Laparoscopic Incisional and Ventral Hernia Repair with Absorbable Tacks in a Long Term Follow-up: A Retrospective Control Study

Author(s): Simone Zanella*, Enrico Lauro, Francesco Franceschi, Francesco Buccelletti, Annalisa Potenza, Andrea Zanoni, Giovanni Scudo, Enzo Bonadies, Mario De Bellis, Francesco Ricci, Antonios Vassiliadis.

Journal Name: Reviews on Recent Clinical Trials

Volume 14 , Issue 2 , 2019

Become EABM
Become Reviewer

Graphical Abstract:


Abstract:

Background: Laparoscopic Incisional and Ventral Hernia Repair (LIVHR) is a safe and worldwide accepted procedure performed using absorbable tacks. The aim of the study was to evaluate recurrence rate in a long term follow-up and whether the results of laparoscopic IVH repair in the elderly (≥65 years old) are different with respect to results obtained in younger patients.

Methods: One hundred and twenty-nine consecutive patients (74 women and 55 men, median age 67 years, range = 30-87 years) with ventral (N = 42, 32.5%) or post incisional (N = 87, 67.5%) hernia were enrolled in the study. Patients were divided into two groups according to their age: group A (N = 55, 42.6%) aged <65 years and group B (N = 74, 57.4%) aged ≥65 years.

Results: The mean operative time was not significantly different between groups (66.7 ± 37 vs. 74 ± 48.4 min, p = 0.4). To the end of 2016, seven recurrences had occurred (group A = 3, group B = 4, p = 1). Complications occurred in 8 (16%) patients in group A and 21 (28.3%) patients in group B.

Conclusion: In conclusion, our results confirm that the use of absorbable tacks does not increase recurrence frequency and laparoscopic incisional and ventral repair is a safety procedure also in elderly patients.

Keywords: Elderly, laparoscopic ventral hernia repair (LVHR), ventral hernia, laparoscopic incisional, absorbable tacks, retrospective control study.

[1]
National Center for Health Statistics. Combined surgery data (NHDS and NSAS) data highlights. 2007 Available at. http://www.cdc.gov/nchs/about/major/hdasd/combtab.htm
[2]
Caglià P, Tracia A, Borzì L, et al. Incisional hernia in the elderly: risk factors and clinical considerations. Int J Surg 2014; 12: 164-9.
[3]
Lee YK, Iqbal A, Vitamvas M, et al. Is it safe to perform laparoscopic ventral hernia repair with mesh in elderly patients? Hernia 2008; 12: 239-42.
[4]
Mudge M, Hughes LE. Incisional hernia: A 10-year prospective study of incidence and attitudes. Br J Surg 1985; 72: 70-1.
[5]
LeBlanc KA, Booth WV. Laparoscopic repair of incisional hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 1993; 3: 39-41.
[6]
Colby SL, Ortman JM. Projections of the size and composition of the US population 2015 Available at.www.census.gov
[7]
Saber AA, Elgamal MH, Mancl TB, Norman E, Boros MJ. Advanced age: Is it an indication or contraindication for laparoscopic ventral hernia repair? JSLS 2008; 12: 46-50.
[8]
Zanella S, Vassiliadis A, Buccelletti F, et al. Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair in the Elderly: A Prospective Control Study. In Vivo 2015; 29: 493-6.
[9]
Silecchia G, Campanile FC, Sanchez L, et al. Laparoscopic ventral/incisional hernia repair: updated Consensus Development Conference based guidelines. Surg Endosc 2015; 29: 2463-84.
[10]
Colak E, Ozlem N, Kucuk GO, Aktimur R, Kesmer S, Yildirim K. Prospective randomized trial of mesh fixation with absorbable versus nonabsorbable tacker in laparoscopic ventral incisional hernia repair. Int J Clin Exp Med 2015; 8: 21611-6.
[11]
Pawlak M, Hilgers RD, Bury K, et al. Comparison of two different concepts of mesh and fixation technique in laparoscopic ventral hernia repair: A randomized controlled trial. Surg Endosc 2016; 30: 1188-97.
[12]
Hillas G, Taylor MS, and Corbett J. Development of Critical-size Abdominal Defects in a Rabbit Model to Mimic Mature VentralHernias. In Vivo 2016; 30: 401-6.
[13]
Cuomo R, Nisi G, Grimaldi L, et al. Immunoosuppression and abdominal wall defects: Use of autologous dermis. In Vivo 2015; 29: 753-5.
[14]
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: A new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240: 205-13.
[15]
Muysoms FE, Miserez M, Berrevoet F, et al. Classification of primary and incisional abdominal wall hernias. Hernia 2009; 13: 407-14.
[16]
Bittner R, Bingener-Casey J, Dietz U, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society IEHS). Surg Endosc 2014; 28: 353-79.
[17]
Polavarapu HV, Kurian AA, Josloff R. Laparoscopic ventral hernia repair in the elderly: Does the type of hernia matter? Hernia 2012; 16: 425-9.
[18]
Lomanto D, Iyer SG, Shabbir A, Cheah W-K. Laparoscopic versus open ventral hernia mesh repair: A prospective study. Surg Endosc 2006; 20: 1030-5.
[19]
Silecchia G, Cavallaro G, Raparelli L, et al. Titanium versus absorbable tacks comparative study (TACS): A multicenter, non-inferiority prospective evaluation during laparoscopic repair of ventral and incisional hernia: Study protocol for randomized controlled trial. Trials 2015; 16: 249.
[20]
Christoffersen MW, Brandt E, Helgstrand F, et al. Recurrence rate after absorbable tack fixation of mesh in laparoscopic incisional hernia repair. Br J Surg 2015; 102: 541-7.
[21]
Bougard H, Doerhoff C, Bringman S, et al. Significant clinical and patient reported outcomes at 6 months following hernia repair with an absorbable fixation device. S Afr J Surg 2017; 55: 87.
[22]
Pierce RA, Spitler JA, Frisella MM, Matthews BD, Brunt LM. Pooled data analysis of laparoscopic vs. open ventral hernia repair: 14 years of patient data accrual. Surg Endosc 2007; 21: 378-86.
[23]
Bedi AP, Bhatti T, Amin A, Zuberi J. Laparoscopic incisional and ventral hernia repair. J Minim Access Surg 2007; 3: 83-90.


Rights & PermissionsPrintExport Cite as

Article Details

VOLUME: 14
ISSUE: 2
Year: 2019
Page: [141 - 146]
Pages: 6
DOI: 10.2174/1574887114666190201111332
Price: $58

Article Metrics

PDF: 38
HTML: 2