1,721,643 research outputs found
”SLIM-MESH”: a new laparoscopic technique for the treatment of abdominal wall hernias. The first mid-term resuts.
No full textSLIM-MESH”: single operation with multiple slim-meshes for multiple spaced ventral hernias in the same patient. 12-year follow-up long-term results in 8 cases.
No full textSutureless “Slim-Mesh” Technique for the Repair of Abdominal-Wall Hernias in the Obese Population
No full textBackground and Objectives: In 2009, we designed the sutureless “Slim-Mesh” laparoscopic technique to facilitate and promote repair of ventral hernias in the obese/ superobese populations, including cases with large-giant/ massive and multiple widely-spaced hernias. We also aimed to reduce surgical time and intra-and postoperative complications. Methods: Cases were divided into Class I (body mass index [BMI] 30.0–34.9 kg/m2), II (35.0–39.9 kg/m2), III (40.0–49.9 kg/m2), and superobese (50.0–59.9 kg/m2). A ventral hernia was small-medium (1 2–9.9 cm), or large (1 10–14.9 cm)-giant (1 15–19.9 cm)/massive (1 ≥ 20 cm). Between September 2009 and May 2023, 64 obese/superobese ventral-hernia patients were enrolled prospectively (81%)-retrospectively and treated with the Slim-Mesh technique. Results: We operated on 35 males and 29 females. Mean age and BMI were 60 years old and 33 kg/m2, respectively. Class I cases numbered 48, II 13, III 2, with 1 superobese case. Small-medium, large-giant, and massive ventral hernias were found intraoperatively in 40, 21, and 3 cases, respectively. Mean surgical time for all cases was 104 minutes. Mean length of hospital stay was 2 days and mean follow-up time was 5 years. We had 1 case of chronic abdominal-wall pain and 6 late postoperative-complications: 4 (6%) hernia recurrences, and 2 trocar-site hernias. Conclusion: The sutureless “Slim-Mesh” technique implements the laparoscopic approach to repair ventral hernias in the obese/superobese populations rather than open surgery or traditional transfixation suture-based laparoscopy, including cases with large-giant/massive and multiple widelyspaced hernias. This study proves that “Slim-Mesh” is safe, straightforward, quick, easy-to-reproduce, and economical
Slim Mesh: 12-years follow-up study on mid-term results in 120 cases including 58 obese.
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”Slim-Mesh” technique: risultati a breve-medio termine su 22 casi di ernia gigante e massiva della parete addominale
No full textThe impact of the “Slim-Mesh”technique on operation time and short/midterm outcomes in 67 overweight, obese and superobese patients from a 10 years follow-up study
Full text linkPurpose: We performed the sutureless “Slim-Mesh” laparoscopic procedure to repair ventral hernias in overweight/obese patients in order to decrease operative time and complications. Materials and Methods: Between 2009 and November 2018, 67 consecutive overweight/obese patients affected by ventral hernia were operated on at our center with the “Slim-Mesh” technique. This was a prospective (65%)-retrospective study. Results: Our study included 36 males and 31 females; the patients’ mean age was 59 years old and mean BMI 31. There were 28 overweight patients, 28 Class I obese patients, and 11 Class II-III obese and superobese patients. Ventral hernia operative size was 3-10 cm (small/medium ventral hernia),10-20 cm (large/giant) and ≥20 cm (massive) in 45, 17 and 5 cases respectively. Mean surgical time for overweight patients, Class I obese patients, and Class II-III obese and superobese patients was 95 minutes, 103 minutes, and 103 minutes respectively. In 28.3% of cases, ventral hernia operative size was larger than preoperative size, and in 16.4% laparoscopy detected additional fascial defects. We employed a composite mesh in 91% of patients and absorbable straps for mesh fixation in 85%. Mean length of hospital stay was 2.6 days. Mean follow-up time was more than 3.5 years. There were 3 cases (4.4%) of hernia recurrence. Conclusion: The sutureless “Slim-Mesh” technique in overweight/obese patients has several advantages, including a reduction in operative time, recovery, and rate of recurrence. The use of this approach would be fast, safe and simple option for overweight/obese patients
Prosthetic mesh "slim-cigarette like" for laparoscopic repair of ventral hernias: a new technique without transabdominal fixation sutures
No full textProsthetic mesh rolled up and fixed with stitches like a slim cigarette ("slim-mesh") for laparoscopic ventral hernia (VH) repair is an new technique which allows an easy intraperitoneally introduction, distension and circumferential fixation of a prosthetic mesh without transabdominal fixation sutures even for meshes larger than 16 cm up to 30 cm for the "slim-mesh" repair of wide ventral hernias. We report the technique of laparoscopic repair of VH with "slim-mesh". This technique enables an easy intra-peritoneally introduction of the mesh through the trocar because it reduces consistently its size, it allows a rapid intra-abdominal handling of the mesh and a fast and easy fixation for VH repair. The average time of surgery with "slim-mesh" for treatment of all 28 VH was 97 min ranging from 57 to 160 min. The average time for the repair of the 24 VH smaller than 10 cm was 91 and 135 min for the four VH larger than 10-22 cm. This new surgical technique leads to a reduction of surgical risks avoiding the use of transfascial sutures with the associated complications. This new surgical procedure in our experience is fast, safe, simple and also easily reproducible by surgeons in laparoscopic training. This technique may be used in wide VH (larger than 10-22 cm) that generally require open surgery
”Slim-Mesh”: 10 years follow-up study on intraoperative short/midterm outcomes in 67 patients overweight/obese/superobese patients
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