Repair of giant ventral hernias.

نویسندگان

  • Jai Bikhchandani
  • Robert Joseph Fitzgibbons
چکیده

Repair of huge ventral hernias is technically challenging for the surgeon and a major operation for the patient and should be performed by experienced surgeons in centers that are used to caring for patients who are commonly massively obese with significant comorbidities. Preoperative medical optimization of patients is an important part in the overall management of these large hernias. Conventional component separation with retromuscular mesh repair is the workhorse operation, which successfully deals with many giant ventral hernias, but multiple alternative strategies must be available to address situations in which myofascial elements are completely deficient or there is significant loss of domain The complexity of this surgery is reflected by recurrence rates ranging from 10% to 30% and wound complication rates as high as 40% to 50% in experienced centers.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Management of Giant Ventral Hernia by Polypropylene Mesh and Host Tissue Barrier: Trial of Simplification

BACKGROUND Surgical management of giant ventral hernias is a surgical challenge due to limited abdominal cavity. This study evaluates management of giant ventral hernias using polypropylene mesh and host tissue barrier after suitable preoperative preparation. METHODS In the period from January 2005 and January 2007, 35 patients with giant ventral hernias underwent hernia repair. After careful...

متن کامل

Repair of complex giant or recurrent ventral hernias by using tension-free intraparietal prosthetic mesh (Stoppa technique): lessons learned from our initial experience (fifty patients).

BACKGROUND Giant complex ventral hernias are difficult to repair, and recurrent rates are high (greater than 10%). Our aim was to review our experience with a modified Stoppa technique. METHODS From 1991 to 1995, 50 patients underwent repair with a large panel of prosthetic mesh placed intraparietally posterior to rectus muscle but anterior to posterior rectus sheath; 27 had undergone one to ...

متن کامل

[Progressive preoperative pneumoperitoneum in patients with giant hernias of the abdominal wall].

INTRODUCTION Patients with giant hernias with loss of domain require proper planning of surgical repair, because of the high associated comorbidity. The progressive preoperative pneumoperitoneum technique described by Goñi Moreno allows a more physiological adaptation of the patient and the abdominal cavity to the reinstatement of the viscera to the abdomen, enabling adequate surgical repair. T...

متن کامل

Robotic Ventral Hernia Repair

Approximately 350,000 to 500,000 ventral hernias are repaired yearly in the United States. These hernias include congenital umbilical hernias, incisional hernias from previous sur‐ geries, or epigastric hernias. The crux of hernia repair is honoring the principle of achiev‐ ing a tension‐free repair, often achieved with utilization of a synthetic mesh. Over the last quarter of this century, lap...

متن کامل

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh

BACKGROUND The use of synthetic mesh for ventral hernia repair under contaminated conditions is a controversial issue due to the considerable risk of surgical site infection (SSI). This study aimed to review the outcomes of repair of incarcerated and strangulated ventral hernias with or without synthetic mesh in compliance with established clinical guidelines regarding the incidence of SSI and ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Advances in surgery

دوره 47  شماره 

صفحات  -

تاریخ انتشار 2013