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Conference Paper: Emergency Laparoscopic Repair for Incarcerated Ventral Hernia with Composite Mesh

TitleEmergency Laparoscopic Repair for Incarcerated Ventral Hernia with Composite Mesh
Authors
Issue Date2011
PublisherSociety of American Gastrointestinal and Endoscopic Surgeons (SAGES). The conference's web site is located at http://www.sages.org/
Citation
SAGES 2011 - Surgical Spring Week, San Antonio, TX., 30 March-2 April 2011. How to Cite?
AbstractOBJECTIVES: Laparoscopic repair has been widely used for uncomplicated ventral hernia as it is associated with fewer post-operative wound complications and a shorter hospital stay. We explored the safety of porcine collagen coated mesh (Parietex™Composite, COVIDIEN®) in emergency laparoscopic repair of acutely incarcerated ventral hernia. METHODS: Laparoscopic repair was attempted for patients who presented with acutely incarcerated ventral hernia. Those patients who had signs of peritonitis, who were hemodynamically unstable or who were anticipated to have extensive adhesions were excluded. Laparoscopy was performed and the adhesions were freed with sharp dissection, avoiding damage to the bowel. The mesh was placed with 5 cm overlap and secured with tackers. The outcomes of surgery were evaluated. RESULTS: Twelve patients who suffered from acutely incarcerated ventral underwent laparoscopic repair with Polypropylene-based composite mesh during the study period. The mean age of the patients was 64.6 years (33-91 years). The median ASA (American Society of Anesthetist) class was II. Six patients had incarcerated paraumbilical hernia and the rest of them were incisional hernia (n=5, 41.7%) and epigastric hernia (n =1, 8.3%). The incarcerated contents were small bowel (n=7), omentum (n=3), transverse colon (n=1) and urinary bladder (n=1). The mean area of defects was 34.9cm² (1-144cm²) and the mean operating time was 106.8 min (38-250 min). No intraoperative complication occurred and the mean hospital stay was 6 days (1-19 days). There was no mortality and two patients required post-operative Intensive Care Unit admission for monitoring. Five patients developed seroma and all subsided on conservative management. There was no other wound infection. CONCLUSIONS: Minimally invasive approach for acutely incarcerated ventral hernia is safe and feasible by using the porcine collagen coated polypropylene meshes. The outcomes of surgery are favorable and wound complications.can be reduced.
DescriptionPostgraduate Courses & Scientific Session
Poster Presentation - Topic: Hernia: pogram no. P331
Fulltext of the abstract in: http://www.sages.org/meetings/annual-meeting/abstracts-archive/emergency-laparoscopic-repair-for-incarcerated-ventral-hernia-with-composite-mesh/
Persistent Identifierhttp://hdl.handle.net/10722/140615

 

DC FieldValueLanguage
dc.contributor.authorFan, JKMen_US
dc.contributor.authorLo, OSHen_US
dc.contributor.authorLaw, WLen_US
dc.contributor.authorSee, QWSen_US
dc.contributor.authorPoon, JTCen_US
dc.date.accessioned2011-09-23T06:16:15Z-
dc.date.available2011-09-23T06:16:15Z-
dc.date.issued2011en_US
dc.identifier.citationSAGES 2011 - Surgical Spring Week, San Antonio, TX., 30 March-2 April 2011.en_US
dc.identifier.urihttp://hdl.handle.net/10722/140615-
dc.descriptionPostgraduate Courses & Scientific Session-
dc.descriptionPoster Presentation - Topic: Hernia: pogram no. P331-
dc.descriptionFulltext of the abstract in: http://www.sages.org/meetings/annual-meeting/abstracts-archive/emergency-laparoscopic-repair-for-incarcerated-ventral-hernia-with-composite-mesh/-
dc.description.abstractOBJECTIVES: Laparoscopic repair has been widely used for uncomplicated ventral hernia as it is associated with fewer post-operative wound complications and a shorter hospital stay. We explored the safety of porcine collagen coated mesh (Parietex™Composite, COVIDIEN®) in emergency laparoscopic repair of acutely incarcerated ventral hernia. METHODS: Laparoscopic repair was attempted for patients who presented with acutely incarcerated ventral hernia. Those patients who had signs of peritonitis, who were hemodynamically unstable or who were anticipated to have extensive adhesions were excluded. Laparoscopy was performed and the adhesions were freed with sharp dissection, avoiding damage to the bowel. The mesh was placed with 5 cm overlap and secured with tackers. The outcomes of surgery were evaluated. RESULTS: Twelve patients who suffered from acutely incarcerated ventral underwent laparoscopic repair with Polypropylene-based composite mesh during the study period. The mean age of the patients was 64.6 years (33-91 years). The median ASA (American Society of Anesthetist) class was II. Six patients had incarcerated paraumbilical hernia and the rest of them were incisional hernia (n=5, 41.7%) and epigastric hernia (n =1, 8.3%). The incarcerated contents were small bowel (n=7), omentum (n=3), transverse colon (n=1) and urinary bladder (n=1). The mean area of defects was 34.9cm² (1-144cm²) and the mean operating time was 106.8 min (38-250 min). No intraoperative complication occurred and the mean hospital stay was 6 days (1-19 days). There was no mortality and two patients required post-operative Intensive Care Unit admission for monitoring. Five patients developed seroma and all subsided on conservative management. There was no other wound infection. CONCLUSIONS: Minimally invasive approach for acutely incarcerated ventral hernia is safe and feasible by using the porcine collagen coated polypropylene meshes. The outcomes of surgery are favorable and wound complications.can be reduced.-
dc.languageengen_US
dc.publisherSociety of American Gastrointestinal and Endoscopic Surgeons (SAGES). The conference's web site is located at http://www.sages.org/-
dc.relation.ispartofSAGES 2011 - Surgical Spring Weeken_US
dc.titleEmergency Laparoscopic Repair for Incarcerated Ventral Hernia with Composite Meshen_US
dc.typeConference_Paperen_US
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_US
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_US
dc.identifier.authorityLaw, WL=rp00436en_US
dc.identifier.hkuros192508en_US
dc.publisher.placeUnited States-

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