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Is Laparoscopic Repair of Ventral Hernia the Ideal Approach for All Patients?

ventral herniaLaparascopic repair of ventral hernias has advanced and overcome many challenges during the past two decades, and patients who are obese, diabetic, and have a hernia no larger than 10 cm in width are best suited for this evolving minimally invasive approach. New types of mesh to close the defect are in development, and better long-term studies are needed to define best practices and determine ideal indications of this technique, according to an article in Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST), a peer-reviewed journal.
William Tobler, Jr., MD, University of Pittsburgh, PA and Kamal Itani, MD, Boston University and Harvard Medical School, Boston MA, discuss the patient- and hernia-related factors and technical considerations that contribute to the success or failure of these procedures in the article "Current Status and Challenges of Laparoscopy in Ventral Hernia Repair."
Relevant patient factors may include obesity, smoking, diabetes, cirrhosis, and cardiopulmonary disease. Hernia factors involve the size, location, and characteristics of the defect and whether it is recurrent. The authors also describe the types of mesh used, location of the mesh, and techniques for mesh fixation, as well as common complications and the use of robotic surgical approaches and other future technology.
"Laparoscopic ventral hernia repair is not free of complication and recurrence is a real possibility," says Editor-in-Chief P. Marco Fisichella, MD, MBA, Harvard Medical School, Brigham and Women's Hospital, Boston VA Healthcare System, Boston, MA. "Tobler and Itani explore the risk factors associated with this operation and highlight the concrete evidence-based indications and contraindications of the laparoscopic approach."




Source: Mary Ann Liebert, Inc., Publishers
Article Bibliographic Information:
Current Status and Challenges of Laparoscopy in Ventral Hernia Repair
Tobler William D. Jr. and Itani Kamal M.F.. Journal of Laparoendoscopic & Advanced Surgical Techniques. April 2016

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Highlights

  • Interactive Discussion on Valsartan

     

     

    The Malta Medicines Authority in collaboration with the Superintendence
    of Public Health and the Department of Pharmacy University of Malta
    would like to cordially invite you to an interactive scientific discussion:

     

     


    THE VALSARTAN SAGA


    SCIENCE | MYTHS | REALITIES

     


    led by Professor Anthony Serracino Inglott

     


    Date: Wednesday 25 July 2018

     


    Time: 20:00
    Venue: Conference Room, Life Sciences Park, San Ġwann

     


    Refreshments will be served


    RSVP: info.medicinesauthority@gov.mt | 23439202

    Written on July 21, 2018
  • Les Laboratoires Servier - Job Vacancy
    Written on June 29, 2018 Read more...

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