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  1. Article ; Online: Recurrence after retromuscular repair or posterior components separation: How to address them. A retrospective multicentre cohort study.

    Valle de Lersundi, Alvaro Robin / López-Monclús, Javier / Blázquez Hernando, Luis Alberto / Muñoz Rodriguez, Joaquin / Medina Pedrique, Manuel / Avilés Oliveros, Adriana / Morejón Ruiz, Sara / García-Ureña, Miguel-Angel

    Cirugia espanola

    2023  Volume 101 Suppl 1, Page(s) S40–S45

    Abstract: Abdominal wall hernias are common entities that represent important issues. Retromuscular repair and component separation for complex abdominal wall defects are considered useful treatments according to both short and long-term outcomes. However, failure ...

    Abstract Abdominal wall hernias are common entities that represent important issues. Retromuscular repair and component separation for complex abdominal wall defects are considered useful treatments according to both short and long-term outcomes. However, failure of surgical techniques may occur. The aim of this study is to analyze results of surgical treatment for hernia recurrence after prior retromuscular or posterior components separation. We have retrospectively reviewed patient charts from a prospectively maintained database. This study was conducted in three different hospitals of the Madrid region with surgical units dedicated to abdominal wall reconstruction. We have included in the database 520 patients between December 2014 and December 2021. Fifty-one patients complied with the criteria to be included in this study. We should consider offering surgical treatment for hernia recurrence after retromuscular repair or posterior components separation. However, the results might be associated to increased peri-operative complications.
    MeSH term(s) Humans ; Abdominal Muscles/surgery ; Hernia, Ventral/surgery ; Cohort Studies ; Retrospective Studies ; Herniorrhaphy/methods ; Surgical Mesh ; Recurrence
    Language English
    Publishing date 2023-09-20
    Publishing country Spain
    Document type Multicenter Study ; Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2023.01.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Narbenhernien: offene Operationsverfahren und Ergebnisse einer Kohortenstudie mit 343 Patienten.

    Garcia Ureña, Miguel Ángel / López-Monclús, Javier / Hernando, Luis Alberto Blázquez / Munoz-Rodriguez, Joaquín / García de León, Laura Roman / Avilés Oliveros, Adriana / Pedrique, Manuel Medina / de Luca, Marcelo / Valle de Lersundi, Alvaro Robin

    Chirurgie (Heidelberg, Germany)

    2023  Volume 95, Issue 1, Page(s) 10–19

    Abstract: The treatment of complex midline hernias remains a particular challenge. The currently refined knowledge of the anatomy in the cadaver laboratory and advancing clinical experience have changed our present approach. The aim of this review is to present a ... ...

    Title translation Incisional hernia: open abdominal wall reconstruction. Current state of the technique and results.
    Abstract The treatment of complex midline hernias remains a particular challenge. The currently refined knowledge of the anatomy in the cadaver laboratory and advancing clinical experience have changed our present approach. The aim of this review is to present a description of the updated surgical procedures and outcomes. We favor the retromuscular or preperitoneal layer for mesh implantation, including the Rives-Stoppa procedure (sublay mesh) and posterior component separation with the Madrid modification. We operated on 334 complex midline incisional hernias: 6.3% retromuscular preperitoneal, 15% after Rives-Stoppa, 2.4% anterior component separation and 76% posterior component separation. A bridging procedure was used in 31%. A complication occurred in 35.3%, most of which were wound healing disorders (SSO). The average length of hospital stay was 7.2 days. We recorded a very low incidence of long-term complications: 3.3% recurrence, 0.9% chronic pain (daily use of pain medication), 6% bulging, 1.8% chronic seroma and 2.6% chronic mesh infection. Despite the associated morbidity, retromuscular/preperitoneal treatment offers excellent long-term results.
    MeSH term(s) Humans ; Incisional Hernia/surgery ; Incisional Hernia/complications ; Abdominal Wall/surgery ; Hernia, Ventral/surgery ; Hernia, Ventral/etiology ; Abdominal Muscles ; Surgical Mesh/adverse effects
    Language German
    Publishing date 2023-12-29
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ISSN 2731-698X
    ISSN (online) 2731-698X
    DOI 10.1007/s00104-023-02005-6
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  3. Article ; Online: Prophylactic mesh can be used safely in the prevention of incisional hernia after bilateral subcostal laparotomies.

    Blázquez Hernando, Luis Alberto / García-Ureña, Miguel Ángel / López-Monclús, Javier / Hernández, Santiago García / Valle de Lersundi, Álvaro Robín / Cidoncha, Arturo Cruz / Montes, Daniel Melero / Pavón, Camilo Castellón / González, Enrique González / García, Natividad Palencia

    Surgery

    2016  Volume 160, Issue 5, Page(s) 1358–1366

    Abstract: Background: The use of prophylactic mesh to prevent incisional hernia is becoming increasingly common in midline laparotomies and colostomies. The incidence of incisional hernia after subcostal laparotomies is lower than after midline incisions. ... ...

    Abstract Background: The use of prophylactic mesh to prevent incisional hernia is becoming increasingly common in midline laparotomies and colostomies. The incidence of incisional hernia after subcostal laparotomies is lower than after midline incisions. Nevertheless, the treatment of subcostal incisional hernia is considered to be more complex. Currently, there are no published data about mesh augmentation procedures to close these laparotomies.
    Methods: This was a longitudinal, prospective, cohort study of patients undergoing a bilateral subcostal laparotomy in elective operations. The mesh group was a group of patients operated consecutively between 2011 and 2013 with a prophylactic self-fixation mesh. The control group was selected from a retrospective analysis of patients operated between 2009 and 2010 and closed with a conventional protocol of 2-layer closure. The incidence of incisional hernia was recorded both clinically and radiologically for 2 years.
    Results: A total of 57 patients were included in the control group and 58 in the mesh group. Most patients underwent gastric, hepatic, and pancreatic operations. Both groups were homogeneous in terms of their clinical and demographic characteristics. Operative time and hospital stay were similar in both groups. Both groups had a comparable rate of local and systemic complications. Ten patients (17.5%) in the control group developed an incisional hernia, and only 1 patient (1.7%) in the mesh group developed an incisional hernia (P = .0006).
    Conclusion: The incidence of incisional hernia after a conventional closure of bilateral subcostal laparotomy is significant. The use of a mesh augmentation procedure for closing bilateral subcostal laparotomies is safe and may reduce the incidence of incisional hernia.
    MeSH term(s) Abdominal Wound Closure Techniques ; Adult ; Cohort Studies ; Diaphragm ; Elective Surgical Procedures/adverse effects ; Elective Surgical Procedures/methods ; Female ; Follow-Up Studies ; Herniorrhaphy/methods ; Humans ; Incisional Hernia/etiology ; Incisional Hernia/prevention & control ; Kaplan-Meier Estimate ; Laparotomy/adverse effects ; Laparotomy/methods ; Longitudinal Studies ; Male ; Middle Aged ; Prospective Studies ; Reference Values ; Statistics, Nonparametric ; Surgical Mesh/utilization ; Treatment Outcome ; Wound Healing/physiology
    Language English
    Publishing date 2016-11
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2016.05.010
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    Uk I Zs.129: Show issues Location:
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  4. Article ; Online: Randomized controlled trial of the use of a large-pore polypropylene mesh to prevent incisional hernia in colorectal surgery.

    García-Ureña, Miguel Ángel / López-Monclús, Javier / Hernando, Luis Alberto Blázquez / Montes, Daniel Melero / Valle de Lersundi, Alvaro Robín / Pavón, Camilo Castellón / Ceinos, Carmen Jiménez / Quindós, Patricia López

    Annals of surgery

    2015  Volume 261, Issue 5, Page(s) 876–881

    Abstract: Objective: To reduce the incidence of incisional hernia (IH) in colorectal surgery by implanting a mesh on the overlay position.: Background: The incidence of IH in colorectal surgery may be as high as 40%. IH causes severe health and cosmetic ... ...

    Abstract Objective: To reduce the incidence of incisional hernia (IH) in colorectal surgery by implanting a mesh on the overlay position.
    Background: The incidence of IH in colorectal surgery may be as high as 40%. IH causes severe health and cosmetic problems, and its repair increases health care costs.
    Material and methods: Randomized, controlled, prospective trial. Patients undergoing any colorectal procedure (both elective and emergency) through a midline laparotomy were divided into 2 groups. The abdomen was closed with an identical technique in both groups, except for the implantation of an overlay large-pore polypropylene mesh in the study group. Patients were followed up clinically and radiologically for 24 months.
    Results: A total of 107 patients were included: 53 in the study group and 54 in the control group. Both groups were homogeneous, except for a higher incidence of diabetes in the mesh group. There were 20 emergency procedures in the study group and 17 in the control group. There were no statistical differences in surgical site infections, seromas, or mortality between the groups (33.3%, 13.8%, and 3.7% in the control group and 18.9%, 13.2%, and 3.8% in the study group). No mesh rejection was reported. The incidence of IH was 17 of 54 (31.5%) in the control group and 6 of 53 (11.3%) in the study group (P = 0.011).
    Conclusions: The incidence of IH is high in patients undergoing elective or emergency surgery for colorectal diseases. The addition of a prophylactic large-pore polypropylene mesh on the overlay position decreases the incidence of IH without adding morbidity.
    MeSH term(s) Abdominal Wall/surgery ; Aged ; Colorectal Surgery/adverse effects ; Elective Surgical Procedures/adverse effects ; Emergencies ; Female ; Hernia, Abdominal/etiology ; Hernia, Abdominal/prevention & control ; Hospital Mortality ; Humans ; Laparotomy/adverse effects ; Male ; Middle Aged ; Polypropylenes ; Postoperative Complications ; Prospective Studies ; Risk Factors ; Surgical Mesh ; Suture Techniques
    Chemical Substances Polypropylenes
    Language English
    Publishing date 2015-05
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000001116
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    Uk I Zs.35/1: Show issues Location:
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