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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Preperitoneal mesh repair in Spigelian hernia.
Wolfgang G Mouton1, Kim T Otten, Daniel Weiss
1Department of Surgery, Spital Thun-Simmental AG, 3600 Thun, Switzerland. wolfgang.mouton@spitalthun.ch
International Surgery
|October 26, 2006
Summary
Spigelian hernia repair outcomes differ based on technique. Implantation of a preperitoneal mesh during Spigelian hernia repair surgery may lead to a lower recurrence rate compared to primary closure alone.
Area of Science:
- Surgery
- Gastroenterology
- Abdominal Wall Surgery
Background:
- Spigelian hernias, first described in 1764, are uncommon abdominal wall defects.
- Surgical repair techniques vary, influencing recurrence rates.
Purpose of the Study:
- To compare the recurrence rates of Spigelian hernia repairs using primary closure versus mesh implantation.
- To evaluate the impact of tissue quality on repair outcomes.
Main Methods:
- A retrospective review of 35 Spigelian hernia repairs performed between April 1995 and April 2004.
- Surgical techniques included primary tissue closure or implantation of a non-absorbable preperitoneal mesh.
- Repair method selection was based on local tissue quality.
Main Results:
- Twenty-one hernias were repaired with primary closure, resulting in three radiological recurrences (one symptomatic).
- Fourteen hernias had a preperitoneal mesh implanted, with no radiological or clinical recurrences observed.
- Mesh implantation was associated with a zero recurrence rate in this cohort.
Conclusions:
- Spigelian hernia repair with preperitoneal mesh implantation demonstrates a lower recurrence rate.
- The use of mesh may be beneficial for Spigelian hernia repair, particularly in cases with compromised tissue quality.
