PMID- 30945113
OWN - NLM
STAT- MEDLINE
DCOM- 20200106
LR  - 20200309
IS  - 1863-4362 (Electronic)
IS  - 0021-1265 (Linking)
VI  - 188
IP  - 4
DP  - 2019 Nov
TI  - Laparoscopic ventral hernia repair with intraperitoneal onlay mesh-results from a 
      general surgical unit.
PG  - 1357-1362
LID - 10.1007/s11845-019-02012-9 [doi]
AB  - BACKGROUND: Symptomatic ventral herniation is a common clinical presentation. The 
      treatment, whether elective or as an emergency, can be difficult and a variety of 
      surgical repairs are utilised. Intraperitoneal onlay mesh (IPOM) involves the 
      placement of a reinforcing prosthesis, usually supported by primary closure of 
      the defect. Intra-abdominal adhesions have been highlighted as a potential 
      complication in utilising this form of mesh placement. Several methods of 
      laparoscopic mesh placement outside of the peritoneal cavity are gaining 
      prominence as potential alternatives to IPOM. AIMS: This study reviews our 
      experience with IPOM in the repair of ventral hernia by a single surgical team. 
      METHODS: A prospectively maintained electronic database of all laparoscopic 
      ventral hernia repair (LVHR) performed within the study period was analysed and 
      reported. Follow-up questionnaires were sent to patients to follow long-term 
      outcomes. RESULTS: One hundred eight patients underwent LVHR over a 7-year 
      period. Demographics demonstrated an obese patient group (BMI 
      30.89 +/- 4.9 kg/m(2)), with a variety of hernia sizes and morphologies. Hernia 
      recurrence was found in two patients (1.8%). Twenty-nine (26.8%) patients 
      suffered a complication, but only eight (7.4%) of those required intervention 
      beyond pharmacotherapy. Two patients required mesh explantation. CONCLUSIONS: 
      IPOM for the general surgeon is a relatively safe and effective method of 
      repairing ventral hernias, with a low recurrence rate.
FAU - De Marchi, Joshua
AU  - De Marchi J
AUID- ORCID: 0000-0003-4314-7785
AD  - Department of Surgery, Midlands Regional Hospital, Tullamore, Republic of 
      Ireland. Joshdemarchi@rcsi.ie.
FAU - Sferle, Florin Remus
AU  - Sferle FR
AD  - Department of Surgery, Midlands Regional Hospital, Tullamore, Republic of 
      Ireland.
FAU - Hehir, Dermot
AU  - Hehir D
AD  - Department of Surgery, Midlands Regional Hospital, Tullamore, Republic of 
      Ireland.
LA  - eng
PT  - Journal Article
DEP - 20190404
PL  - Ireland
TA  - Ir J Med Sci
JT  - Irish journal of medical science
JID - 7806864
SB  - IM
MH  - Adult
MH  - Aged
MH  - Elective Surgical Procedures
MH  - Female
MH  - Hernia, Ventral/*surgery
MH  - Herniorrhaphy/*methods
MH  - Humans
MH  - Laparoscopy/*methods
MH  - Male
MH  - Middle Aged
MH  - Obesity/epidemiology
MH  - Prospective Studies
MH  - Prostheses and Implants
MH  - Recurrence
MH  - *Surgical Mesh
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Intraperitoneal onlay mesh
OT  - Laparoscopy
OT  - Recurrence
OT  - Ventral hernia
EDAT- 2019/04/05 06:00
MHDA- 2020/01/07 06:00
CRDT- 2019/04/05 06:00
PHST- 2019/01/08 00:00 [received]
PHST- 2019/03/21 00:00 [accepted]
PHST- 2019/04/05 06:00 [pubmed]
PHST- 2020/01/07 06:00 [medline]
PHST- 2019/04/05 06:00 [entrez]
AID - 10.1007/s11845-019-02012-9 [pii]
AID - 10.1007/s11845-019-02012-9 [doi]
PST - ppublish
SO  - Ir J Med Sci. 2019 Nov;188(4):1357-1362. doi: 10.1007/s11845-019-02012-9. Epub 
      2019 Apr 4.