H Johanet1, A Dabrowski, P Hauters. 1. Service de Chirurgie Générale et Digestive, Hôpital Bichat, 46 Rue Henri Huchard, 75018, Paris, France. hubert.johanet@bch.ap-hop-paris.fr
Abstract
BACKGROUND: The use of mesh is recommended to reduce the rate of recurrence after the curing of ventral hernias. METHODS: A multicentre prospective trial was conducted to assess the laparoscopic cure of small ventral hernias with a composite mesh. RESULTS: Around 222 patients entered the trial and received laparoscopic repair for ventral hernias of less than 5 cm. There was one conversion. The mean length of post-operative hospitalisation was 2.5 days. At 1 year, the recurrence rate was 2%. Two meshes were removed due to infection, 3% of the patients were using analgesics and 86.1% of the patients described no pain on EVA scoring. CONCLUSION: The laparoscopic cure of small ventral hernias with composite mesh is efficient. Further technical progress is warranted to reduce the rate of seroma formation.
BACKGROUND: The use of mesh is recommended to reduce the rate of recurrence after the curing of ventral hernias. METHODS: A multicentre prospective trial was conducted to assess the laparoscopic cure of small ventral hernias with a composite mesh. RESULTS: Around 222 patients entered the trial and received laparoscopic repair for ventral hernias of less than 5 cm. There was one conversion. The mean length of post-operative hospitalisation was 2.5 days. At 1 year, the recurrence rate was 2%. Two meshes were removed due to infection, 3% of the patients were using analgesics and 86.1% of the patients described no pain on EVA scoring. CONCLUSION: The laparoscopic cure of small ventral hernias with composite mesh is efficient. Further technical progress is warranted to reduce the rate of seroma formation.
Authors: M A Carbajo; J C Martín del Olmo; J I Blanco; C de la Cuesta; M Toledano; F Martin; C Vaquero; L Inglada Journal: Surg Endosc Date: 1999-03 Impact factor: 4.584
Authors: M Rosen; F Brody; J Ponsky; R M Walsh; S Rosenblatt; F Duperier; A Fanning; A Siperstein Journal: Surg Endosc Date: 2002-09-23 Impact factor: 4.584