Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

401
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
401
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

367
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
367

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

St Mark's protocol for standardised examination under anaesthesia for rectovaginal fistulae.

Techniques in coloproctology·2026
Same author

Using a composite end-point and WIN-ratio analysis to evaluate perineal wound healing after abdominoperineal resection for rectal cancer: further insights from the BIOPEX trials.

International journal of surgery (London, England)·2025
Same author

Surgical training for simple and complex hernia repair in the UK: results of a nationwide training survey.

Annals of the Royal College of Surgeons of England·2025
Same author

Defining Standard Data Reporting in Pelvic Exenterations for Non-Rectal Cancers: A Systematic Review of Current Data Reporting.

Cancers·2025
Same author

Quality of surgery in oncological trials: the patient's perspective.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2025
Same author

The application of EPSiT in pilonidal sinus disease: an international Delphi consensus study endorsed by the Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI).

Techniques in coloproctology·2025

Related Experiment Video

Updated: Dec 28, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

51.9K

Long-term outcomes after contaminated complex abdominal wall reconstruction.

F E E de Vries1, J D Hodgkinson2,3, J J M Claessen4

  • 1Department of Surgery, Amsterdam University Medical Centres, University of Amsterdam, G4-133, PO Box 22660, 1100 DD, Amsterdam, The Netherlands. f.e.devries@amsterdamumc.nl.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|February 21, 2020
PubMed
Summary
This summary is machine-generated.

Complex abdominal wall repair (CAWR) in contaminated fields is challenging. Non-crosslinked biologic mesh demonstrated better outcomes than synthetic mesh, with good long-term survival and fewer additional hernia surgeries.

Keywords:
ComplexContaminationHernia repairMeshOutcomes

More Related Videos

Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
09:30

Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation

Published on: July 18, 2025

460
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

7.2K

Related Experiment Videos

Last Updated: Dec 28, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

51.9K
Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
09:30

Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation

Published on: July 18, 2025

460
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

7.2K

Area of Science:

  • Surgical Innovation
  • Hernia Repair Outcomes
  • Biomaterials in Surgery

Background:

  • Complex abdominal wall repair (CAWR) in contaminated surgical fields presents significant challenges.
  • Existing literature on long-term CAWR outcomes is limited by small sample sizes and patient heterogeneity.
  • The modified-Ventral Hernia Working Group (VHWG) grade 3 classification is frequently used for these complex cases.

Purpose of the Study:

  • To evaluate the long-term outcomes of modified-Ventral Hernia Working Group (VHWG) grade 3 complex abdominal wall repairs (CAWR).
  • To assess hernia recurrence (HR) and the need for further hernia surgery (FHS) as key outcome measures.
  • To analyze the relationship between surgical technique, mesh type, and long-term patient survival.

Main Methods:

  • Retrospective cohort study with a prospective follow-up component.
  • Inclusion of consecutive patients undergoing CAWR in two European national intestinal failure centers.
  • Analysis of 266 modified VHWG grade 3 repairs, focusing on hernia recurrence, need for further surgery, and survival.

Main Results:

  • The overall hernia recurrence rate was 32.3%.
  • Non-crosslinked biologic mesh showed a lower recurrence rate (20.3%) compared to synthetic mesh (30.6%) when fascial closure was achieved.
  • Bridged repairs had significantly higher recurrence rates (57.1%) than repairs with fascial closure (22.9%).
  • Overall survival was favorable, with 80% and 70% of patients alive at 5 and 10 years, respectively.
  • 86.6% of patients remained free from further hernia surgery.

Conclusions:

  • Non-crosslinked biologic mesh is associated with better outcomes than synthetic mesh in contaminated CAWR.
  • Achieving fascial closure is crucial, as bridging repairs lead to higher recurrence rates.
  • Contaminated CAWR can achieve good long-term survival and a high rate of freedom from additional hernia surgery.