Overview of Ventral Hernia Repair : Causes, Diagnosis and Surgical Management

Main Article Content

Mohamed El-Sayed Bayomi, Khaled Safwat Fahmi, Abd El-Rahman M. Sarhan, Fady, Mehaney Habib, Ahmed M. Sallam

Keywords

Surgical Management ; Diagnosis ; Ventral Hernia Repair

Abstract

Hernias are among the oldest surgical challenges which have confronted the surgical community. A hernia is an out pouching of a visceral organ or a part of organ through an opening that it does not normally transverse. When hernias are associated with the abdomen, they may occur through the inguinal canal, lumbar trigon of Petit, femoral canal, or umbilicus. Nerve damage and weakening of the muscles, as a postsurgical complication, may lead to herniation. Abdominal wall hernias are usually asymptomatic, discovered incidentally on routine physical examination. However, complications of abdominal hernia may be life threatening and require urgent medical attention. Many surgical techniques have been developed to repair hernias, the most important being tension-free closure. The open repair with mesh has several options, including what type of mesh and where to place the mesh.The aim of the present study was to review the causes, diagnosis and surgical management of ventral hernia repair.

Abstract 124 | PDF Downloads 60

References

1- Schlosser KA, Arnold MR and Otero J (2019): “Deciding on Optimal Approach for Ventral Hernia Repair: Laparoscopic or Open”. J Am Coll Surg; 228:54-65.
2- Antoniou SA, Agresta F & Garcia Alamino JM (2018): “European Hernia Society guidelines on prevention and treatment of parastomal hernias”. Hernia; 22: 183-198.
3- Tarasova NK, Dynkov SM & Pozdeev VN (2019): “Analysis of the causes of recurrent postoperative ventral hernias”. Khirurgiia; 10: 36-42.
4- Heniford BT (2016): “SAGES guidelines for laparoscopic ventral hernia repair”. Surg Endosc; 30:3161-2.
5- Pallister ZS, Angotti LM & Patel VK (2019): “Transumbilical repair of umbilical hernia in children: The covert scar approach”. Journal of Pediatric Surgery; 54: 1664-1667.
6- Zens TJ, Rogers A & Cartmill R (2019): “Age-dependent outcomes in asymptomatic umbilical hernia repair”. Pediatric surgery international; 35: 463-468.
7- Appleby PW, Martin TA & Hope WW (2018): “Umbilical hernia repair: overview of approaches and review of literature”. Surgical Clinics; 98: 561-576.
8- Hanzalova I, Schäfer M & Demartines N (2021): “Spigelian hernia: current approaches to surgical treatment—a review”. Hernia; 1-7.
9- Köckerling F & Lammers B (2018): “Open intraperitoneal onlay mesh (IPOM) technique for incisional hernia repair”. Frontiers in Surgery; 5: 66.
10- Huerta S, Timmerman C & Argo M (2019): “Open, laparoscopic, and robotic inguinal hernia repair: outcomes and predictors of complications”. Journal of Surgical Research; 241: 119-127.
11- Halgas B, Viera J & Dilday J (2018): “Femoral hernias: analysis of preoperative risk factors and 30-day outcomes of initial groin hernias using ACS-NSQIP”. The American Surgeon; 84: 1455-1461.
12- Guo M, Chen D & Zhang H (2019): “Safety and efficiency of laparoscopic femoral hernia repair with preserved uterine round ligament”. J Coll Physicians Surg Pak; 29: 932-936.
13- Harji D, Thomas C & Antoniou SA (2021): “A systematic review of outcome reporting in incisional hernia surgery”. BJS open; 5: 006.
14- Beffa LR, Margiotta AL & Carbonell AM (2018): “Flank and lumbar hernia repair”. Surgical Clinics; 98: 593-605.
15- Kadler B, Shetye A & Patten DK (2019): “A primary inferior lumbar hernia misdiagnosed as a lipoma”. The Annals of The Royal College of Surgeons of England; 101: 96-98.
16- Schizas D, Apostolou K, Hasemaki N (2021): “Obturator hernias: a systematic review of the literature”. Hernia; 25: 193-204.
17- Berrevoet F (2018): “Prevention of Incisional Hernias after Open Abdomen Treatment”. Front Surg; 5:11.
18- Holihan JL, Alawadi ZM and Harris JW (2016): “Ventral hernia: Patient selection, treatment, and management”. Curr Probl Surg; 53:307-54.
19- Aquina CT, Fleming FJ and Becerra AZ (2017): “Explaining variation in ventral and inguinal hernia repair outcomes: A population-based analysis”. Surgery; 162:628-639.
20- Deeken CR & Lake SP (2017): “Mechanical properties of the abdominal wall and biomaterials utilized for hernia repair”. Journal of the mechanical behavior of biomedical materials; 74: 411-427.
21- Smolevitz J, Jacobson R and Thaqi M (2018): “Outcomes in complex ventral hernia repair with anterior component separation in class III obesity patients”. Am J Surg; 215:458-461.
22- Petro CC & Prabhu AS (2018): “Preoperative planning and patient optimization”. Surgical Clinics; 98: 483-497.
23- Toffolo M, Medina P & Mata LA (2021): “Laparoscopic ventral hernia repair: does IPOM plus allow to increase the indications in larger defects?”. Hernia; 1-8.
24- Heniford BT (2016): “SAGES guidelines for laparoscopic ventral hernia repair”. Surg Endosc; 30:3161-2.
25- Vries HS, Smeeing D and Lourens H (2019): “Long-term clinical experience with laparoscopic ventral hernia repair using a ParietexTM composite mesh in severely obese and non-severe obese patients: a single center cohort study”. Minim Invasive Ther Allied Technol; 28:304-308.
26- Altieri MS, Yang J, Xu J and Talamini, M (2018): “Outcomes after robotic ventral hernia repair: a study of 21,565 patients in the state of New York”. The American Surgeon; 84: 902-908.
27- Ozturk G, Malya FU &Ersavas C (2015): “A novel reconstruction method for giant incisional hernia: Hybrid laparoscopic technique”. Journal of Minimal Access Surgery; 11: 267.
28- Lomanto D & Salgaonkar HP (2020): “Laparoscopic Incisional and Ventral Hernia Mesh Repair”. “Techniques of Abdominal Wall Hernia Repair”. Ed., Chowbey P & Lomanto D, Springer, New Delhi; pages: 185-194.
29- Baker JJ, Öberg S & Andresen K (2018): “Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair”. Journal of British Surgery; 105: 37-47.
30- Stearns E, Plymale MA & Davenport DL (2018): “Early outcomes of an enhanced recovery protocol for open repair of ventral hernia”. Surgical endoscopy; 32: 2914-2922.
31- Cherla DV, Moses ML and Viso CP (2018): “Impact of abdominal wall hernias and repair on patient quality of life”. World Journal of Surgery; 42: 19-25.
32- López-Cano M & Morandeira FB (2010): “Prosthetic material in incisional hernia surgery”. Cirugía Española (English Edition); 88: 152-157.
33- Plymale MA, Davenport DL and Walsh-Blackmore S (2020): “Costs and complications associated with infected mesh for ventral hernia repair”. Surgical Infections; 21: 344-349.
34- Olavarria OA, Bernardi K and Dhanani NH (2021): “Synthetic versus biologic mesh for complex open ventral hernia repair: a pilot randomized controlled trial”. Surgical Infections; 22: 496-503.
35- ElHadidi A, Samir M & Abdelhalim M (2018): “Short-term outcomes of the component separation technique for the repair of complex ventral hernia”. Benha Medical Journal; 35: 407.
36- Tastaldi L, Krpata DM and Prabhu AS (2019): “The effect of increasing body mass index on wound complications in open ventral hernia repair with mesh”. The American Journal of Surgery; 218: 560-566.
37- Park H,Virgilio C and Kim DY (2021): “Effects of smoking and different BMI cutoff points on surgical site infection after elective open ventral hernia repair”. Hernia; 25: 337-343.