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Reply to comment to Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia. Jensen K, Jorgensen LN

Awaiz A, Rahman F, Hossain MB, Yunus RM, Khan S, Memon B, et al.

Hernia, 2015 Dec;19(6):1027-9.
PMID: 26496998 DOI: 10.1007/s10029-015-1432-z
Matched MeSH terms: Hernia, Ventral/surgery*
Fulltext A novel alternative to suture passer for closure of fascial defect in laparoscopic ventral hernia repair. A case report

Lai JH, Loo GH, Shuhaili MAB, Ritza Kosai N

Int J Surg Case Rep, 2019;60:276-280.
PMID: 31261047 DOI: 10.1016/j.ijscr.2019.06.045

INTRODUCTION: Primary fascial closure can be a challenging step during a laparoscopic intraperitoneal onlay mesh (IPOM) repair for a ventral hernia.
CASE PRESENTATION: We present here a novel technique of using intravenous (IV) cannula as an alternative to suture passer for fascial closure during laparoscopic IPOM repair for a 59-year-old patient with an incisional ventral hernia. The placement of non-absorbable sutures for fascial closure was done with the help of a 14 gauge IV cannula instead of a transfascial suture passer. The rest of the procedural steps were the same as a standard laparoscopic IPOM repair. The patient's post-operative recovery was uneventful.
DISCUSSION: Primary fascial closure during a laparoscopic IPOM hernia repair can be done either by intracorporeal or extracorporeal techniques, using interrupted or continuous sutures. We propose a novel alternative to suture passer in primary fascial closure. IV cannulas are widely available in hospital settings. The advantage of using an IV cannula instead of a suture passer is that they are widely available. Its single-use also eliminates the risk of transmissible diseases, and as it has a smaller diameter than suture passer, it requires a lower insertion force for successful placement.
CONCLUSION: An IV cannula may be used as a more economical alternative to a transfascial suture passer. This technique is easily reproducible and does not violate the principles of primary fascial defect closure in laparoscopic ventral hernia repair.

Matched MeSH terms: Hernia, Ventral
Fulltext Perforated incisional littre’s hernia: a rare content of a common hernia

Kumarappan, A.l., Norly, S., Samuel Tay, Vicknesh, C.

International Medical Journal Malaysia, 2016;15(2):81-84.
MyJurnal

Anticipation of complications is of paramount importance for a surgeon. Incisional hernia is a well-known
complication for abdominal surgeries. Risk factors such as increasing age, obesity, male gender are well
known. Intestinal obstruction, strangulation and perforation are imminent complications of this type of
hernia if they become incarcerated. Common contents of a ventral incisional hernia are small bowel, large
bowel and omentum. Even though Meckel’s diverticulum is a common gastrointestinal anomaly, it is rarely
found to be the content of a hernial sac. A hernia sac containing Meckel’s diverticulum is also known as
Littre’s hernia. Only a few cases have been reported in the literature. Thus here we present a case of
perforated Meckel’s diverticulum that was entrapped in the ventral incisional hernia.

Matched MeSH terms: Hernia, Ventral
Fulltext Initial experience of laparoscopic incisional hernia repair

Razman J, Shaharin S, Lukman MR, Sukumar N, Jasmi AY

Med J Malaysia, 2006 Jun;61(2):142-6.
PMID: 16898302 MyJurnal

Laparoscopic repair of ventral and incisional hernia has become increasingly popular as compared to open repair. The procedure has the advantages of minimal access surgery, reduction of post operative pain and the recurrence rate. A prospective study of laparoscopic incisional hernia repair was performed in our center from August 2002 to April 2004. Eighteen cases (n: 18) were performed during the study period. Fifteen cases (n: 15) had open hernia repair previously. Sixteen patients (n: 16) had successful repair of the hernia with the laparoscopic approach and two cases were converted to open repair. The mean hernia defect size was 156cm2. There was no intraoperative or immediate postoperative complication. The mean operating time was 100 +/- 34 minutes (75 - 180 minutes). The postoperative pain was graded as mild to moderate according to visual analogue score. The mean day of discharge after surgery was two days (1 - 3 days). During follow up, three patients (16.7%) developed seroma at the hernia sac which was resolved with conservative management after three weeks. One (5.6%) patient developed recurrence six months after surgery. In conclusion, laparoscopic repair of incisional hernia particularly recurrent hernia has been shown to be safe and effective in our centre. However, careful patient selection and acquiring the necessary advanced laparoscopic surgical skills coupled with the proper use of equipment are mandatory before embarking on this procedure.

Matched MeSH terms: Hernia, Ventral/surgery*
Fulltext Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report

Siow SL, Wong CM, Hardin M, Sohail M

J Med Case Rep, 2016 Jan 18;10:11.
PMID: 26781191 DOI: 10.1186/s13256-015-0780-8

Traumatic diaphragmatic rupture and traumatic abdominal wall hernia are two well-described but rare clinical entities associated with blunt thoracoabdominal injuries. To the best of our knowledge, the combination of these two clinical entities as a result of a motor vehicle accident has not been previously reported.

Matched MeSH terms: Hernia, Ventral/etiology; Hernia, Ventral/surgery*