BACKGROUND AND OBJECTIVES Laparoscopic ventral incisional hernia repair involves intraabdominal placement of a synthetic mesh, and the possibility of formation of severe visceral adhesions to the prosthesis is a principal concern. Little clinical information based on reoperative findings is available about adhesions to biomaterials placed intraabdominally. We conducted a multi-institutional stu...

Exploratory laparoscopy revealed necrosis of almost the entire greater omentum with torsion at its base and an indirect inguinal hernia with affected omentum and small bowel inside the hernia sac. The procedure was converted to a middle median laparotomy, and the omentum was ligated and resected at its base, ensuring that the entire necrotic part was removed (Fig. B). At the end, a Lichtenstein...

Incisional hernia is the second most common type of hernia. occurs in 10-20% patients who were subjected to abdominal surgery India. Here we are presenting a case series 20 with incisional and obesity. Body mass index (BMI) ranges from 28 35 all cases. Females outnumbered male ratio 4:1 40% cases had previous history caesarean section. All operated by combining open polypropylene meshplasty abd...

HYPOTHESIS In midline incisions closed with a single-layer running suture, the rate of wound complications is lower when a suture length to wound length ratio of at least 4 is accomplished with a short stitch length rather than with a long one. DESIGN Prospective randomized controlled trial. SETTING Surgical department. PATIENTS Patients operated on through a midline incision. INTERVENT...

PURPOSE To develop an experimental model for incisional hernias and to compare morphological and functional aspects of hernia repairs by suture, polypropylene mesh and collagen mesh. METHODS A defect measuring 7cm x 2cm was created in the anterior abdominal of 28 New Zealand male rabbits, divided into four groups (n = 7): (1) control, (2) suture of the anterior sheath of the rectus abdominal ...

Enterocutaneous fistula following mesh repair of incisional hernia is usually due to mesh erosion of the underlying viscus and presents late. We describe an early enterocutaneous fistula due to an unusual but a potential mode of bowel injury during mesh fixation. This case is reported to emphasize the need for greater attention to the technique of mesh fixation. We suggest laparoscopic guidance...

OBJECTIVES For renal cell cancer, the hand-assisted laparoscopic approach provides several advantages while maintaining equal advantages with regards to patient recovery. We offer our experience with laparoscopic hand-assisted radical nephrectomy and the incidence of ventral wall hernia. METHODS Between February 1999 and July 2002, we performed 50 laparoscopic hand-assisted radical nephrectom...

BACKGROUND Laparoscopic surgery is widely practiced and offers realistic benefits over conventional surgery. There is considerable variation in results between surgeons, concerning port-site complications. The aim of this study was to evaluate the laparoscopic port closure technique and to explore the factors associated with port-site incisional hernia. METHODS Between January 2000 and Januar...