Anthony Michael Gonzalez1, Rey Jesus Romero1, Rupa Seetharamaiah1, Michelle Gallas2, Julie Lamoureux3, Jorge Rafael Rabaza1. 1. Department of General and Bariatric Surgery, Baptist Health South Florida. Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA. 2. Center for Research & Grants, Baptist Health South Florida. Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA. 3. Department of Quality and Risk Management, West Kendall Baptist Hospital, Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA.
Abstract
BACKGROUND: Some authors recommend primary closure of the defect before placement of the mesh. The purpose of this study is to compare laparoscopic ventral hernia repair (LVHR) without primary closure of the defect (NPCD) versus LVHR with primary closure of the defect (PCD). METHODS: A retrospective review of 134 LVHR was performed. Each group included 67 cases. For the PCD group the robotic platform was used. RESULTS: Groups were similar in terms of demographics and comorbidities. For NPCD and PCD groups mean surgical time was 87.9±53.1 and 107.6±33.9 minutes (p = 0.012); conversion to open surgery was seen in 3(4.5%) and 1(1.5%) (p = 0.310); complications were 7(10.4%) and 2(3%) (p = 0.084); and finally, recurrences were seen in 5(7.5%) and 1(1.5%) (p = 0.095). CONCLUSIONS: PCD has longer surgical time, however, a tendency in terms of complications and recurrences was found favoring the PCD group. The robotic assistance is a good alternative when primary closure of the defect is attempted.
BACKGROUND: Some authors recommend primary closure of the defect before placement of the mesh. The purpose of this study is to compare laparoscopic ventral hernia repair (LVHR) without primary closure of the defect (NPCD) versus LVHR with primary closure of the defect (PCD). METHODS: A retrospective review of 134 LVHR was performed. Each group included 67 cases. For the PCD group the robotic platform was used. RESULTS: Groups were similar in terms of demographics and comorbidities. For NPCD and PCD groups mean surgical time was 87.9±53.1 and 107.6±33.9 minutes (p = 0.012); conversion to open surgery was seen in 3(4.5%) and 1(1.5%) (p = 0.310); complications were 7(10.4%) and 2(3%) (p = 0.084); and finally, recurrences were seen in 5(7.5%) and 1(1.5%) (p = 0.095). CONCLUSIONS:PCD has longer surgical time, however, a tendency in terms of complications and recurrences was found favoring the PCD group. The robotic assistance is a good alternative when primary closure of the defect is attempted.
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
Authors: Peter A Walker; Audriene C May; Jiandi Mo; Deepa V Cherla; Monica Rosales Santillan; Steven Kim; Heidi Ryan; Shinil K Shah; Erik B Wilson; Shawn Tsuda Journal: Surg Endosc Date: 2018-02-06 Impact factor: 4.584