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Laparoscopic repair of large suprapubic hernias

INTRODUCTION: Suprapubic hernia is the term to describe ventral hernias located less than 4 cm above the pubic arch in the midline. Hernias with an upper margin above the arcuate line encounter technical difficulties, and the differences in repair methods forced us to define them as large suprapubic...

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Autores principales: Sikar, Hasan Ediz, Çetin, Kenan, Eyvaz, Kemal, Kaptanoglu, Levent, Küçük, Hasan Fehmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649499/
https://www.ncbi.nlm.nih.gov/pubmed/29062444
http://dx.doi.org/10.5114/wiitm.2017.68794
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author Sikar, Hasan Ediz
Çetin, Kenan
Eyvaz, Kemal
Kaptanoglu, Levent
Küçük, Hasan Fehmi
author_facet Sikar, Hasan Ediz
Çetin, Kenan
Eyvaz, Kemal
Kaptanoglu, Levent
Küçük, Hasan Fehmi
author_sort Sikar, Hasan Ediz
collection PubMed
description INTRODUCTION: Suprapubic hernia is the term to describe ventral hernias located less than 4 cm above the pubic arch in the midline. Hernias with an upper margin above the arcuate line encounter technical difficulties, and the differences in repair methods forced us to define them as large suprapubic hernias. AIM: To present our experience with laparoscopic repair of large suprapubic hernias that allows adequate mesh overlap. MATERIAL AND METHODS: Nineteen patients with suprapubic incisional hernias who underwent laparoscopic repair between May 2013 and January 2015 were included in the study. Patients with laparoscopic extraperitoneal repair who had a suprapubic hernia with an upper margin below the arcuate line were excluded. RESULTS: Two men and 17 women, with a mean age of 58.2, underwent laparoscopic repair. Most of the incisions were midline vertical (13/68.4%). Twelve (63.1%) of the patients had previous incisional hernia repair (PIHR group); the mean number of previous incisional hernia repair was 1.4. Mean defect size of the PIHR group was higher than in patients without previous repair – 107.3 cm(2) vs. 50.9 cm(2) (p < 0.05). Mean operating time of the PIHR group was higher than in patients without repair – 126 min vs. 77.9 min (p < 0.05). Although all complications occurred in the PIHR group, there was no statistically significant difference. CONCLUSIONS: Laparoscopic repair of large suprapubic hernias can be considered as the first option in treatment. The low recurrence rates reported in the literature and the lack of recurrence, as observed in our study, support this view.
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spelling pubmed-56494992017-10-23 Laparoscopic repair of large suprapubic hernias Sikar, Hasan Ediz Çetin, Kenan Eyvaz, Kemal Kaptanoglu, Levent Küçük, Hasan Fehmi Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Suprapubic hernia is the term to describe ventral hernias located less than 4 cm above the pubic arch in the midline. Hernias with an upper margin above the arcuate line encounter technical difficulties, and the differences in repair methods forced us to define them as large suprapubic hernias. AIM: To present our experience with laparoscopic repair of large suprapubic hernias that allows adequate mesh overlap. MATERIAL AND METHODS: Nineteen patients with suprapubic incisional hernias who underwent laparoscopic repair between May 2013 and January 2015 were included in the study. Patients with laparoscopic extraperitoneal repair who had a suprapubic hernia with an upper margin below the arcuate line were excluded. RESULTS: Two men and 17 women, with a mean age of 58.2, underwent laparoscopic repair. Most of the incisions were midline vertical (13/68.4%). Twelve (63.1%) of the patients had previous incisional hernia repair (PIHR group); the mean number of previous incisional hernia repair was 1.4. Mean defect size of the PIHR group was higher than in patients without previous repair – 107.3 cm(2) vs. 50.9 cm(2) (p < 0.05). Mean operating time of the PIHR group was higher than in patients without repair – 126 min vs. 77.9 min (p < 0.05). Although all complications occurred in the PIHR group, there was no statistically significant difference. CONCLUSIONS: Laparoscopic repair of large suprapubic hernias can be considered as the first option in treatment. The low recurrence rates reported in the literature and the lack of recurrence, as observed in our study, support this view. Termedia Publishing House 2017-07-03 2017-09 /pmc/articles/PMC5649499/ /pubmed/29062444 http://dx.doi.org/10.5114/wiitm.2017.68794 Text en Copyright: © 2017 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Sikar, Hasan Ediz
Çetin, Kenan
Eyvaz, Kemal
Kaptanoglu, Levent
Küçük, Hasan Fehmi
Laparoscopic repair of large suprapubic hernias
title Laparoscopic repair of large suprapubic hernias
title_full Laparoscopic repair of large suprapubic hernias
title_fullStr Laparoscopic repair of large suprapubic hernias
title_full_unstemmed Laparoscopic repair of large suprapubic hernias
title_short Laparoscopic repair of large suprapubic hernias
title_sort laparoscopic repair of large suprapubic hernias
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649499/
https://www.ncbi.nlm.nih.gov/pubmed/29062444
http://dx.doi.org/10.5114/wiitm.2017.68794
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