Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literature
With increasing complexity of ventral incisional hernias being operated on, the treatment strategy has also evolved to obtain optimal results. Hybrid ventral hernia repair is a promising technique in management of complex/difficult ventral incisional hernias. The aim of this article is to review the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=1;spage=7;epage=13;aulast= |
| _version_ | 1819278849641283584 |
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| author | Anil Sharma Chaitanya Sinha Manish Baijal Vandana Soni Rajesh Khullar Pradeep Chowbey |
| author_facet | Anil Sharma Chaitanya Sinha Manish Baijal Vandana Soni Rajesh Khullar Pradeep Chowbey |
| author_sort | Anil Sharma |
| collection | DOAJ |
| description | With increasing complexity of ventral incisional hernias being operated on, the treatment strategy has also evolved to obtain optimal results. Hybrid ventral hernia repair is a promising technique in management of complex/difficult ventral incisional hernias. The aim of this article is to review the literature and analyse the results of hybrid technique in management of ventral incisional hernia and determine its clinical status and ascertain its role. We reviewed the literature on hybrid technique for incisional ventral hernia repair on PubMed, Medline and Google Scholar database published between 2002 and 2019 and out of 218 articles screened, 10 studies were included in the review. Selection of articles was in accordance with the PRISMA guideline. Variables analysed were seroma, wound infection, chronic pain and recurrence. Qualitative analysis of the variables was carried out. In this systematic review, the incidence of complications associated within this procedure were seroma formation (5.47%), wound infections (6.53%) and chronic pain (4.49%). Recurrence was seen in 3.29% of patients. Hybrid ventral hernia repair represents a natural evolution in advancement of hernia repair. The judicious use of hybrid repair in selected patients combines the safety of open surgery with several advantages of the laparoscopic approach with favourable surgical outcomes in terms of recurrence, seroma and incidence of chronic pain. However, larger multi-centric prospective studies with long term follow up is required to standardise the technique and to establish it as a procedure of choice for this complex disease entity. |
| first_indexed | 2024-12-24T00:18:33Z |
| format | Article |
| id | doaj.art-dac55a8ff26041b8afcec171cbe7706a |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-24T00:18:33Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-dac55a8ff26041b8afcec171cbe7706a2022-12-21T17:24:39ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212021-01-0117171310.4103/jmas.JMAS_146_19Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literatureAnil SharmaChaitanya SinhaManish BaijalVandana SoniRajesh KhullarPradeep ChowbeyWith increasing complexity of ventral incisional hernias being operated on, the treatment strategy has also evolved to obtain optimal results. Hybrid ventral hernia repair is a promising technique in management of complex/difficult ventral incisional hernias. The aim of this article is to review the literature and analyse the results of hybrid technique in management of ventral incisional hernia and determine its clinical status and ascertain its role. We reviewed the literature on hybrid technique for incisional ventral hernia repair on PubMed, Medline and Google Scholar database published between 2002 and 2019 and out of 218 articles screened, 10 studies were included in the review. Selection of articles was in accordance with the PRISMA guideline. Variables analysed were seroma, wound infection, chronic pain and recurrence. Qualitative analysis of the variables was carried out. In this systematic review, the incidence of complications associated within this procedure were seroma formation (5.47%), wound infections (6.53%) and chronic pain (4.49%). Recurrence was seen in 3.29% of patients. Hybrid ventral hernia repair represents a natural evolution in advancement of hernia repair. The judicious use of hybrid repair in selected patients combines the safety of open surgery with several advantages of the laparoscopic approach with favourable surgical outcomes in terms of recurrence, seroma and incidence of chronic pain. However, larger multi-centric prospective studies with long term follow up is required to standardise the technique and to establish it as a procedure of choice for this complex disease entity.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=1;spage=7;epage=13;aulast=complex ventral herniaenterotomieshybrid techniqueincisional ventral hernia |
| spellingShingle | Anil Sharma Chaitanya Sinha Manish Baijal Vandana Soni Rajesh Khullar Pradeep Chowbey Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literature Journal of Minimal Access Surgery complex ventral hernia enterotomies hybrid technique incisional ventral hernia |
| title | Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literature |
| title_full | Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literature |
| title_fullStr | Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literature |
| title_full_unstemmed | Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literature |
| title_short | Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literature |
| title_sort | hybrid approach for ventral incisional hernias of the abdominal wall a systematic review of the literature |
| topic | complex ventral hernia enterotomies hybrid technique incisional ventral hernia |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=1;spage=7;epage=13;aulast= |
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