Laparoscopic surgery for incarcerated ventral hernias

A.G. Korkotyan

A.K. Yeramishantsev City Clinical Hospital

ORCID: 0000-0002-4096-2568

I.A. Boeva

Petrovsky National Research Centre of Surgery

ORCID: 0000-0003-2646-0729

A.V. Yurasov

Petrovsky National Research Centre of Surgery

ORCID: 0000-0003-3091-7402

M.E. Shahbanov

Sechenov First Moscow State Medical University

ORCID: 0000-0001-9522-9251

I.A. Tarasova

Petrovsky National Research Centre of Surgery;
Sechenov First Moscow State Medical University

ORCID: 0000-0001-9344-7351

K.A. Pokrovskij

A.K. Yeramishantsev City Clinical Hospital

ORCID: 0000-0003-1498-8956

A.L. Shestakov

Petrovsky National Research Centre of Surgery;
Sechenov First Moscow State Medical University

ORCID: 0000-0001-7061-6298

Laparoscopic surgery for incarcerated ventral hernias

Authors:

A.G. Korkotyan, I.A. Boeva, A.V. Yurasov, M.E. Shahbanov, I.A. Tarasova, K.A. Pokrovskij, A.L. Shestakov

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Journal: Russian Journal of Evidence-Based Gastroenterology. 2024;13(1): 32‑38

DOI: 10.17116/dokgastro20241301132

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To cite this article:

Korkotyan AG, Boeva IA, Yurasov AV, Shahbanov ME, Tarasova IA, Pokrovskij KA, Shestakov AL. Laparoscopic surgery for incarcerated ventral hernias. Russian Journal of Evidence-Based Gastroenterology. 2024;13(1):32‑38. (In Russ.)
https://doi.org/10.17116/dokgastro20241301132

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

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OBJECTIVE

To assess the effectiveness and safety of contemporary laparoscopic techniques for this condition.

MATERIALS AND METHODS

From 2017 to 2020, 182 patients with incarcerated ventral hernias underwent surgery using laparoscopic access at the A.K. Yeramishantsev City Clinical Hospital, Moscow. Among them, 102 patients (56%) had incarcerated inguinal hernias, 50 (28%) had primary midline hernias (PMH), and 30 (17%) had postoperative midline ventral hernias (POVH). A unique laparoscopic methodology followed by transabdominal preperitoneal mesh repair was performed on 102 patients with incarcerated inguinal hernias. Additionally, 50 patients with incarcerated primary epigastric (M1) and umbilical (M2) midline hernias underwent intraperitoneal onlay mesh (IPOM+) and transabdominal retromuscular mesh repair (TARR+). Fifteen patients with PMVH (M1-5; W1-W2) underwent transversus abdominis release retromuscular mesh repair. In the remaining cases (15 patients with incarcerated spigelian hernias, M1-M5, W1), IPOM+ was performed using mesh implants with anti-adhesive coating and clips.

RESULTS

Intraoperative complications were absent. Three patients with incarcerated inguinal hernias and three with POVH experienced postoperative fluid collection necessitating ultrasonography-guided drainage. One patient with PMH developed a postoperative hematoma that did not require surgical intervention. No infectious complications or fatalities occurred. The average hospital stay was 2±1.2 days for incarcerated inguinal hernias (5.0±1.6 with complications), 3±1.8 days for PMH, and 4.1±1.8 days for POVH (5.0±1.7 with complications).

CONCLUSIONS

Employing laparoscopic reconstructive mesh techniques in patients with uncomplicated incarcerated ventral hernias demonstrates effectiveness and is associated with a low frequency of postoperative complications.

Keywords:

laparoscopic ventral hernia repair

incarcerated hernias

surgical outcomes

transabdominal preperitoneal mesh

postoperative complications

Authors:

A.G. Korkotyan

A.K. Yeramishantsev City Clinical Hospital

ORCID: 0000-0002-4096-2568

I.A. Boeva

Petrovsky National Research Centre of Surgery

ORCID: 0000-0003-2646-0729

A.V. Yurasov

Petrovsky National Research Centre of Surgery

ORCID: 0000-0003-3091-7402

M.E. Shahbanov

Sechenov First Moscow State Medical University

ORCID: 0000-0001-9522-9251

I.A. Tarasova

Petrovsky National Research Centre of Surgery;
Sechenov First Moscow State Medical University

ORCID: 0000-0001-9344-7351

K.A. Pokrovskij

A.K. Yeramishantsev City Clinical Hospital

ORCID: 0000-0003-1498-8956

A.L. Shestakov

Petrovsky National Research Centre of Surgery;
Sechenov First Moscow State Medical University

ORCID: 0000-0001-7061-6298

Received:

09.02.2023

Accepted:

23.11.2023

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