The whole original scar must be covered with a broad overlap of at least 5 cm. IPOM Ventral -type of hernia repair. Minimally invasive ventral hernia repair with intraperitoneal mesh placement, using the da Vinci robotic platform, Other Name: da Vinci® Surgical System robotic platform. [Incisional hernia - how do I do it? We retrospectively compared postoperative outcomes with two different meshes commonly used in LIVHR. The goals of ventral hernia repair are relief of patient symptoms and/or cure of the hernia with minimization of recurrence rates. There is a need for algorithms based on local population and expertise. The investigators aim to conduct a registry-based, randomized controlled trial to investigate if the robotic platform for minimally invasive ventral hernia repair with intraperitoneal onlay mesh (IPOM), when compared to the laparoscopic platform, will influence on early postoperative pain scores, wound morbidity (surgical site infections, surgical site occurrences and surgical site occurrences … Ludwig K, Scharlau U, Schneider Koriath S. Chirurg. Epub 2008 Dec 31. U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Winny M, Maegel L, Grethe LV, Jonigk D, Borchert P, Kaltenborn A, Schrem H, Klempnauer J, Poehnert D. Am J Transl Res. FACS, FASCRS From Orlando | R-IPOM Dr. Parra Davila performs a Robotic Ventral Repair in a 2x recurrent ventral hernia (one with a biologic mesh implant) with IPOM technique in a obese 37 y/o female patient. COVID-19 is an emerging, rapidly evolving situation. Recurrence rates will be compared between intervention arms via Pearson's chi-square. Laparoscopic Ventral Hernia Repair with IPOM: The standard laparoscopic platform will be used to perform a minimally invasive ventral hernia repair with intraperitoneal mesh placement. Surgery 138:708 … ], Surgical Site Infection [ Time Frame: 30 days +- 15 days ], Surgical Site Occurrences [ Time Frame: 30-days +- 15 days ], Surgical Site Occurrences requiring Procedural Intervention [ Time Frame: 30 days +- 15 days ], Ventral Hernia Recurrence [ Time Frame: 12 months +- 3 months ], Abdominal Wall Specific Quality of Life [ Time Frame: Baseline, 30-days(+-15days) and 12 months (+- 3 months) postoperatively ], Postoperative pain scores [ Time Frame: Baseline, 30 days(+-15days) and 12 months (+- 3 months) postoperatively ], H. Width equal or less than 7 centimeters, Considered eligible for minimally invasive ventral hernia repair, Fascial closure is presumed to be achieved, Emergent setting ( acute incarceration or strangulation), Considered not eligible for minimally invasive ventral hernia repair, Fascial closure not intended or presumed not to be achieved. 1 INTRODUCTION. 4.1). During the video, relevant surgical details are highlighted such as small bowel manipulation during hernia reduction and closure with a barbed suture. [Parastomal hernia treatment with prosthetic mesh repair]. The material should allow an overlap of two or more meshes to treat major defects. 2010 Mar;81(3):201-10. doi: 10.1007/s00104-009-1818-5. Petro CC, Zolin S, Krpata D, Alkhatib H, Tu C, Rosen MJ, Prabhu AS. The study will consist of 2 interventions: laparoscopic IPOM or robotic IPOM. Clipboard, Search History, and several other advanced features are temporarily unavailable. You have reached the maximum number of saved studies (100). 2017 Aug;225(2):285-293. doi: 10.1016/j.jamcollsurg.2017.04.011. Please remove one or more studies before adding more. 2002 Sep;73(9):905-8. doi: 10.1007/s00104-002-0541-2. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. -, Surg Endosc. Information provided by (Responsible Party): The investigators aim to conduct a registry-based, randomized controlled trial to investigate if the robotic platform for minimally invasive ventral hernia repair with intraperitoneal onlay mesh (IPOM), when compared to the laparoscopic platform, will influence on early postoperative pain scores, wound morbidity (surgical site infections, surgical site occurrences and surgical site occurrences requiring procedural intervention), ventral hernia recurrence rate and abdominal wall-specific quality of life. Kukleta, who closed the defect and used the mesh for augmentation of the abdominal wall repaired [1, 2].The evolution did not stop there and conversely still continues by not trying to find the … Talk with your doctor and family members or friends about deciding to join a study. Laparoscopic IPOM repair was associated with a decreased rate of postoperative complications and reoperation for complications than open sublay repair, whereas the risk of intraoperative enterotomy was slightly increased during laparoscopic repair. Assuming an alpha of 0.05, a beta of 0.20, a total sample size of 62 patients (31 per arm) was calculated. 2015 Apr;86(4):338-45. doi: 10.1007/s00104-014-2814-y. The laparoscopic intraperitoneal onlay mesh (IPOM) technique for the repair of incisional and parastomal hernias has increasingly gained popularity since its first description in 1993. "pain as bad as you can imagine" or "worst pain imaginable"); This will be reported using median and interquartile ranges, Surgical site infection rates will be assessed and reported as percent, Surgical site occurrences ( defined as wound cellulitis, non-healing wound, fascial disruption, skin or soft tissue ischemia or necrosis, wound drainage, stitch abscess, seroma, hematoma, exposed, contaminated or infected mesh and enterocutaneous fistula) will be assessed and reported as percent, Surgical Site Occurrences requiring Procedural Intervention will be assessed and reported as percent, Ventral Hernia recurrence will be assessed at 1 year postoperatively, either by physical examination, imaging studies or using the validated Ventral Hernia Recurrence Inventory Survey. 2015 Dec;86(12):1105-13. doi: 10.1007/s00104-015-0101-1. Asencio F, Aguiló J, Peiró S, Carbó J, Ferri R, Caro F, Ahmad M. Open randomized clinical trial of laparoscopic versus open incisional hernia repair. Chirurg. In the intraperitoneal onlay mesh repair (IPOM) method of abdominal wall hernia repair, mesh is placed over the abdominal wall defect and secured from inside the peritoneal cavity . Technical details for mesh reinforcement are also provided. However, which mesh technique assures the best outcomes for the respective patient is still under debate. 2016 Aug 11;4:118-123. doi: 10.1016/j.conctc.2016.08.001. It is a state-of-the-art surgical platform that provides surgeons with 3D, high definition vision of your anatomy and its patented instruments provides a range of motion far beyond the abilities of the human hand. Differences in PROMIS scores between baseline, 30 and 365 days, respectively, will be assessed via Wilcoxon signed-rank test. 4.1 Forms of incisional hernia repair. Da Vinci ventral hernia repair is performed using the da Vinci Surgical System. 39–41, 1993. The sample size was determined by the primary outcome of interest, the change in NRS-11 pain score at postoperative day 1. CONCLUSION: Laparoscopic IPOM- PLUS is a safe, highly efficacious and accepted method for ventral hernia repair with a very low recurrence rate. Over 400,000 ventral hernia repairs are performed yearly in the United States at an … This is a prospective study designed to compare open ventral hernia repair with laparoscopic repair. However, the standard laparoscopic repair of ventral hernias consisted of bridging the defect from the peritoneal side with a composite mesh, known as the intra-peritoneal onlay mesh (IPOM) repair, which is placement of the mesh in the underlay position through the laparoscopic intraperitoneal approach. This site needs JavaScript to work properly. The number of robotic-asssisted cases is increasing but the potential benefits of robotic surgery ... onlay mesh, or IPOM, repair). Both the laparoscopic and robotic platforms represent current standards of care for ventral hernia repair, and both approaches are currently offered at Cleveland Clinic Comprehensive Hernia Center. Although the clinical significance of hernia defect closure remains controversial, 1-9 the intraperitoneal‐onlay‐mesh repair with hernia defect closure (IPOM‐plus) in laparoscopic ventral and incisional hernia repair (LVIHR) has become the common technique in many institutions. The laparoscopic technique is based on dissection of the complete abdominal wall. The purpose of this study was to compare the benefits, effectiveness, and postoperative outcome of laparoscopic transabdominal preperitoneal (TAPP) and intraperitoneal onlay mesh (IPOM) repair of ventral hernia. Type of hernia needed with Polyester, monofilament 3D Composite mesh with reabsorbable collagen barrier. Conclusion of laparoscopic IPOM technique of inguinal hernia repair? The investigators hypothesize that the robotic approach will be associated with a 30% decrease in NRS-11 pain score at postoperative day 1. 2009 Apr;13(2):167-72 Careers. Eduardo Parra-Davila, M.D. Privacy, Help ventral hernia repair has revolutionized this field and has introduced more techniques to overcome surgical difficulties. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. This is predominantly related to the chronically elevated intra-abdominal pressures secondary to obesity.
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