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Article
Robotic-assisted, laparoscopic, and open incisional hernia repair: early outcomes from the Prospective Hernia Study
To provide a comparative analysis of short-term outcomes after open, laparoscopic, and robotic-assisted (RAS) ventral incisional hernia (VIH) repairs that include subject-reported pain medication usage and her...
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Article
Components separation technique utilizing an intraperitoneal biologic and an onlay lightweight polypropylene mesh: “a sandwich technique”
Reconstruction of large, complex abdominal wall hernias is an ongoing challenge. Primary closure of such hernias is often not possible. The components separation technique (CST) is a practical option, however,...
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Article
Does expanded polytetrafluoroethylene mesh really shrink after laparoscopic ventral hernia repair?
The shrinkage of mesh has been cited as a possible explanation for hernia recurrence. Expanded polytetrafluoroethylene (ePTFE) is unique in that it can be visualized on computed tomography (CT). Some animal st...
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Article
Laparoscopic parastomal hernia repair using a nonslit mesh technique
The management of parastomal hernia is associated with high morbidity and recurrence rates (20–70%). This study investigated a novel laparoscopic approach and evaluated its outcomes.
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Article
Laparoscopic incisional hernia repair: are transfascial sutures necessary? A review of the literature
Laparoscopic repair of incisional and ventral hernias is rapidly becoming more commonplace in the armamentarium of general surgeons. Its utility and low recurrence rates make it a very attractive option. As wi...
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Chapter
Laparoscopical Repair
The incidence of incisional hernias after major abdominal surgery persists at around 20%, implicating the need of a safe and effective technique for repair [7, 23]. Today the need of meshes for augmentation of th...
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Article
Laparoscopic parastomal hernia repair
Repair of parastomal represents a significant challenge for the hernia surgeon. Repair of these hernias is indicated because of an ill-fitting appliance, cosmetic deformity, inability to maintain proper hygien...
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Article
Laparoscopic incisional and ventral hernia repair: Complications—how to avoid and handle
Complications will occur with any operative procedure. The possibility of this must be considered for laparoscopic incisional and ventral hernia repair (LIVH) as well. The most commonly reported of these inclu...
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Article
Laparoscopic incisional and ventral hernioplasty: lessons learned from 200 patients
Our first 100 patients and our second 100 patients who underwent a laparoscopic repair of incisional and ventral hernias were compared and evaluated. This analysis revealed that the second group was approximat...
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Article
Comparison of adhesion formation associated with Pro-Tack (US Surgical) versus a new mesh fixation device, Salute (ONUX Medical)
Background: We evaluated efficacy and associated adhesion formation of an innovative mesh fixation device versus the helical tack device and analyzed two implantation techniques. Methods:
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Chapter
Methods of Fixation of the Prosthesis During Laparoscopic Incisional and Ventral Herniorraphy
Fixation of the prosthesis that is used is an integral component of the laparoscopic incisional and ventral herniorraphy (LIVH). While there are differences of opinion as to the most effective method of fixati...
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Chapter
Anatomical Basis of Ventral Hernia Repair: Is There a Place for Laparoscopic Surgery?
The abdominal wall is a complex structure that has a multitude of components that include skin, muscles, aponeuroses, fat, and mesothelium This musculoaponeurotic structure is attached to the vertebral column ...
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Chapter
Evolution of Laparoscopic Ventral Hernia Repair
The concept of the posterior repair of abdominal wall hernias had its earliest beginnings in 1871 when Marcy (1) noted that the closure of the internal inguinal ring could accomplish the repair of an indirect ...
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Chapter
Prosthetic Biomaterials in the Laparoscopic Repair of Incisional and Ventral Hernias
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 ...
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Article
Tissue attachment strength of prosthetic meshes used in ventral and incisional hernia repair
Background: Many prosthetic materials are used in incisional hernia repair, including polypropylene (PP) and expanded polytetrafluoroethylene (ePTFE). However, PP forms severe adhesions and ePTFE has raised co...
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Article
Laparoscopic incisional and ventral herniorraphy: our initial 100 patients
A review of our initial 100 patients upon whom we attempted a laparoscopic repair of either a ventral and incisional hernia is presented. The average follow-up period of these individuals was 51 months. The op...
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Article
Short-term study on the safety of antimicrobial-agent-impregnated ePTFE patches for hernia repair
To determine whether expanded polytetrafluoroethylene (ePTFE) patches impregnated with silver and chlorhexidine produce any adverse effects, we compared patients in whom impregnated and standard ePTFE patches ...
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Article
In vivo study of meshes implanted over the inguinal ring and external iliac vessels in uncastrated pigs
Background: The effects of placing a prosthesis directly on the internal inguinal ring and external iliac vessels in inguinal hernia repair are unknown. We compared tissue responses to five prost...
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Chapter and Conference Paper
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
The choice of biomaterial for repair of abdominal wall defects is of considerable importance because the prosthesis is often placed directly on the abdominal viscera (intraperitoneal approach). If the prosthet...
