BACKGROUND: In this long-term retrospective study, a laparoscopic technique was used for incisional hernia repair. METHODS: Over a 6-year period, we performed laparoscopic repairs with prosthetic mesh in 159 patients suffering from incisional hernia. Morbidity factors were noted and operative data were collected. In addition, early and long-term complications and recurrences were analyzed. RESULTS: There were no deaths as a result of the procedure. In 21 patients (13.8%), the operation was converted to an open procedure. Small bowel perforation occurred in three patients (1.9%). Mean hospital stay was 3.5 days. Early complications occurred in 61 patients (44%). The mean follow-up time was 49 months. There were no infections of the prosthetic mesh. Residual abdominal pain was reported in 31 patients (26%). Bowel obstructions requiring resection were found in two patients (1%), and hernia recurrence was observed in 19 patients (15.7%). CONCLUSIONS: Laparoscopic herniorraphy is a promising technique with all the advantages of minimal-invasive surgery. Nevertheless, close attention needs to be paid to the choice of the hernia and mesh size and to the fixing of the mesh.
BACKGROUND: In this long-term retrospective study, a laparoscopic technique was used for incisional hernia repair. METHODS: Over a 6-year period, we performed laparoscopic repairs with prosthetic mesh in 159 patients suffering from incisional hernia. Morbidity factors were noted and operative data were collected. In addition, early and long-term complications and recurrences were analyzed. RESULTS: There were no deaths as a result of the procedure. In 21 patients (13.8%), the operation was converted to an open procedure. Small bowel perforation occurred in three patients (1.9%). Mean hospital stay was 3.5 days. Early complications occurred in 61 patients (44%). The mean follow-up time was 49 months. There were no infections of the prosthetic mesh. Residual abdominal pain was reported in 31 patients (26%). Bowel obstructions requiring resection were found in two patients (1%), and hernia recurrence was observed in 19 patients (15.7%). CONCLUSIONS: Laparoscopic herniorraphy is a promising technique with all the advantages of minimal-invasive surgery. Nevertheless, close attention needs to be paid to the choice of the hernia and mesh size and to the fixing of the mesh.
Authors: L Melman; E D Jenkins; N A Hamilton; L C Bender; M D Brodt; C R Deeken; S C Greco; M M Frisella; B D Matthews Journal: Hernia Date: 2011-01-30 Impact factor: 4.739
Authors: Calvin Lyons; Rohan Joseph; Nilson Salas; Patrick R Reardon; Barbara L Bass; Brian J Dunkin Journal: Surg Endosc Date: 2011-11-15 Impact factor: 4.584
Authors: Francisco Asencio; Javier Aguiló; Salvador Peiró; Juan Carbó; Ramón Ferri; Federico Caro; Marwan Ahmad Journal: Surg Endosc Date: 2008-12-31 Impact factor: 4.584
Authors: Iman Ghaderi; Marilou Vaillancourt; Gideon Sroka; Pepa A Kaneva; Melina C Vassiliou; Ian Choy; Allan Okrainec; F Jacob Seagull; Erica Sutton; Ivan George; Adrian Park; Rita Brintzenhoff; Dimitrios Stefanidis; Gerald M Fried; Liane S Feldman Journal: Surg Endosc Date: 2011-02-27 Impact factor: 4.584