• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • COVID-19 Announcements
    • SAGES 2020 Meeting Information
    • 2021 Scientific Session Call For Abstracts
    • 2021 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2019
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • COVID-19 Annoucements
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • SAGES.TV Video Library
    • Virtual Hernia Clinic
    • The SAGES Safe Cholecystectomy Program
    • The Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Courses
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Educational Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
    • Fellowship Certification
  • Search
    • COVID-19 Announcements
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Blog
    • All Blog Posts
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
  • Log In

Laparoscopic Ventral Hernia Repair Using Ultra-Light Weight Polypropylene Mesh: A Single Surgeon Experience in a University Hospital

Yusuf Gunay, MD, Alyssa Capper, BA, Isaac Samuel, MD, Mohammad K Jamal, MD. University of Iowa Hospitals and Clinics, Iowa City, IA.

Introduction: Laparoscopic ventral hernia repair (LVHR) with mesh is gaining popularity given superior cosmetic and long term outcomes. There are several kinds of mesh and various techniques available for performing LVHR. The aim of our study was to analyze the results of LVHR using ultra-lightweight polypropylene (ULWP) mesh and multiple transfascial sutures.

Materials and methods: One hundred and seventy eight consecutive patients underwent ventral hernia repair by a single surgeon at our institution between December 2005 and September 2009. Of these, 96 patients had the procedure performed laparoscopically using ULWP mesh and had at least a 12 month follow-up. The standard surgical technique involved the use of ULWP mesh placed in an intraperitoneal onlay (IPOM) fashion. Multiple transfascial sutures placed 3 cm apart and tackers were used to secure the mesh to the anterior abdominal wall. We used an electronic database to retrieve all pre- and post-operative data.

Results: Of the 96 patients, 46 (48%) were males and 50 (52%) were females with a mean age of 53 years (range 24-77 years) and body mass index (BMI) of 36.5 kg/m² (SD ± 7.1 kg/m²). Of the 96 hernias repaired, 69 (72%) were incisional, 17(18%) were umbilical and periumbilical and 10 (10%) were various anterior abdominal wall hernias. Thirty eight patients (39.5%) had previous failed hernia repairs done elsewhere. The mean hernia size was 132.8 cm² (SD ± 129.7 cm²), the average size of mesh used for hernia repair was 404 cm² (SD ± 186.6 cm²) and the mean operative time was 140 mins (range 35-360 mins). All procedures were completed laparoscopically; however, three patients required a small incision for hand-assisted reduction of hernia contents without the need for an open conversion. The mean hospital stay was 3 days (range 1-8 days) with the main reason for hospital stay being pain control and a prolonged ileus. Early complications (defined as those occurring within 30 days following surgery) occurred in 18 patients and included 4 (4%) port site superficial skin infections (SSI) treated with antibiotics and 14 (15%) seromas with three requiring aspiration. There were no hollow viscus injuries or major bleeding requiring transfusions reported in this series. Late complications (those occurring more than 30 days following surgery) occurred in 8 patients and included 2 (2%) seromas, 3 (3%) port site SSI and 3 (3%) deep tissue infections. The latter three patients required removal of mesh due to associated soft tissue infection and sepsis. Twenty-five patients (26%) developed chronic pain lasting an average of 8 weeks following LVHR. There were no hernia recurrences in this series for a mean follow-up of 25 months (SD ± 14).

Conclusion: The results this study support the view that LVHR using ULWP mesh placed in an IPOM fashion using multiple transfascial sutures substantially decreases hernia recurrence. Minor complications including seromas, SSI and chronic pain are well tolerated and generally self-limited.


Session: Poster
Program Number: P327
View Poster

Post Views: 617

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2011 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Daniel Herron, MD

An opportunity to slow down and appreciate the small joys in life

Dan Herron, MD shares insights with Dana Telem, MD on lessons learned from COVID-19 Fear, anxiety and uncertainty has dominated the first half of 2020. Never before have we, as healthcare providers, been asked to do so much with so little—whether it’s resources like personal protective equipment, dusting off skills related to critical care, or […]

covid testing stock

Notes from the Battlefield – May 14, 2020

Coronavirus Global Surgical Collaborative (CVGSC)* An initiative sponsored by SAGES in collaboration with EAES, AEC, KSELS, and ELSA A group of surgical leaders from affected countries have joined to discuss what they are learning during this Covid-19 Global crisis. The following is a brief summary of what they feel may be useful information to disseminate to the surgical […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2020 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

[footer_backtotop] · Log in

Copyright © 2021 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc