Novosti
Khirurgii

 This journal is
indexed in Scopus
journal cover
android icon Android Applicaion
Этот сайт использует основные файлы cookie для обеспечения его нормальной работы и файлы cookie для отслеживания, чтобы понять, как вы с ним взаимодействуете. Последние будут установлены только после одобрения.
Согласиться

Year 2020 Vol. 28 No 6

REVIEWS

А.V. SAZHIN, К.M. LOBAN, G.B. IVAKHOV, V.A. PETUKHOV, N.S. GLAGOLEV, A.V. ANDRIYASHKIN, R.R. AKHMEDOV

CURRENT CONCEPTS OF VENTRAL HERNIA SURGERY

Pirogov Russian National Research Medical University, Moscow,
The Russian Federation

Herniology is one of the most ancient branches of surgery and, it continues to develop quickly. New technology adds to arsenal of surgeons constantly recently, which have found their place also in hernia surgery. Despite the rapid development of herniology the optimal method for surgical repair of ventral hernia still remains to be determined. The role of preoperative examination methods in the algorithm for choosing a treatment option has not been defined. There is no single opinion concerning different spaces in which the mesh is placed, and expediency of the minimally invasive techniques application. In addition, there is no consensus on the terminology used in current herniology. This article touches upon the epidemiological and historical aspects of surgery for ventral hernias, discusses the anatomy of the anterior abdominal wall, analyzed current terminology and classifications, describes the methods of preoperative patient evaluation and indications for surgical treatment, so as consideres the current diagnostic and therapeutic surgical options. Since several controversial issues still remain in the management of patients with ventral hernia today is relevant to search the most physiological and functional methods of of treatment that ensure the minimum risk of recurrence and complications and improving patient quality of life.

Keywords: ventral hernia, hernia repair, anterior abdominal wall, surgical mesh, minimally invasive hernia repair, component separation
p. 714-729 of the original issue
References
  1. Ahmed Alenazi A, Alsharif MM, Hussain MA, Alenezi NG, Alenazi AA, Almadani SA, Alanazi NH, Alshammari JH, Altimyat AO, Alanazi TH. Prevalence, risk factors and character of abdominal hernia in ArarCity, Northern Saudi Arabia in 2017. Electron Physician. 2017 Jul 25;9(7):4806-11. doi: 10.19082/4806. eCollection 2017 Jul.
  2. Sazhin A, Zolotukhin I, Seliverstov E, Nikishkov A, Shevtsov Y, Andriyashkin A, Tatarintsev A, Kirienko A. Prevalence and risk factors for abdominal wall hernia in the general Russian population. Hernia. 2019 Dec;23(6):1237-42. doi: 10.1007/s10029-019-01971-3
  3. Ermolov AS, KoroshviliVT, Blagovestnov DA, Yartsev PA, Shlyakhovsky IA. Postoperative abdominal hernia: a modern view on incidence and etiopathogenesis. Khirurgiia Zhurn im NI Pirogova .2017;(5):76-82. doi: 10.17116/hirurgia2017576-82 (In Russ.)
  4. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003 Nov 8;362(9395):1561-71. doi: 10.1016/S0140-6736(03)14746-0
  5. Bisgaard T, Kehlet H, Bay-Nielsen M, Iversen MG, Rosenberg J, Jørgensen LN. A nationwide study on readmission, morbidity, and mortality after umbilical and epigastric hernia repair. Hernia. 2011 Oct;15(5):541-6. doi: 10.1007/s10029-011-0823-z
  6. den Hartog D, Dur AH, Tuinebreijer WE, Kreis RW. Open surgical procedures for incisional hernias. Cochrane Database Syst Rev. 2008 Jul 16;(3):CD006438. doi: 10.1002/14651858.CD006438.pub2
  7. Bittner R, Bain K, Bansal VK, Berrevoet F, Bingener-Casey J, Chen D, Chen J, Chowbey P, Dietz UA, de Beaux A, Ferzli G, Fortelny R, Hoffmann H, Iskander M, Ji Z, Jorgensen LN, Khullar R, Kirchhoff P, Köckerling F, Kukleta J, LeBlanc K, Li J, Lomanto D, Mayer F, Meytes V, Misra M, Morales-Conde S, Niebuhr H, Radvinsky D, Ramshaw B, Ranev D, Reinpold W, Sharma A, Schrittwieser R, Stechemesser B, Sutedja B, Tang J, Warren J, Weyhe D, Wiegering A, Woeste G, Yao Q. Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)): Part B. Surg Endosc. 2019 Nov 10;33(11):3511-49. doi: 10.1007/s00464-019-06908-6
  8. Liang MK, Holihan JL, Itani K, Alawadi ZM, Gonzalez JR, Askenasy EP, Ballecer C, Chong HS, Goldblatt MI, Greenberg JA, Harvin JA, Keith JN, Martindale RG, Orenstein S, Richmond B, Roth JS, Szotek P, Towfigh S, Tsuda S, Vaziri K, Berger DH. Ventral Hernia Management: Expert Consensus Guided by Systematic Review. Ann Surg. 2017 Jan;265(1):80-89. doi: 10.1097/SLA.0000000000001701
  9. Bernardi K, Martin AC, Holihan JL, Olavarria OA, Flores-Gonzalez JR, Cherla DV, Lyons NB, Shah P, Kao LS, Ko TC, Liang MK. Is non-operative management warranted in ventral hernia patients with comorbidities? A case-matched, prospective 3 year follow-up, patient-centered study. Am J Surg. 2019 Dec;218(6):1234-38. doi: 10.1016/j.amjsurg.2019.07.044
  10. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, Köckerling F, Kukleta J, LeBlanc K, Lomanto D, Misra MC, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoney M, Chowbey P. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS]) – Part 2.Surg Endosc. 2014 Feb;28(2):353-79. doi: 10.1007/s00464-013-3171-5
  11. Faylona JM. Evolution of ventral hernia repair. Asian J Endosc Surg. 2017 Aug;10(3):252-58. doi: 10.1111/ases.12392
  12. Shankaran V, Weber DJ, Reed RL 2nd, Luchette FA. A review of available prosthetics for ventral hernia repair. Ann Surg. 2011 Jan;253(1):16-26. doi: 10.1097/SLA.0b013e3181f9b6e6
  13. Franklin ME Jr, Gonzalez JJ Jr, Glass JL. Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2-year follow-up. Hernia. 2004 Aug;8(3):186-89. doi: 10.1007/s10029-004-0208-7
  14. Sosin M, Nahabedian MY, Bhanot P. The Perfect Plane: A Systematic Review of Mesh Location and Outcomes, Update 2018. Plast Reconstr Surg. 2018 Sep;142(3 Suppl):107S-116S. doi: 10.1097/PRS.0000000000004864
  15. Scales JT. Tissue reactions to synthetic materials. Proc R Soc Med. 1953 Aug;46(8):647-52.
  16. Arnaud JP, Eloy R, Adloff M, Grenier JF. Critical evaluation of prosthetic materials in repair of abdominal wall hernias: new criteria of tolerance and resistance. Am J Surg. 1977 Mar;133(3):338-45. doi: 10.1016/0002-9610(77)90542-6
  17. Usher FC, Ochsner J, Tuttle ll Jr. Use of marlex mesh in the repair of incisional hernias. Am Surg. 1958 Dec;24(12):969-74.
  18. Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990 Sep;86(3):519-26. doi: 10.1097/00006534-199009000-00023
  19. Deerenberg EB, Timmermans L, Hogerzeil DP, Slieker JC, Eilers PH, Jeekel J, Lange JF. A systematic review of the surgical treatment of large incisional hernia. Hernia. 2015 Feb;19(1):89-101. doi: 10.1007/s10029-014-1321-x
  20. Carbonell AM, Cobb WS, Chen SM. Posterior components separation during retromuscular hernia repair. Hernia. 2008 Aug;12(4):359-62. doi: 10.1007/s10029-008-0356-2
  21. Novitsky YW, Fayezizadeh M, Majumder A, Neupane R, Elliott HL, Orenstein SB. Outcomes of Posterior Component Separation With Transversus Abdominis Muscle Release and Synthetic Mesh Sublay Reinforcement. Ann Surg. 2016 Aug;264(2):226-32. doi: 10.1097/SLA.0000000000001673
  22. De Silva GS, Krpata DM, Hicks CW, Criss CN, Gao Y, Rosen MJ, Novitsky YW. Comparative radiographic analysis of changes in the abdominal wall musculature morphology after open posterior component separation or bridging laparoscopic ventral hernia repair. J Am Coll Surg. 2014 Mar;218(3):353-57. doi: 10.1016/j.jamcollsurg.2013.11.014
  23. LeBlanc KA, BoothWV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993 Feb;3(1):39-41.
  24. Ramana B, Sinha R, Jacob B, Towfigh S, Rosin D. Acronyms use in abdominal wall reconstruction: introduction to a new language. World J Surg. 2020 Jan;44(1):78-83. doi: 10.1007/s00268-019-05221-6
  25. Warren JA, Love M. Incisional hernia repair: minimally invasive approaches. Surg Clin North Am. 2018 Jun;98(3):537-59. doi: 10.1016/j.suc.2018.01.008
  26. Miserez M, Penninckx F. Endoscopic totally preperitoneal ventral hernia repair. Surg Endosc. 2002 Aug;16(8):1207-13. doi: 10.1007/s00464-001-9198-z
  27. Schroeder AD, Debus ES, Schroeder M, Reinpold WM. Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias. Surg Endosc. 2013 Feb;27(2):648-54. doi: 10.1007/s00464-012-2508-9
  28. Ballantyne GH, Hourmont K, Wasielewski A. Telerobotic laparoscopic repair of incisional ventral hernias using intraperitoneal prosthetic mesh. JSLS. 2003 Jan-Mar;7(1):7-14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015473/
  29. Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza Zahiri H, Weltz AS, Sibia US, Park A, Novitsky Y. A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc. 2018 Mar;32(3):1525-32. doi: 10.1007/s00464-017-5840-2
  30. Daes J. The enhanced view-totally extraperitoneal technique for repair of inguinal hernia. Surg Endosc. 2012 Apr;26(4):1187-9. doi: 10.1007/s00464-011-1993-6
  31. Schwarz J, Reinpold W, Bittner R. Endoscopic mini/less open sublay technique (EMILOS)-a new technique for ventral hernia repair. Langenbecks Arch Surg. 2017 Feb;402(1):173-80. doi: 10.1007/s00423-016-1522-0
  32. Reinpold W, Schröder M, Berger C, Stoltenberg W, Köckerling F. MILOS and EMILOS repair of primary umbilical and epigastric hernias. Hernia. 2019 Oct;23(5):935-944. doi: 10.1007/s10029-019-02056-x
  33. Hellinger A, Roth I, Biber FC, Frenken M, Witzleb S, Lammers BJ. Chirurgische Anatomie der Bauchdecke. Der Chir. 2016 Sep 5;87(9):724-30. doi: 10.1007/s00104-016-0257-3
  34. Mahadevan V. Essential Anatomy of the Abdominal Wall. In: LeBlanc KA, Kingsnorth A, Sanders DL, editors. Management of Abdominal Hernias. Springer International Publishing; 2018. p. 31-58. doi: 10.1007/978-3-319-63251-3_2
  35. Punekar IRA, Khouri JS, Catanzaro M, Shaikh AL, Langstein HN. Redefining the Rectus Sheath: Implications for Abdominal Wall Repair. Plast Reconstr Surg. 2018 Feb;141(2):473-79. doi: 10.1097/PRS.0000000000004043
  36. Reinpold W, Köckerling F, Bittner R, Conze J, Fortelny R, Koch A, Kukleta J, Kuthe A, Lorenz R, Stechemesser B. Classification of Rectus Diastasis-A Proposal by the German Hernia Society (DHG) and the International Endohernia Society (IEHS). Front Surg. 2019 Jan 28;6:1. doi: 10.3389/fsurg.2019.00001. eCollection 2019.
  37. Stumpf M, Conze J, Prescher A, Junge K, Krones CJ, Klinge U, Schumpelick V. The lateral incisional hernia: anatomical considerations for a standardized retromuscular sublay repair. Hernia. 2009 Jun;13(3):293-97. doi: 10.1007/s10029-009-0479-0
  38. Ruotolo F, La Pinta M, Gallinaro LS, Paolo MDG, Forte F. The anatomical structures of abdominal-wall continence. In: Crovella F, Bartone G, Fei L. Incisional Hernia. Springer-Verlag Milan; 2008. p. 9-38. doi: 10.1007/978-88-470-0722-2_2
  39. Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RK, Simons MP, Smietański M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A. Classification of primary and incisional abdominal wall hernias. Hernia. 2009 Aug;13(4):407-14. doi: 10.1007/s10029-009-0518-x
  40. Gutiérrez de la Peña C, Vargas Romero J, Diéguez García JA. The value of CT diagnosis of hernia recurrence after prosthetic repair of ventral incisional hernias. Eur Radiol. 2001;11(7):1161-64. doi: 10.1007/s003300000743
  41. Beck WC, Holzman MD, Sharp KW, Nealon WH, Dupont WD, Poulose BK. Comparative effectiveness of dynamic abdominal sonography for hernia vs computed tomography in the diagnosis of incisional hernia. J Am Coll Surg. 2013 Mar;216(3):447-53; quiz 510-1. doi: 10.1016/j.jamcollsurg.2012.11.012
  42. van de Water AT, Benjamin DR. Measurement methods to assess diastasis of the rectus abdominis muscle (DRAM): A systematic review of their measurement properties and meta-analytic reliability generalisation. Man Ther. 2016 Feb;21:41-53. doi: 10.1016/j.math.2015.09.013
  43. Halligan S, Parker SG, Plumb AA, Windsor ACJ. Imaging complex ventral hernias, their surgical repair, and their complications. Eur Radiol. 2018 Aug;28(8):3560-69. doi: 10.1007/s00330-018-5328-z
  44. Silecchia G, Campanile FC, Sanchez L, Ceccarelli G, Antinori A, Ansaloni L, Olmi S, Ferrari GC, Cuccurullo D, Baccari P, Agresta F, Vettoretto N, Piccoli M. Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference. Surg Endosc. 2015 Sep;29(9):2463-84. doi: 10.1007/s00464-015-4293-8
  45. Heniford BT. SAGES guidelines for laparoscopic ventral hernia repair. Surg Endosc. 2016 Aug 15;30(8):3161–2. doi: 10.1007/s00464-016-5073-9
  46. Reza Zahiri H, Belyansky I, Park A. Abdominal Wall Hernia. Curr Probl Surg. 2018 Aug;55(8):286-17. doi: 10.1067/j.cpsurg.2018.08.005
  47. Piccoli M, Agresta F, Attinà GM, Amabile D, Marchi D. “Complex abdominal wall” management: evidence-based guidelines of the Italian Consensus Conference. Updates Surg. 2019 Jun;71(2):255-72. doi: 10.1007/s13304-018-0577-6
  48. Parker SG, Halligan S, Liang MK, Muysoms FE, Adrales GL, Boutall A, de Beaux AC, Dietz UA, Divino CM, Hawn MT, Heniford TB, Hong JP, Ibrahim N, Itani KMF, Jorgensen LN, Montgomery A, Morales-Conde S, Renard Y, Sanders DL, Smart NJ, Torkington JJ, Windsor ACJ. Definitions for Loss of Domain: An International Delphi Consensus of Expert Surgeons. World J Surg. 2019 Dec 17. doi: 10.1007/s00268-019-05317-z
  49. Radu VG, Lica M. The endoscopic retromuscular repair of ventral hernia: the eTEP technique and early results. Hernia. 2019 Oct;23(5):945-55. doi: 10.1007/s10029-019-01931-x
  50. Bueno-Lledó J, Torregrosa A, Jiménez R, Pastor PG. Preoperative combination of progressive pneumoperitoneum and botulinum toxin type A in patients with loss of domain hernia. Surg Endosc. 2018 Aug;32(8):3599-608. doi: 10.1007/s00464-018-6089-0
  51. Adrales GL. Abdominal Wall Spaces for Mesh Placement: Onlay, Sublay, Underlay. In: Novitsky YW (ed). Hernia Surgery. Springer International Publishing; 2016. p. 79-87. doi: 10.1007/978-3-319-27470-6_9
  52. Holihan JL, Nguyen DH, Nguyen MT, Mo J, Kao LS, Liang MK. Mesh Location in Open Ventral Hernia Repair: A Systematic Review and Network Meta-analysis. World J Surg. 2016 Jan;40(1):89-99. doi: 10.1007/s00268-015-3252-9
  53. Muysoms F, Campanelli G, Champault GG, DeBeaux AC, Dietz UA, Jeekel J, Klinge U, Köckerling F, Mandala V, Montgomery A, Morales Conde S, Puppe F, Simmermacher RK, Smietański M, Miserez M. EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair. Hernia. 2012 Jun;16(3):239-50. doi: 10.1007/s10029-012-0912-7
  54. Parker SG, Halligan S, Liang MK, Muysoms FE, Adrales GL, Boutall A, de Beaux AC, Dietz UA, Divino CM, Hawn MT, Heniford TB, Hong JP, Ibrahim N, Itani KMF, Jorgensen LN, Montgomery A, Morales-Conde S, Renard Y, Sanders DL, Smart NJ, Torkington JJ, Windsor ACJ. International classification of abdominal wall planes (ICAP) to describe mesh insertion for ventral hernia repair. Br J Surg. 2020 Feb;107(3):209-17. doi: 10.1002/bjs.11400
  55. Berger RL, Li LT, Hicks SC, Davila JA, Kao LS, Liang MK. Development and validation of a risk-stratification score for surgical site occurrence and surgical site infection after open ventral hernia repair. J Am Coll Surg. 2013 Dec;217(6):974-82. doi: 10.1016/j.jamcollsurg.2013.08.003
  56. Yang GPC. From intraperitoneal onlay mesh repair to preperitoneal onlay mesh repair. Asian J Endosc Surg. 2017 May;10(2):119-27. doi: 10.1111/ases.12388
  57. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral hernia repair. In: Sauerland S, editor. Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd; 2009. doi: 10.1002/14651858.CD007781
  58. Köckerling F, Simon T, Adolf D, Köckerling D, Mayer F, Reinpold W, Weyhe D, Bittner R. Laparoscopic IPOM versus open sublay technique for elective incisional hernia repair: a registry-based, propensity score-matched comparison of 9907 patients. Surg Endosc. 2019 Oct;33(10):3361-69. doi: 10.1007/s00464-018-06629-2
Address for correspondence:
117997, Russian Federation,
Moscow, Ostrovityanov Str., 1,
Pirogov Russian National Research
Medical University of MH of RF,
the Department of the Faculty Surgery
No1 of the Medical Faculty,
tel.: +7 916 292 6268,
e-mail: doctor.loban@gmail.com
Loban Konstantin M.
Information about the authors:
Sazhin ALexandr.V., Corresponding Member of RAS, MD, Professor, Head of the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
http://orcid.org/0000-0001-6188-6093
Loban Konstantin M., Post-Graduate Student, Laboratory Assistant of the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-8333-2398
Ivakhov Georgy B., PhD, Associate Professor, the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-9773-4953
Petukhov Vitaly A., MD, Professor, the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0003-1807-9864
Glagolev Nikolay S., PHD, Assistant of the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0003-1057-705X
Andriyashkin Andrey V., PhD, Associate Professor, the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-4170-9521
Akhmedov Ramil R., Clinical Intern of the Department of the Faculty Surgery №1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-0846-1616
Contacts | ©Vitebsk State Medical University, 2007-2023