Prosthetic Biomaterials in the Laparoscopic Repair of Incisional and Ventral Hernias

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Laparoscopic Ventral Hernia Repair
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Abstract

Incisional hernias will develop in approximately 11–13% of laparotomy incisions. The risk of herniation is increased by fivefold if a postoperative wound infection occurs. Other factors that predispose to the development of a fascial defect include obesity, poor nutritional status, steroid usage, etc. While some of these may be avoided, those patients that are found to have such a hernia can present difficult management problems due to the high potential for recurrence. Without the use of a prosthetic biomaterial, the recurrence rate is as high as 51% (1, 2). The use of a synthetic prosthetic material will reduce this rate to 10–24% (3,4).

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References

  1. Hesselink VJ, Luijendijk RW, de Wilt JHW, et al. An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 176:228–234, 1993.

    PubMed  CAS  Google Scholar 

  2. Linden van der FT, Vroonhoven van TJ. Long-term results after surgical correction of incisional hernia. Neth J Surg 40:127–129, 1998.

    Google Scholar 

  3. Leber GE, Garb JL, Alexander AI, Reed WR Long-term Complications Associated With Prosthetic Repair of Incisional Hernias. Arch Surg 133:378–382, 1998.

    Article  PubMed  CAS  Google Scholar 

  4. Luijendijk RW, Hop WCJ, Tol van den P, et al. A Comparison of Suture Repair With Mesh Repair for Incisional Hernia. N Engl J Med 343:392–398, 2000.

    Article  PubMed  CAS  Google Scholar 

  5. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3:39–41.

    PubMed  CAS  Google Scholar 

  6. Kyzer S, Alis M, Aloni Y, Charuzi I. Laparoscopic repair of postoperation ventral hernia. Surgical Endoscopy 13:928–931, 1999.

    Article  PubMed  CAS  Google Scholar 

  7. Franklin ME, Dorman JP, Glass JL, Balli JE, Gonzales JJ. Laparoscopic Ventral and Incisional Hernia Repair. Surgical Laparoscopy & Endoscopy 8(4):294–299, 1998.

    Article  CAS  Google Scholar 

  8. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic Ventral and Incisional Hernia Repair in 407 Patients. Journal of the American College of Surgeons 190(6):645–650, 2000.

    Article  PubMed  CAS  Google Scholar 

  9. LeBlanc KA, Booth WV, Whitaker JM, Bellanger DE. Laparoscopic Incisional and Ventral Herniorraphy in 100 Patients. American Journal of Surgery 180(3):193–197, 2000.

    Article  PubMed  CAS  Google Scholar 

  10. Park A, Birch DW, Lovrics, P. Laparoscopic and open incisional hernia repair: A comparison study. Surgery 124(4):816–822, 1998.

    Article  PubMed  CAS  Google Scholar 

  11. Carbajo MA, Martin del Olmo JC, Blanco JI, de la Cuesta C, Toledano M, Martin F, Vaquero C, Inglada L. Laparoscopic treatment vs. open surgery in the solution of major incisional and abdominal wall hernias with mesh. Surgical Endoscopy 13: 250–252, 1999.

    Google Scholar 

  12. Ramshaw BJ, Escartia P, Schwab J, Mason EM, Wilson RA, Duncan TD, Miller J, Lucas GW, Promes J. Comparison of Laparoscopic and Ventral Herniorraphy. American Surgeon 65:827–832, 1999.

    PubMed  CAS  Google Scholar 

  13. DeMarie EJ, Moss JM, Sugerman HJ. Laparoscopic intraperitoneal polytetrafluoroethylene (FIEE) prosthetic patch repair of ventral hernia. Surgical Endoscopy 14:326–329, 2000.

    Article  Google Scholar 

  14. Bucknall TE, Cox PJ, Ellis H. Burst Abdomen and Incisional Hernia: a Prospective Study of 1129 Major Laparotomies. Br Med J 284:931–933, 1982.

    Article  CAS  Google Scholar 

  15. Goepel R. Uber die verschliersung von bruchpforten durch einleilung gerflochtener fertiger silberdrahtnetze. Verh Deutsch Ges Pathol. 1900;29:4.

    Google Scholar 

  16. Kirschner M. Die praktischen Ergebnisse der freien Fascien-Tranaplantation. Arch Klin Chir 1910;92:888–912.

    Google Scholar 

  17. Cumberland O. Ueber die Verschliessung von Bauchwunden und Brustpforten durch Bersenkte Siberdragrnetze. Zentralbl Chir 1900;27:257.

    Google Scholar 

  18. Scales JT. Discussion on metals and synthetic materials in relation to soft tissues: tissue reactions to synthetic materials. Proc R Soc Med 1953;46:647.

    PubMed  CAS  Google Scholar 

  19. Vrijland WW, Bonthuis F, Steyerberg EW, Marquet RL, Jeckel J, Bonjer HJ. Peritoneal adhesions to prosthetic materials. Surg Endosc 14:960–963, 2000.

    Article  PubMed  CAS  Google Scholar 

  20. LeBlanc KA. Two phase In Vivo Comparison Study of Adhesion Formation of the Goretex Soft Tissue Patch, Marlex Mesh, and Surgipro using a Rabbit Model, in Inguinal Hernia: Advances or Controversies, eds. Arregui, ME and Nagan, RF, Radcliffe Medical Press Ltd. pp. 515–517.

    Chapter  Google Scholar 

  21. LeBlanc KA. Two phase In Vivo Comparison Studies of the Tissue Response to Polypropylene, Polyester, and Expanded Polytetrafluoroethylene Grafts Used in the Repair of Abdominal Wall Defects, in Peritoneal Adhesions. Eds. Truetner KH, and Schumpelick V, Springer-Verlag, pp. 352–362, 1997.

    Chapter  Google Scholar 

  22. LeBlanc KA, Booth WV, Whitaker JM, Baker D. In vivo Study of Meshes Implanted over the Inguinal Ring and External Iliac Vessels in Uncastrated Pigs. Surg Endosc 12:247–251, 1998.

    Article  PubMed  CAS  Google Scholar 

  23. Greenwalt KE, Butler TJ, Rowe EA, et al. Preclinical Evaluation of Sepramesh‰ Surgical Composite Prosthesis in a Rabbit Incisional Hernia Repair Model. Presented at the American Hernia Society meeting, Toronto, Canada, June 15–18, 2000.

    Google Scholar 

  24. Greenawalt KE, Butler TJ, Rowe EA, Finneral AC, Garlick DS, Burns JW. Evaluation of a sepramesh biosurgical composite in a rabbit repair model. J Surg Res 2000;94:92–98.

    Article  PubMed  CAS  Google Scholar 

  25. Balique JG, Alexandre JH, Arnaud JP, Benchetrit S, et al. Intraperitoneal treatment of incisional and umbilical hernias: intermediate results of a multicenter prospective clinical trial using an innovative composite mesh. Hernia 4[suppl]:S10–S16, 2000.

    Article  Google Scholar 

  26. Benchetrit S, Debaert M, Detruit B, Dufilho A, Gaujoux D, et al. Laparoscopic and open abdominal wall reconstruction using Parietex® meshes: clinical results in 2700 hernias. Hernia 2:57–62.

    Google Scholar 

  27. Carbajo MA, Martin del Olmo JC, Blanco JI, de la Cuesta C, Martin F, Toledano M, Perna C, Vaquero C. Laparoscopic Treatment of Ventral Abdominal Wall Hernias: Preliminary Results in 100 Patients. Journal of the Society of Laparoendoscopic Surgeons 4:141–145, 2000.

    PubMed  CAS  Google Scholar 

  28. DeBorg J, Bauer JJ, Grischkan DM, LeBlanc KA, Smoot RT, Voeller GR, Weiland LH. Short-Term Study on the Safety of Antimicrobial-Agent-Impregnated ePTFE Patches for Hernia Repair. Hernia 4(3): 189–193, 1999.

    Article  Google Scholar 

  29. Klein AM, Banever TC. Enteroctaneous Fistula as a Postoperative Complication of Laparoscopic Inguinal Hernia Repair. Surg Laparosc & Endo 9(1):60–62, 1999.

    Article  CAS  Google Scholar 

  30. Toy FK, Bailey RW, Carey S, Chappuis CW, Gagner M, Josephs LG, Mangiante EC, Park A, Pomp A, Smoot RT, Uddo JF, Voeller G. Prospective, multicenter study of laparoscopic ventral hernioplasty. Surgical Endoscopy 12:955–959, 1998.

    Article  PubMed  CAS  Google Scholar 

  31. Amid P. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1:15–21, 1997.

    Article  Google Scholar 

  32. LeBlanc KA. Two-phase in vivo comparison studies of the tissue response to polypropylene, polyester, and expanded polytetrafluoroethylene grafts used in the repair of abdominal wall defects. In: Treutner KH, Schumpelick V, eds. Peritoneal Adhesions. Berlin: Springer-Verlag; 352–362, 1997.

    Chapter  Google Scholar 

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LeBlanc, K.A. (2003). Prosthetic Biomaterials in the Laparoscopic Repair of Incisional and Ventral Hernias. In: Laparoscopic Ventral Hernia Repair. Springer, Paris. https://doi.org/10.1007/978-2-8178-0752-2_13

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  • DOI: https://doi.org/10.1007/978-2-8178-0752-2_13

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-59755-8

  • Online ISBN: 978-2-8178-0752-2

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