Abstract
This study details our experience with a new laparoscopic technique called “Slim-Mesh” without using transabdominal full-thickness stitches, to treat ventral and incisional hernias (V/IH). Since 2009–May 2015, 28 consecutive patients with V/IH were treated in our center, with this new SM technique. Fifty percent males were included in this retrospective study, averaging 59 years (range 31–81 years). Mean body mass index was 26 and VH size was <10 cm in 24 cases and in 4 cases was larger, up to 22 cm. Mean operative time in the 28 V/IH patients was 97 min (range 57–160 min) and in those with V/IH larger than 10 cm it was 135 min. In 14.2% of patients laparoscopy diagnosed others V/IH previously undetected by physical examination and CT-scan. In all patients a composite mesh was used, up to 30 cm in size. In this series we had one intraoperative complication (3.6%) with transient bradycardia, but no conversion occurred; no early postoperative complication was detected. Mean length of hospital stay was 3.0 days. Mean follow-up time was 40 months (range 13–78 months). Late surgical complications included one case (3.6%) of incisional hernia recurrence and one case of 10 mm trocar site incisional hernia. This new surgical technique for V/IH repair, makes easy the handling and fixation of the composite mesh without using transabdominal fixation sutures, and appears in our experience fast, and simple.
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SAC was the surgeon who designed the operation, and was the responsible of the clinical management and wrote the draft of the manuscript. CP helped to write the manuscript and supervised the assembly of the manuscript.
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All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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This article does not contain any studies with animals performed by any of the authors.
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A written informed consent was obtained from the patient for publication of any imaging and video related to the operation. A copy of the written consent is available for review by the Editors-in-Chief of this journal.
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Canton, S.A., Pasquali, C. Laparoscopic repair of ventral/incisional hernias with the “Slim-Mesh” technique without transabdominal fixation sutures: preliminary report on short/midterm results. Updates Surg 69, 479–483 (2017). https://doi.org/10.1007/s13304-017-0482-4
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DOI: https://doi.org/10.1007/s13304-017-0482-4