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Laparoscopic Ventral Hernia Repair
to the high cost of composite mesh used in IPOM vs a traditional Medical talc increases the incidence of seroma formation following
cheap one used in the TARM approach. onlay repair of major abdominal wall hernias. Parameswaran R,
Hornby ST Hornby, Kingsnorth AN. DOI: 10.1007/s10029-013-1097-4.
Hernia 2013;17(4):457–458. DOI: 10.1007/s10029-013-1116-5.
lIMItAtIons 7. Amirlak B, Mittal SK, Fitzgibbons RJ. Hernia repair. In: Zinner MJ and
Transabdominal retromuscular is a feasible procedure for midline Ashley SW, editors. Maingot’s Abdominal Operations, 11th edition.
ventral hernias. We found that the best approach for epigastric New York: McGraw-Hill Medical, 2007, pp.1125–1150.
hernias is a three-port suprapubic approach, in lateral three-port 8. Rucinski J, Margolis M, Panagopoulos G. Closure of the abdominal
placement, we found it ergonomically difficult to suture midline midline fascia: meta-analysis delineates the optimal technique. Am
Surg 2011;67(5):421–426. PMID: 11379640.
defects in the epigastric region. There was no difficulty in suturing 9. Rettenbacher T, Hollerweger A, Macheiner P. Abdominal wall
defects in umbilical and infraumbilical regions by the lateral hernias: cross-sectional imaging signs of incarceration determined
approach. Subxiphoidal port placement is also recommended for with sonography. AJR Am J Roentgenol 2010;177(5):1061–1066. DOI:
an umbilical and infraumbilical hernia. 10.2214/ajr.177.5.1771061.
Difficulties we encountered with this approach were in 10. Bennett DH, Kingnorth AN. Hernias, umbilicus and abdominal wall.
suturing anterior defects because of interference by breast tissue In: Williams NS, Bulstrode CJK, O’Connell, editors. Bailey and Love’s
in female patients and by a costal margin in male patients which Short Practice of Surgery, 26th edition. Boca Raton, FL: CRC Press,
interfered to some extent with hand movements. There was also 2013, pp.1272–1293.
the problem access because of the falciform ligament in 10-mm 11. Eknoyan G. Adolphe Quetelet (1796–1874): the average man and
indices of obesity. Nephrol Dial Transplant. 23 (1): 47–51. DOI: 10.1093/
port subxiphoidal access. Therefore, we gained initial access by ndt/gfm517.
5-mm port with 5-mm telescope in the left subcostal region after 12. Farquharson M, Moren B. Farquharson’s Textbook of Operative
pneumoperitoneum by a Veress needle. We then dissected down General Surgery, 9th edition. India: Edward Arnold, 2005, pp. 519–527.
the falciform ligament distally to proximally and then inserted 13. Kuo EY, Klingensmith ME. General and perioperative care of the
10-mm subxiphoidal port under vision. surgical patient. In: Klingensmith ME, Chen LE, Glasgow SC et al.,
Of all these approaches, we found the suprapubic approach editors. The Washington Manual of Surgery, 5th edition. Philadelphia,
versatile for epigastric hernias and the lateral approach for USA: Lippincott, Williams & Wilkins, 2008, pp.1–29.
umbilical and infraumbilical hernias. The subxiphoidal approach 14. Cooper Z, Kelly E. Preoperative and postoperative management. In:
Zinner MJ, Ashley SW, editors. Maingot’s Abdominal Operations, 11th
is ergonomically difficult in our experience. Further studies are edition. McGraw-Hill Medical, NewYork, 2007, pp.9–35.
needed to establish this procedure as the preferred method for 15. Poelman MM. Modified onlay technique for the repair of the more
the treatment of ventral hernias. complicated incisional hernias: single-centre evaluation of a large
The medium-sized hernias (≤60 mm) only were included and it cohort. Hernia 2010;14(4):369–374. DOI: 10.1007/s10029-010-0646-3.
should be extended to include larger sized hernias. 16. LeBlanc KA, William VB. Laparoscopic repair of incisional abdominal
hernias using expanded polytetrafluoroethylene: preliminary
findings. Surg Laparosc Endosc 1993;3:39–41. PMID: 8258069.
conclusIon 17. Tsimoyiannis EC. Seroma and recurrence in laparoscopic ventral
Laparoscopic hernia repair either IPOM or TARM repair techniques hernioplasty. JSLS 2008;12(1):51–57. PMID: 18402739.
had less postoperative pain, shorter hospital stay, faster return to 18. Amid PK, Graham M, Selwyn CA. Abdominal hernia: emerging trends
normal daily activity, a lower rate of postoperative complications as in diagnosis and management. Patient Care 2005;39:43. Gale
regard wound infection and ileus, and better cosmetic appearance. Academic OneFile, https://go.gale.com/ps/i.do?p=AONE&u=
an o n ~59 919 d9 c & i d = G ALE|A133302223& v =2 .1& i t= r&
However, we found that TARM repair technique was more time sid=googleScholar&asid=bcd18bd0.
consuming in comparison to the IPOM technique, but early results 19. Hussain D, Sarfraz Sh, Kasmani J, et al. Laparoscopic repair of ventral
indicated that TARM could be performed as a cheaper alternative hernia. Journal of the College of Physicians and Surgeons Pakistan
to IPOM mesh repair. 2012;22(11):683–685. PMID: 23146845.
20. Ramshaw B , Bachman SH. Laparoscopic Incisional and Ventral Hernia
Repair. In: Soper NJ, Swanstrom LL, Eubanks WS editors. Mastery of
references Endoscopic and Laparoscopic Surgery, 3rd Edition. Philadelphia, USA:
1. Muysoms FE, Miserez M, Berrevoet F, et al. Classification of primary Lippicott, Williams & Wilkins, 2009, pp.538–549.
and incisional abdominal wall hernias. Hernia 2009;13(4):407–414. 21. Katkhouda N. Incisional and ventral hernia repair including component
DOI: 10.1007/s10029-009-0518-x. separation. In: Advanced Laparoscopic Surgery Techniques and Tips,
2. Rastegarpour A, Cheung M, Vardhan M, et al. Surgical mesh for 2nd edition. Los Angles, USA: Springer, 2010, pp.169–180.
ventral incisional hernia repairs: understanding mesh design. Plast 22. Earle D, Roth JS, Saber A, et al. SAGES guidelines for laparoscopic
Surg (Oakv) 2016;24(1):41–50. DOI: 10.4172/plastic-surgery.1000955. ventral hernia repair. Surg Endosc 2016;30(8):3163–3183. DOI: 10.1007/
3. Sains PS, Tilney HS, Purkayastha S. Outcomes following laparoscopic s00464-016-5072-x.
versus open repair of incisional hernia. World J Surg 2006;30(11):2056– 23. Zhang Y, Zhou H, Chai Y, et al. Laparoscopic versus open incisional
2064. DOI: 10.1007/s00268-006-0026-4. and ventral hernia repair: a systematic review and meta-analysis.
4. Bosanquet DC, Ansell J, Abdelrahman T, et al. Systematic review World J Surg 2014;38(9):2233–2240. DOI: 10.1007/s00268-014-
and meta-regression of factors affecting midline incisional hernia 2578-z.
rates: analysis of 14,618 patients. PLoS One 2015;10(9):e0138745. DOI: 24. Sauerland S, Walgenbach M, Habermalz B, et al. Laparoscopic
10.1371/journal.pone.0138745. versus open surgical techniques for ventral or incisional hernia
5. Zinner MJ, Ashley SW. Abdominal wall: hernias. In: Maingot’s repair. Cochrane Database Syst Rev 2011;(3):CD007781. DOI:
Abdominal Operations, 11th edition. New York: MacGraw-Hill 10.1002/14651858.CD007781.pub2.
Medical; 2006, pp.03–40. 25. Asencio F, Aguiló J, Peiró S, et al. Open randomized clinical trial
6. Klima DA, Augenstein VA, Heniford BT. Medical talc and seroma of laparoscopic versus open incisional hernia repair. Surg Endosc
formation following ventral hernia repair: invited comment to: 2009;23(7):1441–1448. DOI: 10.1007/s00464-008-0230-4.
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