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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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...
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Related Experiment Video

Updated: Aug 13, 2025

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Predictive Factors of Recurrence After Laparoscopic Incisional Hernia Repair: A Retrospective Multicentre Cohort

Giorgio Soliani1, Alessandro De Troia1, Antonio Pesce2

  • 1Department of Surgery, S. Anna University Hospital and University of Ferrara, Ferrara, Italy.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|January 20, 2023
PubMed
Summary

This study found that partially absorbable mesh was linked to higher hernia recurrence after laparoscopic incisional hernia repair (LIHR). While the approach is safe, this specific mesh is no longer available.

Keywords:
incisional hernialaparoscopyrecurrencesurgical fixation devicessurgical mesh

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Area of Science:

  • Surgical Innovation
  • Medical Device Technology
  • Hernia Surgery Outcomes

Background:

  • Incisional hernias are common post-abdominal surgery complications.
  • Laparoscopic incisional hernia repair (LIHR) aims to reduce recurrence rates.
  • Understanding factors influencing LIHR success is crucial for patient outcomes.

Purpose of the Study:

  • To identify patient-related factors and surgical materials associated with hernia recurrence after LIHR.
  • To evaluate the impact of mesh type on incisional hernia repair outcomes.

Main Methods:

  • A multicenter, retrospective cohort study of 312 adult patients undergoing elective LIHR.
  • Data collected on patient demographics, hernia characteristics, and operative variables.
  • Follow-up included interviews, clinic visits, and imaging to assess recurrence.

Main Results:

  • A recurrence rate of 12.5% (39/312) was observed at a mean 22-month follow-up.
  • Partially absorbable mesh was significantly associated with increased hernia recurrence (P=.007) after adjustment.
  • Absorbable tacks also showed an unadjusted association with recurrence (P=.001).

Conclusions:

  • Laparoscopic incisional hernia repair is a safe procedure.
  • Partially absorbable mesh was identified as a predictor of hernia recurrence in LIHR.
  • The specific partially absorbable mesh studied is no longer on the market.