Laparoscopic lower lateral incisional hernia repair after kidney transplant

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Abstract

Introduction: Post-incisional hernia in renal transplant patients is a complication that affects negatively the global outcome of transplant and the quality of life. The repair of this condition is classically performed by open repair with mesh. Evidences now suggest that laparoscopic repair could be the technique of choice for this category of patients can be performed in these patients with optimal results. The anchorage of mesh close to the graft should be performed by combination of fibrin sealant and tacks. Methods: A case of post incisional hernia in a kidney transplant recipient was repaired by laparoscopic onlay mesh technique. The dual coated Suprarnesh® mesh was anchored with absorbable tacks and fibrin sealant on the side in contact with graft surface.Results: Patient was discharged after 4 days. The 3 months follow-up did not show mesh displacement or recurrence Conclusions: Laparoscopic onlay mesh repair may become the gold standard for kidney transplanted patients affected by post incisional hernia. The difficulties of anchorage of the mesh close to the graft can be overcome by combination with fibrin sealant glue. This technique seems to offer advantages for this population of patients.
Original languageEnglish
Pages232-232
Number of pages1
Publication statusPublished - 2015

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Herniorrhaphy
Fibrin Tissue Adhesive
Transplants
Kidney
Inlays
Incisional Hernia
Quality of Life
Recurrence
Population

Cite this

@conference{ad88106756294fb1bb616270b7a90ca0,
title = "Laparoscopic lower lateral incisional hernia repair after kidney transplant",
abstract = "Introduction: Post-incisional hernia in renal transplant patients is a complication that affects negatively the global outcome of transplant and the quality of life. The repair of this condition is classically performed by open repair with mesh. Evidences now suggest that laparoscopic repair could be the technique of choice for this category of patients can be performed in these patients with optimal results. The anchorage of mesh close to the graft should be performed by combination of fibrin sealant and tacks. Methods: A case of post incisional hernia in a kidney transplant recipient was repaired by laparoscopic onlay mesh technique. The dual coated Suprarnesh{\circledR} mesh was anchored with absorbable tacks and fibrin sealant on the side in contact with graft surface.Results: Patient was discharged after 4 days. The 3 months follow-up did not show mesh displacement or recurrence Conclusions: Laparoscopic onlay mesh repair may become the gold standard for kidney transplanted patients affected by post incisional hernia. The difficulties of anchorage of the mesh close to the graft can be overcome by combination with fibrin sealant glue. This technique seems to offer advantages for this population of patients.",
author = "Giuseppe Damiano and Emanuele Sinagra and Salvatore Buscemi and Antonio Marrazzo and Palumbo, {Vincenzo Davide} and {Lo Monte}, {Attilio Ignazio} and Gabriele Spinelli and Silvia Ficarella",
year = "2015",
language = "English",
pages = "232--232",

}

TY - CONF

T1 - Laparoscopic lower lateral incisional hernia repair after kidney transplant

AU - Damiano, Giuseppe

AU - Sinagra, Emanuele

AU - Buscemi, Salvatore

AU - Marrazzo, Antonio

AU - Palumbo, Vincenzo Davide

AU - Lo Monte, Attilio Ignazio

AU - Spinelli, Gabriele

AU - Ficarella, Silvia

PY - 2015

Y1 - 2015

N2 - Introduction: Post-incisional hernia in renal transplant patients is a complication that affects negatively the global outcome of transplant and the quality of life. The repair of this condition is classically performed by open repair with mesh. Evidences now suggest that laparoscopic repair could be the technique of choice for this category of patients can be performed in these patients with optimal results. The anchorage of mesh close to the graft should be performed by combination of fibrin sealant and tacks. Methods: A case of post incisional hernia in a kidney transplant recipient was repaired by laparoscopic onlay mesh technique. The dual coated Suprarnesh® mesh was anchored with absorbable tacks and fibrin sealant on the side in contact with graft surface.Results: Patient was discharged after 4 days. The 3 months follow-up did not show mesh displacement or recurrence Conclusions: Laparoscopic onlay mesh repair may become the gold standard for kidney transplanted patients affected by post incisional hernia. The difficulties of anchorage of the mesh close to the graft can be overcome by combination with fibrin sealant glue. This technique seems to offer advantages for this population of patients.

AB - Introduction: Post-incisional hernia in renal transplant patients is a complication that affects negatively the global outcome of transplant and the quality of life. The repair of this condition is classically performed by open repair with mesh. Evidences now suggest that laparoscopic repair could be the technique of choice for this category of patients can be performed in these patients with optimal results. The anchorage of mesh close to the graft should be performed by combination of fibrin sealant and tacks. Methods: A case of post incisional hernia in a kidney transplant recipient was repaired by laparoscopic onlay mesh technique. The dual coated Suprarnesh® mesh was anchored with absorbable tacks and fibrin sealant on the side in contact with graft surface.Results: Patient was discharged after 4 days. The 3 months follow-up did not show mesh displacement or recurrence Conclusions: Laparoscopic onlay mesh repair may become the gold standard for kidney transplanted patients affected by post incisional hernia. The difficulties of anchorage of the mesh close to the graft can be overcome by combination with fibrin sealant glue. This technique seems to offer advantages for this population of patients.

UR - http://hdl.handle.net/10447/200377

M3 - Other

SP - 232

EP - 232

ER -