The introduction of the prosthetic biomaterial during the laparoscopic repair of incisional and ventral hernias can present a challenge. Presented herein is a simplified method to fold and unfold the DualMesh (W. L. Gore and Associates, Flagstaff, AZ) prosthesis during this operation.

INTRODUCTION Spigelian hernia (SH) is a rare ventral hernia occurring near the lateral border of the rectus muscle. The treatment remains controversial and depends on institutional expertise. Although laparoscopic surgery is a good adaptation for the repair of ventral hernias, only a few cases have been reported in the literature. Here, we report a case of totally extra-peritoneal (TEP) repair ...

Several factors must be considered in deciding which mesh to use for a ventral hernia repair. Open hernia repairs with no exposure of mesh to viscera can be performed with unprotected synthetic mesh, preferably a "lightweight" option. For open repair with high risk for fascial dehiscence and visceral exposure to mesh, and for open underlay repair and laparoscopic underlay repair, recommendation...

Dear Editor: We have read with interest the article by Dr. Fernández Lobato et al. and their cost-benefit analysis of open versus laparoscopic ventral hernia repair. Their conclusion is that the final cost of laparoscopic repair per patient was s1260 less expensive than the open technique. The authors consider that the cost per patient and day, either with or without complications, was s566 and...

When the treatment method was adjusted for propensity score in the propensity-score-matched pairs (n=100), we found that the hernia recurrence (32.0% vs 6.0%, p=0.002), overall complication (32.0% vs 6.0%, p=0.002), and freedom from hernia recurrence (68.2% vs 31.8%, p=0.001) rates were worse after bridged repair. We did not observe differences in wound healing and mesh complications between th...

A best evidence topic has been constructed using a described protocol. The three-part question addressed was: In morbidly obese patients undergoing bariatric surgery, when a ventral hernia is picked up in clinic or intraoperatively is concurrent repair of the hernia better than delayed repair after weight loss with regards to complication rates? Using the reported search, 179 papers were found....

From 1 January 2005 through 31 December 2014, a total of 87,480 incident diagnoses of the five types of abdominal hernia (incidence rate 63.3 cases per 10,000 person-years) were documented in the health records of 72,404 active component service members. The overall incidence rate of inguinal hernias among males was six times the rate among females. However, incidence rates of femoral, ventral/...

OBJECTIVE Reconstruction of traumatic ventral hernias often requires additional techniques to the abdominal wall component separation, such as the use of interpositional reconstruction with an acellular dermal matrix or other mesh to bridge the defect. METHODS We have developed a new value termed the "Component Separation Index" to evaluate ventral hernia defects. Choosing a fixed point on a ...

HYPOTHESIS A bioabsorbable tissue scaffold of porcine submucosal small intestine extracellular matrix (Surgisis Gold [SIS]; Cook Biotech Inc, West Lafayette, Ind) mesh is safe and effective for ventral hernia repair. DESIGN Retrospective case series at a university teaching hospital. PATIENTS Fifty-three consecutive patients having 8-ply SIS mesh repair of ventral abdominal hernias. MAIN ...

El abdomen abierto es una opción terapéutica en pacientes críticamente enfermos. Se utiliza cuando el cierre de la cavidad abdominal no puede o debe ser realizado. No obstante, su utilidad como parte estrategia tradicionalmente aceptada ha disminuido, medida que se han incrementado las secuelas pared abdominal, especial hernia ventral. Los procedimientos requeridos para reconstrucción anatómica...