• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Emergency Laparoscopic Repair for Incarcerated Ventral Hernia with Composite Mesh

Emergency Laparoscopic Repair for Incarcerated Ventral Hernia with Composite Mesh

Joe Fan, MD, Oswens Lo, MD, Wai Lun Law, MD. The University of Hong Kong

OBJECTIVES: 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.


Session: Poster
Program Number: P331
View Poster

535

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals