Nursing Articles - hernia mesh

Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair

Mon, 08 Dec 2008 20:28:57 UT

Laparoscopy enables hernial orifices to be observed and

tension-free mesh repair to be carried out effectively. In

the first randomised controlled trial on hernia repair,

which compared laparoscopic transabdominal preperitoneal

(TAPP) mesh with open darn repairs, laparoscopic

repair was less painful and enabled patients to

return to work and normal activity more quickly.1 Since2 3 More4

then, several randomised controlled studies and systematic

reviews have largely confirmed these results.

recently in the United Kingdom, the National Institute

for Clinical Excellence reviewed the available early

results and published its guidance on the use of laparoscopic

surgery for inguinal hernias.

Tags: hernia mesh, hernia mesh patch

Definitive Surgical Treatment of Infected or Exposed Ventral Hernia Mesh

Mon, 08 Dec 2008 20:26:21 UT

To discuss the difficulties in dealing with infected or exposed

ventral hernia mesh, and to illustrate one solution using an

autogenous abdominal wall reconstruction technique.

Tags: hernia mesh, hernia mesh patch

Current Opinions About Laparoscopic Incisional Hernia Repair - A Survey of Practicing Surgeons

Mon, 08 Dec 2008 20:24:28 UT

Background—

Incisional hernias are common. The optimal repair is one of the most analyzed and

Methods—

(www.surveymonkey.com) to assess practices and opinions regarding incisional hernia repair.An IRB approved protocol was designed using an internet-based survey site

Results—

hospital. 85–96% performed basic laparoscopic procedures. The median percentage of laparoscopic

to total hernia repair was <10%. Use of the laparoscopic technique was associated with a higher

volume of hernia repair (r

(z

(z

hernia repair, 81% indicated “no”. In that group, 52% indicated that a lack of improved results was

the main reason, followed by risk of enterotomy > operative time > cost > experience. Those who

would start indicated that the main reason was patient request (54%). Among those that use the

laparoscopic technique, 85% indicated that they would perform more. The main reason for this was

a lower recurrence rate (42%).Of 766 surgeons, 204 (27%) responded. Most respondents practice in an academic, urbanSpearman’s=0.315, p=0.001), concurrent advanced laparoscopic experienceWilcoxon rank sum=−2.348, p=0.019) and completion of a laparoscopic fellowshipWilcoxon rank sum=−3.317, p=0.001). When asked how many would start to perform laparoscopic

Conclusions—

of incisional hernias. Surgeons with experience with advanced laparoscopic techniques, laparoscopic

fellowship training, and higher volume of hernia repair are more likely to use a laparoscopic approach.There continues to be a lack of consensus on the most appropriate repair method

debated topics. There is no consensus as to the appropriate surgical technique.

Tags: hernia mesh, hernia mesh patch

hernia mesh

Mon, 08 Dec 2008 20:18:00 UT