Table 1: Clinical features of MWSH patients & MSM operation.
|
Clinical Features of MWSH Patients & MSM Operation |
Triple VH Group 1 |
Double VH Group 2 |
|
No. M/F with MWSH (Total: 8 patients) |
3/0 (3) |
3/2 (5) |
|
Mean Age (years, overall = 57 years) |
50 |
61 |
|
Mean BMI (kg/m2) |
33 |
31 |
|
No. US/CT-scans/US+CT-scans |
0/1/2 |
1/2/2 |
|
% of total cases with difference between US and/or CT-scan and LAP VH neck-size Ø (12.5% were incisional VH, Table |
0%/Total |
12.5%/Total |
|
% of cases (37.5%) with additional spaced VH at LAP and undetected at PE, US and/or CT-scan (Table 2) |
25% |
12.5% |
|
CM (87.5%)/Non-CM (12.5%) |
37.5%/0% |
50%/12.5% |
|
Fixationdevice: TT (25%)/AS (75%) |
12.5%/25% |
12.5%/50% |
|
No. cases treated with 3 SM/No. cases treated with 2 SM |
1*/2** |
0/5 |
|
No. cases treated for associated DR (%) |
0 |
3 (38%) |
|
Mean OT (Overall = 153 min.) |
220 minutes |
112 minutes |
|
No. conversions to laparotomy |
0 |
0 |
MWSH, multiple widely-spaced ventral hernia; MSM, multiple “Slim-Meshes”; M: Male; F: Female; VH: Ventral Hernia; BMI: Body Mass Index; PE: Physical Exam; US, abdominal-wall Ultra-Sound; CT-scan, abdominal-wall Computerized-Tomography; LAP: Laparoscopy; CM: Composite Mesh; Non-CM: Non-Composite Mesh; TT: Titanium Tacks; AS: Absorbable Straps; SM: “Slim-Mesh”; *in cases considered to belong to subgroup 1 of Group 1 with wide spaces between the VH that need to be repaired with 1 SM per hernia; **in cases considered to belonging to subgroup 2 of Group 1 with triple VH, when one is widely isolated from a cluster of two, all 3 VH require repair with 2 SM: 1 for the widely isolated hernia, and 1 for the cluster of two; DR, Diastasis Recti Abdominis, a widening of the linea alba > 2 cm; OT, Operation Time.