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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Related Experiment Video

Updated: Jul 16, 2026

Use of a Rat Model to Study Ventral Abdominal Hernia Repair
05:47

Use of a Rat Model to Study Ventral Abdominal Hernia Repair

Published on: October 2, 2017

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"Slim-Mesh" Technique for Giant Ventral Hernia.

Silvio Alen Canton, Claudio Pasquali1

  • 1Department of Surgery, Oncology and Gastroenterology (DiSCOG), University of Padua, Padua, Italy. (Both authors).

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|April 8, 2022
PubMed
Summary

The sutureless "Slim-Mesh" technique offers a safe, fast, and economical solution for ventral hernia repair, including large and massive cases. This method reduces complications and operation time, demonstrating excellent patient outcomes.

Keywords:
Giant ventral hernia repairMassive ventral herniaOperation timePostoperative painSlim-Mesh technique

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Area of Science:

  • Abdominal Surgery
  • Hernia Repair
  • Minimally Invasive Surgery

Background:

  • Ventral hernias, especially large-giant/massive ones, pose significant surgical challenges.
  • Traditional repair methods can be associated with high complication rates and prolonged operation times.

Purpose of the Study:

  • To evaluate the efficacy and safety of the sutureless "Slim-Mesh" technique for ventral hernia repair.
  • To assess the technique's impact on intra- and postoperative complications and operation duration.

Main Methods:

  • A prospective (79%) and retrospective study involving 43 patients with large-giant/massive ventral hernias.
  • Application of the sutureless "Slim-Mesh" technique for hernia repair between September 2009 and October 2020.

Main Results:

  • Mean operation time was 116 minutes, with shorter times for large-giant hernias (104 min) compared to massive ones (190 min).
  • Low complication rates: 5 early (3 seromas, 1 trocar-site hernia, 1 cystitis) and 2 late symptomless recurrences (4.6%).
  • Mean hospital stay was 2.3 days, with a mean follow-up of 3 years and 4 months.

Conclusions:

  • The sutureless "Slim-Mesh" technique is safe, simple, fast, and economical for large-giant/massive ventral hernia repair.
  • The technique facilitates intra-abdominal mesh introduction, handling, and fixation, even for extremely large meshes.