Vorabtext zu den 7 Steps:
Step 1. Preparation of the patient/procedure
Step 2. Access to the abdominal cavity
The following points should be considered during the preparation of the patient:
2.1 Possible epidural catheter for large hernias
2.2
2.3
2.4
2.5
2.6
Animationen:
Expert Device xxxxxx
OP-Videos:
Step 3. Placement of the trocars
The following points should be considered during the preparation of the patient:
3.1 Possible epidural catheter for large hernias
3.2
3.3
3.4
3.5
3.6
Animationen:
Expert Device xxxxxx
OP-Videos:
Step 4. Adhesiolysis
The following points should be considered during the preparation of the patient:
4.1 Possible epidural catheter for large hernias
4.2
4.3
4.4
4.5
4.6
Animationen:
Expert Device xxxxxx
OP-Videos:
Step 5. Preparation and placement of the mesh
The following points should be considered during the preparation of the patient:
5.1 Possible epidural catheter for large hernias
5.2
5.3
5.4
5.5
5.6
Animationen:
Expert Device xxxxxx
OP-Videos:
Step 6. Closure of trocar access
The following points should be considered during the preparation of the patient:
6.1 Possible epidural catheter for large hernias
6.2
6.3
6.4
6.5
6.6
Animationen:
Expert Device xxxxxx
OP-Videos:
Step 7. Postoperative rehabilitation
The following points should be considered during the preparation of the patient:
7.1 Possible epidural catheter for large hernias
7.2
7.3
7.4
7.5
7.6
Animationen:
Expert Device xxxxxx
OP-Videos:
Literature
The following literature is important for the laparoscopic IPOM technique:
General overview of incisional hernia
- Henriksen NA, Mortensen JH, Lorentzen L, et al. Abdominal wall hernias-A local manifestation of systemically impaired quality of the extracellular matrix. Surgery 2016; 160(1): 220-7.
- Henriksen NA. Systemic and local collagen turnover in hernia patients. Dan Med J 2016; 63(7):B5265.
- Helgstrand F. National results after ventral hernia repair. Dan Med J 2016; 63(7):B5258.
Advantages of laparoscopic versus open
- Arita NA, Nguyen MT, Nguyen DH, et al. Laparoscopic repair reduces incidence of surgical site infections for all ventral hernias. Surg Endosc 2015; 29(7): 1769-80.
- Al Chalabi H, Larkin J, Mehigan B, McCormick P. A systematic review of laparoscopic versus open abdominal incisional hernia repair, with meta-analysis of randomized controlled trials. Int J Surg 2015; 20: 65-74.
- Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev 2011; (3): CD007781.
Importance and experiences with mesh material PVDF
- Baker JJ et al (2021) Reoperation for Recurrence is Affected by Type of Mesh in Laparoscopic Ventral Hernia Repair: A Nationwide Cohort Study. Ann Surg. https://doi.org/10.1097/SLA.0000000000005206
includes data on primary ventral hernia (n = 416, FU: median 114 months) and incisional ventral hernia (n = 610, FU: median 110 months)
- Berger D, Bientzle M (2009) Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair! A prospective, observational study with 344 patients.
Hernia 13:167–172. https://doi.org/10.1007/s10029-008-0435-4
includes data on incisional ventral hernia (n = 297, FU: median 24 months) and parastomal hernia (n = 47, FU: median 20 months)
- Bertoglio C et al (2021) From keyhole to sandwich: change in laparoscopic repair of parastomal hernias at a single centre.
Surg Endosc 35:1863–1871. https://doi.org/10.1007/s00464-020-07589-2
includes data on parastomal hernia (n = 13, FU: median 26 months)
- Sánchez-Arteaga A et al (2021) Use of polyvinylidene fluoride (PVDF) meshes for ventral hernia repair in emergency surgery.
Hernia 25:99–106. https://doi.org/10.1007/s10029-020-02209-3
includes data on primary ventral hernia (n = 78, FU: 12 months) and incisional ventral hernia (n = 45, FU: 12 months)
- Muysoms F et al (2018) Prospective cohort study on mesh shrinkage measured with MRI after laparoscopic ventral hernia repair with an intraperitoneal iron oxide-loaded PVDF mesh.
Surg Endosc 32:2822–2830. https://doi.org/10.1007/s00464-017-5987-x
includes data on mesh shrinkage in primary ventral hernia (n = 14, FU: 13 months)
- Roberts DG (2012) Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results.
Science Journal of Clinical Medicine 1:10. https://doi.org/10.11648/j.sjcm.20120101.13
includes data on primary and incisional ventral hernia (n = 40, FU: mean 15 months)
- Verbo A et al (2016) Polyvinylidene Fluoride Mesh (PVDF, DynaMesh®-IPOM) in The Laparoscopic Treatment of Incisional Hernia: A Prospective Comparative Trial versus Gore® ePTFE DUALMESH® Plus.
Surg Technol Int 28:147–151
includes data on incisional ventral hernia (n = 35, FU: > 6 months)
- Zhou Z, Bilkhu A, Anwar S (2017) The use of a composite synthetic mesh in the vicinity of bowel – For repair and prophylaxis of parastomal hernias. Does it increase the risk of short term infective complications?
Int J Surg 45:67–71. https://doi.org/10.1016/j.ijsu.2017.07.077 includes data on parastomal hernia (n = 20, FU: mean 27 months)
Allgemeingültiger Nachtext
Presented by the International IPOM Group (IIG) – in Zusammenarbeit mit “Namen” “Namen” “Namen”
