open preperitoneal flat mesh technique in local anaesthesia

Selective Mesh Augmentation to Prevent Incisional Hernias in Open Colorectal Surgery Is Safe and Cost-Effective

Mesh versus direct suture for the repair of umbilical and epigastric hernias. Ten-year experience.

BACKGROUND The objective of this study was to evaluate outcomes of mesh versus primary suture procedures for repair of anterior abdominal wall midline hernias. RESULTS Between 1995 and 2005, 98 patients (46 males) underwent repair of umbilical (69 cases) or epigastric (29 cases) hernias. Primary suture of the defect was performed in 34 cases (group 1). A polypropylene mesh was positioned in 6...

Incisional Hernias after Laparoscopic Surgery

In 1987, Mouret performed the first laparoscopic cholecystectomy changing surgical practice and it was mentioned by Rosen and Ponsky.1 Then the laparoscopic abdominal surgery increased and was common by the 1990s.2 The adoption of this new technique resulted new, specific operative complications. Incisional hernias at the site of entry of a trocar is a serious complication in laparoscopy,3 as m...

Open repair of ventral incisional hernias.

Despite advances in many fields of surgery, incisional hernias still remain a significant problem. There is a lack of general consensus among surgeons regarding optimal treatment. A surgeon's approach is often based on tradition rather than clinical evidence. The surgeon's treatment plan should be comprehensive, with attention focused not merely on restoration of structural continuity. An under...

Combined fascia and mesh closure of large incisional hernias.

Large incisional hernias of the abdominal wall represent substantial defects of supportive tissues. The repair of these requires the mobilization of fascia or the use of a prosthetic mesh. A method for closing large midline incisional hernias using both the fascia and a mesh was described in 1979. This repair was used for six midline hernias and four large incisional hernias in the right subcos...