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The Complications of Surgical Treatment of Incisional Hernia

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Incisional Hernia

Part of the book series: Updates in Surgery ((UPDATESSURG))

Abstract

Incisional hernia is a highly frequent clinical entity that affects between 1 and 16%, and according to some reports more than 20% of abdominal surgery patients because of additional decisive or favourable factors that may be of a general or local nature [1,2]. Even small incisions that entail the insertion of a trocar in laparoscopic surgery result in an incidence of 1–3% [3,4]. While most incisional hernias appear during the first 6 months post-operatively, adopting different forms with regard to wall areas and entities. The timing, exact manifestation and progression of the pathology are extremely variable. A common and important feature is that the abdominal wall is anatomically and morphologically damaged, with progressive local and general functional involvement. Moreover, this pathology also has psychological and aesthetic consequences for the patient.

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References

  1. Heniford BT, Park A, Ramshaw BJ, Voeller G (2000) Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 190(6):645–650

    Article  PubMed  CAS  Google Scholar 

  2. Basile F, Biondi A, Furci M et al (2002) Trattamento dei laparoceli. EMC Roma: Tecniche Chirurgiche-Addominale, pp 40–165

    Google Scholar 

  3. Hesselink VJ, Luijendsk RW, de Wilt JH et al (1993) An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 176:228–234

    PubMed  CAS  Google Scholar 

  4. Leung TY, Yuen PM (2000) Small bowel herniation through subumbilical port site following laparoscopic surgery at the time of reversal of anesthesia. Gynecol Obstet Invest 49:209–210

    Article  PubMed  CAS  Google Scholar 

  5. Trivellini G, Contessini Avesani E (2002) Trattamento chirurgico dei disastri parietali. Atti del 104° congresso della Società Italiana di Chirurgia. Roma. 13–16 ottobre 2002. Luigi Pozzi, Roma, pp 33–47

    Google Scholar 

  6. Chevrel JP, Flamment JB (1995) Traitement des éventrations de la paroi abdominale. Techniques chirurgicales. Appareil digestif. pp 40–165

    Google Scholar 

  7. Rives J, Lardennois B, Pire JC, Hibon J (1973) Les grandes éventrations. Importance du volet abdominal et des troubles respiratoires qui lui sont secondaires. Chirurgie 99:547–563.

    PubMed  CAS  Google Scholar 

  8. Rives, J, Pire J, Convers C (1977) Traitement des éventrations. EMC Paris: Tecniques chirurgicales pp 40–165

    Google Scholar 

  9. Sturniolo G (1990) Ľimpiego delle protesi reticulate in Dacron nella chirurgia dei grandi laparoceli. Chirurgia 3:573–578

    Google Scholar 

  10. Chevrel JP, Flament JB (1990) Les éventrations de la paroi abdominale. In: Rapport au 92ème Congrès Françaos de Chirurgie. Monographies de AFC. Masson, Paris

    Google Scholar 

  11. Champault G (1988) Place de treillis résorbables dans le traitement des éventrations postopératoires. J Chir 125:27–29

    CAS  Google Scholar 

  12. Trivellino G, Danelli PG (1991) Ľimpiego di due protesi in contemporanea nella riparazione di grosse perdite di sostanza reale della parete addominale. Chirurgia 4:601–606

    Google Scholar 

  13. Dayton MT, Buchele BA, Shirazi SS, Hunt LB (1986) Use of an absorbable mesh to repair contaminated a bdominal-wall defects. Arch Surg 121:954–960

    PubMed  CAS  Google Scholar 

  14. Marchal F, Brunaud L, Sebbag H et al (1999) Treatment of incisional hernias by placement of an intraperitoneal prothesis: a series of 128 patients. Hernia 3:141–147

    Article  Google Scholar 

  15. Romeo G, Catania G, Basile F (1994) Ľimpiego di protesi nel trattamento chirurgico dei laparoceli. Chirurgia 7:704–708

    Google Scholar 

  16. Celi D, Batocchio F, Battaglino D et al (2001) La scelta della protesi nella chirurgia dei grandi laparoceli. Osp Ital Chir 7:107–112

    Google Scholar 

  17. Stoppa R, Louis D, Verhaeghe P et al (1987) Current surgical treatment of postoperative eventrations. Int Surg 72:42–44

    PubMed  CAS  Google Scholar 

  18. Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554

    Article  PubMed  CAS  Google Scholar 

  19. Acquaviva DE, Bourret P (1948) Cure des éventrations par plaques de nylon. Presse Med 73:892

    Google Scholar 

  20. Rives J, Pire JC, Flament JB et al (1985) Le traitement des gandes éventrations: nouvelles indications therapeutiques. A propos de 322 cas. Chirurgie 111(3):215–225

    PubMed  CAS  Google Scholar 

  21. Chevrel JP (1999) The use of premusculo-facial prothesis in incisional hernia treatment. Atti del Metting „La chirurgia del laparocele nel XXI secolo“. Napoli, 5–6 luglio 1999

    Google Scholar 

  22. Gillion JF, Begin GF, Marecos C, Foutanier G (1997) Expanded polytetrafluoroethylene patches used in the intraperitoneal or extraperitoneal position for repair of incisional hernias of the anterolateral abdominal wall. Am J Surg 174(1):16–19

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  24. White TJ, Santos MC, Thompson JS (1998) Factors affecting wound complications in repair of ventral hernias. Am Surg 64:276–280

    PubMed  CAS  Google Scholar 

  25. Flament JB, Avisse C, Palot JP, Delattre JF (2000) Complications in incisional hernia repairs by the placement of retromuscolar prostheses. Hernia 4:S25–S29

    Article  Google Scholar 

  26. Chevrel JP, Rath AM (2000) Classification of incisional hernias of the abdominal wall. Hernia 4:7–11

    Article  Google Scholar 

  27. Langer S, Cristensen J (1985) Long-term results after incisional hernia repair. Acta Chir Scand 151:217–219

    PubMed  CAS  Google Scholar 

  28. Read RC, Yoder G (1989) Recent trends in the management of incisional herniation. Am J Surg 124:485–488

    CAS  Google Scholar 

  29. Chevrel JP, Flament JB (1995) Traitement des éventrations de la paroi abdominale. EMC Paris, Techniques Chirurgicales-Appareil digestif, pp 40–165

    Google Scholar 

  30. Wantz GE (1991) Incisional hernioplasty with Mersilene. Surg Gynecol Obstet 172:129–137

    PubMed  CAS  Google Scholar 

  31. Flament JB, Avisse C, Palot JP, Delattre JF (1999) Biomaterials. Principles of implantation. In: Schumpelick, Kingsnorth (eds) Incisional hernia Springer-Verlag, Berlin Heidelberg

    Google Scholar 

  32. Luijendijk RW, Hop WCJ, van den Tol MP et al (2000) A comparison of suture repair for incisional hernia. N Engl J Med 343(6):392–398

    Article  PubMed  CAS  Google Scholar 

  33. Novitsky YW, Cobb WS, Kercher KW et al (2006) Laparoscopic ventral hernia repair in obese patients. Arch Surg 141:57–61

    Article  PubMed  Google Scholar 

  34. Birgisson G, Park AE, Mastrangelo MJ et al (2001) Obesity and laparoscopic repair of ventral hernias. Surg Endosc 15:1419–1422

    PubMed  CAS  Google Scholar 

  35. Carbajo MA, del Olmo JCM, Blanco JI et al (2000) Laparoscopic treatment of ventral abdominal wall hernias: preliminary results in 100 patients. JSLS 4:141–145

    PubMed  CAS  Google Scholar 

  36. Carbajo MA, del Olmo JCM, Blanco JI et al (2000) A laparoscopic solution for an old problem: incisional and abdominal wall hernias. Experience with 200 patients. In: 7th World Congress of Endoscopic Surgery, Monduzzi, Bologna, pp 437–440

    Google Scholar 

  37. Franklin ME, Dorman JP, Glass JL (1998) Laparoscopic ventral incisional hernia repair. Surg Laparosc Endosc 8:294–299

    Article  PubMed  CAS  Google Scholar 

  38. Le Blanc KA (2000) Current considerations in laparoscopic incisional and ventral herniorraphy. JSLS 4:131–139

    Google Scholar 

  39. Toy FK, Bairley RW, Carey S (1997) Prospective multicenter study of laparoscopic ventral hernioplasty. Preliminary results. Surg Endosc 12(7):955–959

    Article  Google Scholar 

  40. Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias. Nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–400

    PubMed  Google Scholar 

  41. Berger P, Nijsten MW, Palin JC et al (2001) Abdominal compartment syndrome: a complication with many faces. Neth J Med 58(5):197–203

    PubMed  CAS  Google Scholar 

  42. Meldrum DR, Moore FA, Moore EE et al (1997) Prospective characterization and management of the abdominal compartment syndrome. Am J Surg 174(6):667–672

    Article  PubMed  CAS  Google Scholar 

  43. Tons C, Schachtrup A, Rau M et al (2000) Abdominal compartment syndrome: prevention and treatment. Chirurg 71(8):918–926

    Article  PubMed  CAS  Google Scholar 

  44. Goni Moreno I (1947) Chronic eventrations and large hernias. Preoperative treatment by progressive pneumoperitoneum. Original procedure. Surgery 22:945–953

    Google Scholar 

  45. Moreno Egea DA, Torralba Martinez JA, Morales Cuenca G et al (2004) Mortality following laparoscopic ventral hernia repair: lessons from 90 consecutive cases bibliographical analysis. Hernia 8:208–212

    Google Scholar 

  46. Cassar K, Munro A (2002) Surgical treatment of incisional hernia. Br J Surg 89:534–545

    Article  PubMed  CAS  Google Scholar 

  47. Leber GE, Garb JL, Alexander AI, Reed WP (1998) Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133:378–382

    Article  PubMed  CAS  Google Scholar 

  48. Burger JWA, Luijendijk RW, Hop WC et al (2004) Long-term follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia. Ann Surg 240:578–585

    PubMed  Google Scholar 

  49. Le Blanc KA, Whitaker JM (2002) Management of chronic postoperative pain following incisional hernia repair with Complexis mesh: a report of two cases. Hernia 6:194–197

    Article  Google Scholar 

  50. Amid PK (2004) A new phenomenon causing chronic pain after prosthetic repair of abdominal wall hernias. Arch Surg 139:1297–1298

    Article  PubMed  Google Scholar 

  51. Klinge U (1996) Pathophysiologie der bauchdecken. Chirurgie 67:229

    CAS  Google Scholar 

  52. Cobb WS, Kercher KW, Heniford BT (2005) Laparoscopic repair of incisional hernias. Surg Clin N Am 85:91–103

    Article  PubMed  Google Scholar 

  53. Rives J, Palot JP, Buerde A, Corcione F (1986) I grandi laparoceli. Esperienza relative a 250 casi. Minerva Chir 41:135–144

    PubMed  CAS  Google Scholar 

  54. Park A, Bird DW, Lourics P (1998) Laparoscopic and open incisional hernia repair: a comparison study. Surgery 124:816–822

    Article  PubMed  CAS  Google Scholar 

  55. Nichter LS, Morgan RF, Dufresne CR et al (1983) Rapid management of persistent seromas by sclerotherapy. Ann Plast Surg 11:233–236

    Article  PubMed  CAS  Google Scholar 

  56. Tsimoyannis EC, Siakas P, Glantzounis G et al (2001) Seroma in laparoscopic ventral hernioplasty. Surg Laparosc Endosc Percutan Tech 11(5):317–321

    Article  Google Scholar 

  57. Chevrel JP, Rath AM (1997) The use of fibrin glues in the surgical treatment of incisional hernias. Hernia 1:14–19

    Google Scholar 

  58. Koehler RH, Voeller G (1999) Recurrences in laparoscopic incisional hernia repair: a personal series and review of the literature. JSLS 3:293–304

    PubMed  CAS  Google Scholar 

  59. Gilbert AI, Graham MF (1997) Infected grafts in incisional hernioplasties. Hernia 1:77–81

    Article  Google Scholar 

  60. Abramov D, Jeroukhimow I, Yinnon AM et al (1996) Antibiotic prophilaxis in umbilical and incisional hernia repair: a prospective randomised study. Eur J Surg 162:945–948

    PubMed  CAS  Google Scholar 

  61. Le Blank KA (2004) Laparoscopic incisional and ventral hernia repair: complications — how to avoid and handle. Hernia 8(4):323–331

    Article  Google Scholar 

  62. Amid PK (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1:15–21

    Article  Google Scholar 

  63. Wantz GE (1999) Incisional hernia: the problem and the cure. Symposium. J Am Coll Surg 188:429–447

    Google Scholar 

  64. Martinez DA, Vasquez JL, Pellicer E et al (1999) Results of expanded polytetrafluoroethylene patches in moderate and large incisional hernias. Hernia 3:149–152

    Article  Google Scholar 

  65. Anonymous (2001) Linee Guida EAES. Maastricht, June 2001. Surg End

    Google Scholar 

  66. Bonjer HJ, Hazerbrock JF, Kazelier G et al (1997) Open versus closed approach establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg 84:599–602

    Article  PubMed  CAS  Google Scholar 

  67. Catarci M, Carlini M, Gentileschi P, Santoro E (2001) Major and minor injuries during the creation of pneumoperitoneum. Surg End 15:566–569

    Article  CAS  Google Scholar 

  68. Carbajo MA, del Olmo MJC, Blanco JI et al (2003) Laparoscopic approach to incisional hernia. Surg Endosc 17:118–122

    Article  PubMed  CAS  Google Scholar 

  69. Ramshaw BJ, Escartia P, Schwab J (1999) Comparison of laparoscopic and open ventral herniorraphy. Am Surg 65:827–831

    PubMed  CAS  Google Scholar 

  70. Schenk C, Scheuerecker H, Glaser F (2000) Laparoscopic adhesiolysis: results following prospective surveillance. Chirurgie 1:66–71

    Google Scholar 

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Authors
  1. Claudio Cicchese
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  2. Giancarlo Paglione
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Cicchese, C., Paglione, G. (2008). The Complications of Surgical Treatment of Incisional Hernia. In: Incisional Hernia. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-0722-2_25

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  • DOI: https://doi.org/10.1007/978-88-470-0722-2_25

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0721-5

  • Online ISBN: 978-88-470-0722-2

  • eBook Packages: MedicineMedicine (R0)

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