EARLY AND DELAYED RECURRENCES AFTER LAPAROSCOPIC INTRA-PERITONEAL ON-LAY MESH REPAIR WITH A COMPOSITE IMPLANt. SERIES OF CLINICAL CASES

Galliamov, E.; Kubyshkin, V.; Kakotkin, V.; Donchenko, K.; Busyrev, Y.

Авторы: Galliamov E., Kubyshkin V., Kakotkin V., Donchenko K., Busyrev Yu
Сборник: 28th International Congress of the European Association for Endoscopic Surgery (EAES) Virtual Congress 23–26 June 2020
Том: 34
Тезисы
Год издания: 2020
Место издания: Springer Science and Business Media LLC
Первая страница: 91
Последняя страница: 91
DOI: 10.1007/s00464-020-07834-8
Аннотация: Laparoscopic intra-peritoneal on-lay mesh repair (IPOM) has beenwidely disseminated as a method of umbilical and postoperativehernias treatment due to its technical simplicity, short mean operationtime and good functional outcomes. Wide distribution of this surgicalmethod and its application by surgeons without sufficient experiencemay potentially lead to various complications. Over the past 3 years,there were 11 cases of recurrence after IPOM performed for linea albahernias (3), incisional hernias (6) and umbilical hernias (2) detected inRussian hospitals. The recurrence detection time varied from 1 monthto 2 years. The pathogenesis and causes of recurrence were different.In one case, the hernia recurrence was accompanied by a small bowelstrangulation which required urgent surgical procedure. In 4 reportedcases there was no connective tissue between the parietal peritoneumand the implant accompanied by a omentum protrusion into thwespace above the implant detected. In 2 cases the mesh sizes did notcorrespond to the hernia defect width and there appeared recurrenthernias near the implants edge. In 3 cases mesh fixation withabsorbable tacks lead to the mesh twisting. In 2 cases recurrence wascaused by a mesh migration into incisional hernia sac. The recurrenthernias treatment in these clinical cases was different. In 5 casesextended totally extraperitoneal repair (eTEP) was performed, in 3patients - open retromuscular sublay techuque, in the other three -laparoscopic intra-peritoneal on-lay mesh repair. There was norecurrence of hernias after surgery during the observation period. Thisseries of clinical cases demonstrates the necessity of indicationsclarification for IPOM technique and its limitations.
Добавил в систему: Какоткин Виктор Викторович

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EARLY AND DELAYED RECURRENCES AFTER LAPAROSCOPIC INTRA-PERITONEAL ON-LAY MESH REPAIR WITH A COMPOSITE IMPLANt. SERIES OF CLINICAL CASESтезисы доклада

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