BACKGROUND: This study reports medium-term outcomes of laparoscopic incisional hernia repair. STUDY DESIGN: Laparoscopic repair was performed on 721 patients with ventral hernia. After adhesiolysis the defect was closed with no. 1 polyamide suture or loop. This was followed by reinforcement with intraperitoneal onlay repair with a bilayered mesh. RESULTS: Laproscopic repair of ventral hernia was performed on 613 females and 108 males. Of these, 185 (25.7%) were recurrent incisional hernias of which 93 had undergone previous open hernioplasty. The remaining 92 patients had previously undergone sutured repair. The average operating time was 95 min (range 60-115 min). Conversion rate was 1%. The average hospital stay was 2 days (range 1-6 days). The commonest complication was seroma formation at the incisional hernia site. Full-thickness bowel injury occurred in two patients. The mean follow-up period was 4.2 years (range 3 months to 10 years). Recurrence was noted in four (0.55%) patients. CONCLUSION: Laparoscopic repair is well-tolerated and can be accomplished with minimum morbidity in ventral hernias.
BACKGROUND: This study reports medium-term outcomes of laparoscopic incisional hernia repair. STUDY DESIGN: Laparoscopic repair was performed on 721 patients with ventral hernia. After adhesiolysis the defect was closed with no. 1 polyamide suture or loop. This was followed by reinforcement with intraperitoneal onlay repair with a bilayered mesh. RESULTS: Laproscopic repair of ventral hernia was performed on 613 females and 108 males. Of these, 185 (25.7%) were recurrent incisional hernias of which 93 had undergone previous open hernioplasty. The remaining 92 patients had previously undergone sutured repair. The average operating time was 95 min (range 60-115 min). Conversion rate was 1%. The average hospital stay was 2 days (range 1-6 days). The commonest complication was seroma formation at the incisional hernia site. Full-thickness bowel injury occurred in two patients. The mean follow-up period was 4.2 years (range 3 months to 10 years). Recurrence was noted in four (0.55%) patients. CONCLUSION: Laparoscopic repair is well-tolerated and can be accomplished with minimum morbidity in ventral hernias.
Authors: David Costa; Andrés Tomás; Javier Lacueva; Francisco de Asís Pérez; Israel Oliver; Antonio Arroyo; Ana Sánchez; Juan Andreu; Juan Antonio Gallego; Rafael Calpena Journal: Hernia Date: 2004-02-19 Impact factor: 4.739
Authors: M Basoglu; M I Yildirgan; I Yilmaz; A Balik; F Celebi; S S Atamanalp; K Y Polat; D Oren Journal: Acta Chir Belg Date: 2004-08 Impact factor: 1.090
Authors: F K Toy; R W Bailey; S Carey; C W Chappuis; M Gagner; L G Josephs; E C Mangiante; A E Park; A Pomp; R T Smoot; J F Uddo; G R Voeller Journal: Surg Endosc Date: 1998-07 Impact factor: 4.584
Authors: David Earle; J Scott Roth; Alan Saber; Steve Haggerty; Joel F Bradley; Robert Fanelli; Raymond Price; William S Richardson; Dimitrios Stefanidis Journal: Surg Endosc Date: 2016-07-12 Impact factor: 4.584
Authors: John Emil Wennergren; Erik P Askenasy; Jacob A Greenberg; Julie Holihan; Jerrod Keith; Mike K Liang; Robert G Martindale; Skylar Trott; Margaret Plymale; John Scott Roth Journal: Surg Endosc Date: 2015-11-17 Impact factor: 4.584