• Patients were divided into two groups: those who underwent conventional LVHR with mesh and those who underwent LVHR with bupivacaine-soaked mesh. (sages.org)
  • A total of 40 patients underwent elective outpatient LVHR with polyester mesh from 2013-2015, of which plain mesh was used in 29 patients and soaked mesh in 11 patients. (sages.org)
  • Ninety-seven patients underwent laparoscopic ventral hernia repair (50 men and 47 women). (elsevierpure.com)
  • We conducted a retrospective review of all patients undergoing outpatient LVHR using composite intra-abdominal polyester mesh by a single surgeon over three years. (sages.org)
  • Data extracted from charts included demographics, number and type of previous abdominal operations, number of previous hernia repairs, defect and mesh size, postoperative complications, and follow-up. (elsevierpure.com)
  • BACKGROUND: Emergency surgical repair is the standard approach to the management of an incarcerated abdominal wall hernia (IAWH). (bvsalud.org)
  • A retrospecitve chart review of all patients undergoing a laparoscopic ventral hernia repair at our institution from May 2000 to September 2004 was performed. (elsevierpure.com)
  • METHODS: From 2015 to 2019, 449 umbilical hernias were repaired at our institution utilizing a standardized technique in veteran patients. (bvsalud.org)
  • Laparoscopic surgery has changed many ways in which we as surgeons manage patients, offering better results, quicker recovery, and fewer complications using minimally invasive techniques, especially in common bile duct (CBD) surgery. (wjols.com)
  • 104 patients were managed by three-port vs 93 multiport laparoscopic surgery in five centers of Bogotá, Colombia, between 2013 and 2017 with follow-up of 1 year. (wjols.com)
  • A total of 197 patients were taken to laparoscopic gallbladder removal along with CBD exploration with primary closure, 104 patients via three-port technique and 93 patients via multiport. (wjols.com)
  • Laparoscopic ventral hernia repair can be performed safely in patients regardless of age. (elsevierpure.com)
  • Since 2017, 18.7% (n = 53) UH were repaired under LA. We compared outcomes and operative times between general anesthesia and LA in patients undergoing OUHTR. (bvsalud.org)
  • The patients who received LA reported being comfortable (78.9% of patients), with the worst reported pain being 2.4 ± 2.4 (out of a scale of 10), and 94.7% would elect to receive LA if they had another hernia repair. (bvsalud.org)
  • Introduction of mesh soaked in local anesthetic did not significantly reduce the immediate post-operative narcotic requirement after LVHR. (sages.org)
  • Development of novel agents should be studied in the future using prospective randomized trials to reduce post-operative pain after LVHR. (sages.org)
  • This study was aimed to elucidate the role of ICG as an investigative tool that aids the operative procedure of laparoscopic cholecystectomy. (wjols.com)
  • Not only can laparoscopic techniques be applied to programed surgery but also emergencies and those following failed endoscopic retrograde cholangiopancreatography (ERCP). (wjols.com)
  • BACKGROUND: Local anesthesia (LA) for open umbilical hernia tissue repair (OUHTR) is not widely utilized in academic centers in the United States. (bvsalud.org)
  • Describe and compare clinical and surgical results of the laparoscopic CBD exploration with primary closure using a 3-port vs multiport approach. (wjols.com)
  • Laparoscopic ventral hernia repair (LVHR) has multiple advantages when compared to open repair. (sages.org)
  • The published recurrence rate after laparoscopic ventral hernia repair is much less than the rate of recurrence via the open approach. (elsevierpure.com)
  • recently, there has been an accelerated adoption of the robotic platform leading to renewed comparisons to open ventral hernia repair (OVHR). (bvsalud.org)
  • A subgroup analysis was performed to compare robotic ventral hernia repair (RVHR) vs laparoscopic hernia repair (LVHR). (bvsalud.org)
  • Long-term follow-up is necessary to evaluate the effectiveness of LVHR in this patient population. (elsevierpure.com)
  • Minimally invasive ventral hernia repair was associated with a lower rate of 90-day readmission (11.3% vs 17.3%, P (bvsalud.org)
  • The interest in less morbid herniorrhaphies and the appeal of minimally invasive surgery encouraged development of laparoscopic methods for repairing incisional hernias. (medscape.com)
  • Significant reduction in LOS is possible with robotic retromuscular ventral hernia repair (rRVHR) or robotic TAR (rTAR) and should be considered in patients with ventral/incisional hernias. (medscape.com)
  • Open and laparoscopic mesh techniques can be recommended for the treatment of primary and incisional hernias of the lateral abdominal wall. (medscape.com)
  • Hernia recurrence was associated with incisional hernias and mesh type used. (johnshopkins.edu)
  • The recurrence rate after standard repair of ventral hernias may be as high as 12-52%, and the wide surgical dissection required often results in wound complications. (medscape.com)
  • Use of a laparoscopic approach may decrease rates of complications and recurrence after ventral hernia repair. (medscape.com)
  • In this large series, LVHR had a low rate of conversion to open surgery, a short hospital stay, a moderate complication rate, and a low risk of recurrence. (medscape.com)
  • Recurrence rates appear similar to those of open ventral hernia repair (OVHR) and LVHR, but long-term follow-up is lacking. (medscape.com)
  • Recurrence and pseudorecurrence are important complications after LVHR. (johnshopkins.edu)
  • Thirty-four percent of completed LVHRs were for recurrent hernias. (medscape.com)
  • [ 8 ] Since the first report of laparoscopic ventral hernia repair (LVHR) in 1992, [ 9 ] the operation has grown in popularity with the belief that it may offer shorter hospital stays, improved patient outcomes, and fewer complications than traditional open procedures. (medscape.com)
  • We here describe a study of outcomes achieved with LVHR performed by 4 attending surgeons using the same surgical technique and standardized perioperative regimens and follow-up protocols. (medscape.com)
  • Using two large statewide databases, this study sought to evaluate the longitudinal outcomes and associated costs of laparoscopic and open ventral hernia repair. (sages.org)
  • Specific data regarding outcomes and cost analysis for hernia is lacking. (surgicaltechnology.net)
  • In an attempt to improve outcomes, a Clinical Quality Improvement (CQI) project was implemented by a multi-disciplinary hernia team. (surgicaltechnology.net)
  • Roboti-c IPOM (rIPOM) may be considered comparable to standard laparoscopic ventral hernia repair with intraperitoneal mesh (LVHR) in most clinical outcomes, at the expense of increased opera-ting time. (medscape.com)
  • Large hernia size, infections, and surgical technique are important clinical factors that affect outcomes after LVHR. (johnshopkins.edu)
  • Patients who undergo laparoscopic ventral hernia repair can have significant post-operative pain and discomfort from both somatic pain due to mesh fixation and visceral pain due to CO2 insufflation pressure. (surgicaltechnology.net)
  • Mesh reinforcement of ventral hernia repairs with a concomitant rectus diastasis is recommended. (medscape.com)
  • In laparoscopic intraperitoneal onlay mesh (IPOM) repair of ventral hernia and concurrent rectus diastasis, reconstruction of the linea alba with mesh augmentation should be performed when possible. (medscape.com)
  • Several endoscopic, laparoscopic, and robotic options for extraperitoneal mesh repair of ventral hernia with concomitant rectus diastasis can be offered. (medscape.com)
  • For the treatment of spigelian hernias, laparoendoscopic mesh repair should be preferred because of lower postoperati-ve morbidity and reduced hospital LOS. (medscape.com)
  • Dr. Morales-Conde from Spain performs a laparoscopic midline posterior plication of the linea alba and an IPOM repair with bioabsorbable mesh in a female presenting multiples ventral defects and a diastasis of rectus. (herniau.com)
  • Mesh eventration was associated with hernia size and surgical technique. (johnshopkins.edu)
  • Here we describe an enhanced autonomous strategy for laparoscopic soft tissue surgery and demonstrate robotic laparoscopic small bowel anastomosis in phantom and in vivo intestinal tissues. (bvsalud.org)
  • We then use our enhanced autonomous strategy to perform in vivo autonomous robotic laparoscopic surgery for intestinal anastomosis on porcine models over a 1-week survival period. (bvsalud.org)
  • The increase in robotic hernia repairs is likely related to intangible factors such as enhanced visualization, articulating instruments, and hospital resources. (surgicaltechnology.net)
  • Further study of robotic hernia repair is needed prospectively as its use increases to delineate the true benefits. (surgicaltechnology.net)
  • TAR can be open, laparoscopic, or robotic. (medscape.com)
  • Robotic transabdominal preperitoneal repair (rTAPP) is a safe and effecti-ve alternati-ve to rIPOM or standard IPOM LVHR for small hernias. (medscape.com)
  • Component separation (CS) techniques (CST) should be used to obtain fascial closure in large midline hernias. (medscape.com)
  • With regard to anterior CST preferences, for fascial closure of large midline hernias, surgeons should consider endoscopic anterior CS (EaCS) or minimally invasive anterior CS (MIaCS) as an alternative to open anterior CS (OaCS) in order to reduce postoperative wound morbidity. (medscape.com)
  • Traditional primary repair entails a laparotomy with suture approximation of strong fascial tissue on each side of the defect. (medscape.com)
  • We compared the anastomosis quality criteria-including needle placement corrections, suture spacing, suture bite size, completion time, lumen patency, and leak pressure-of the developed autonomous system, manual laparoscopic surgery, and robot-assisted surgery (RAS). (bvsalud.org)
  • Open ventral hernia repair was associated with a higher incidence of perioperative complications, postoperative readmissions and need for revisional hernia repair when compared to laparoscopic ventral hernia repair, even when controlling for patient sociodemographics. (sages.org)
  • Factors associated with formation of an incisional hernia include wound infection, immunosuppression, morbid obesity, previous operations, prostatism, and surgery for aneurysmal disease. (medscape.com)
  • This study evaluates the incidence and factors associated with bulging after LVHR. (johnshopkins.edu)
  • To evaluate the efficacy and safety of laparoscopic repair of ventral hernias. (medscape.com)
  • The associated costs of medical care for laparoscopic versus open ventral hernia repair were evaluate for both the index procedure and all subsequent admissions and procedures within the study period. (sages.org)
  • As we relied on large state-wide datasets which did not include hernia characteristics, our results are intended to be descriptive of each procedure and not directly comparative. (sages.org)
  • [ 2 ] These hernias contribute importantly to the long-term morbidity of conventional surgery. (medscape.com)
  • There is still considerable debate regarding the best operative approach to ventral hernia repair. (sages.org)
  • The goal of the study was to assess the safety and efficacy of LVHR. (medscape.com)
  • One result of the 2 million laparotomies performed in the United States each year is an incisional hernia rate of 3% to 20%, [ 1 ] necessitating repair of approximately 90,000 ventral hernias annually. (medscape.com)