Corpus ID: 36182974

My Journey through the Evolution of Ventral and Incisional Hernia Repair . The State of the Art and What is in the Future

@inproceedings{Christoudias2016MyJT,
  title={My Journey through the Evolution of Ventral and Incisional Hernia Repair . The State of the Art and What is in the Future},
  author={G. Christoudias},
  year={2016}
}
Each case of mesh infection requires a second operation for its removal, usually resulting in a recurrent hernia and an extra $75,000 in healthcare costs [3]. Furthermore, the overall incidence of surgical site infections (SSI) increased, leading to prolonged hospitalization with associated patient suffering. With these new complications, the improved recurrence rates were still unacceptably high, begging for the next improvement in hernia repair. 

Figures from this paper

References

SHOWING 1-10 OF 10 REFERENCES
Primary Fascial Closure With Laparoscopic Ventral Hernia Repair: Systematic Review
TLDR
Closure of the central defect during LVHR resulted in less recurrence, bulging, and seroma than nonclosure, and patients with closure were more satisfied with the results and had better functional status. Expand
Mesh choice in ventral hernia repair: so many choices, so little time.
TLDR
The hypothesis that careful matching of patient characteristics to choice of prosthetic will minimize complications, readmissions, and the number of postoperative office visits is supported. Expand
Epidemiology and cost of ventral hernia repair: making the case for hernia research
TLDR
VHRs continue to rise in incidence and cost and a cost saving of US $32 million dollars for each 1% reduction in operations would result, which is critical to cost effective healthcare. Expand
Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia
TLDR
Mesh repair results in a lower recurrence rate and less abdominal pain and does not result in more complications than suture repair, and should be abandoned. Expand
Trans-fascial closure in laparoscopic ventral hernia repair
TLDR
Laparoscopic incisional hernia repair with defect closure is feasible and reduces seroma rate and recurrence and reduces the likelihood of recurrence to other series. Expand
The utilization of laparoscopy in ventral hernia repair: an update of outcomes analysis using ACS-NSQIP data
TLDR
The utilization of Laparoscopic VHR remained low from 2009 to 2012 and continued to lag behind the use of laparoscopy in other complex surgical procedures and was associated with lower overall complication rates. Expand
A simplified laparoscopic approach to ventral hernia repair: a new “finned” mesh configuration with defect closure
TLDR
This innovative laparoscopic method incentivizes surgeons to embrace the technique and its universally accepted advantages by mitigating the most challenging aspects of LAHR. Expand
Laparoscopic versus open surgical techniques for ventral or incisional hernia repair.
TLDR
The short-term results of laparoscopic repair in ventral hernia are promising and in spite of the risks of adhesiolysis, the technique is safe, Nevertheless, long-term follow-up is needed in order to elucidate whether laparoscope repair of ventral/incisional hernia is efficacious. Expand
Decreased collagen type I/III ratio in patients with recurring hernia after implantation of alloplastic prostheses
TLDR
The present study confirms the importance of a biological approach, next to technical aspects, to the understanding of the pathogenesis of recurrent hernia formation and underscores the presence of a disturbed scarring process. Expand
Epidemiology and cost of ventral
  • hernia
  • 2016