Alessia Ferrarese1, Stefano Enrico2, Mario Solej3, Alessandra Surace4, Mario Junior Nardi5, Paolo Millo6, Rosaldo Allieta7, Cosimo Feleppa8, Luigi D'Ambra9, Stefano Berti10, Enrico Gelarda11, Felice Borghi12, Gabriele Pozzo13, Bartolomeo Marino14, Emma Marchigiano15, Pietro Cumbo16, Maria Paola Bellomo17, Claudio Filippa18, Paolo Depaolis19, Mario Nano20, Valter Martino21. 1. University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: alessia.ferrarese@gmail.com. 2. University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: Stefano_e@libero.it. 3. University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: mariosolej@gmail.com. 4. University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: alessandra_sur@gmail.com. 5. Hospital "Umberto Parini", Section of General Surgery, Aosta, Italy. Electronic address: marionardijr@libero.it. 6. Hospital "Umberto Parini", Section of General Surgery, Aosta, Italy. Electronic address: pmillo@ausl.vda.it. 7. Hospital "Umberto Parini", Section of General Surgery, Aosta, Italy. Electronic address: rallieta@ausl.vda.it. 8. Hospital "Sant'Andrea", Section of General Surgery, La Spezia, Italy. Electronic address: cosimofeleppa@gmail.com. 9. Hospital "Sant'Andrea", Section of General Surgery, La Spezia, Italy. Electronic address: luigidambra68@libero.it. 10. Hospital "Sant'Andrea", Section of General Surgery, La Spezia, Italy. Electronic address: Stefano.berti@asl5.liguria.it. 11. Hospital "Santa Croce e Carle", Section of General Surgery, Cuneo, Italy. Electronic address: enricogelarda@email.it. 12. Hospital "Santa Croce e Carle", Section of General Surgery, Cuneo, Italy. Electronic address: borghi.f@ospedale.cuneo.it. 13. Hospital "Civile", Section of General Surgery, Asti, Italy. Electronic address: gpozzo@asl.at.it. 14. Hospital "Civile", Section of General Surgery, Asti, Italy. Electronic address: bmarino@asl19.asti.it. 15. Hospital "Santa Croce", Section of General Surgery, Moncalieri, Italy. Electronic address: emma.marchigiano@libero.it. 16. Hospital "Santa Croce", Section of General Surgery, Moncalieri, Italy. Electronic address: pietrocumbo@gmail.com. 17. Hospital "Gradenigo", Section of General Surgery, Torino, Italy. Electronic address: paola.bellomo@fastwebnet.it. 18. Hospital "Gradenigo", Section of General Surgery, Torino, Italy. Electronic address: claudio.filippa@fastwebnet.it. 19. Hospital "Gradenigo", Section of General Surgery, Torino, Italy. Electronic address: paolo_depaolis@fastwebnet.it. 20. University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: mario.nano@unito.it. 21. University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: valtermartino.md@gmail.com.
Abstract
BACKGROUND: The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years. METHODS: A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs: subcostal, suprapubic, lumbar, and epigastric. We also conducted a literature review. RESULTS: No difference was found between the four subgroups in terms of demographic data, defect characteristics, admission data, and complications. Subcostal defects required a shorter operating time. Obesity was found to be a risk factor for recurrence. CONCLUSIONS: In our experience, subcostal defects were easier to perform, with a lower recurrence rate, lesser chronic pain, and faster surgical performance. A more specific prospective randomized trial with a larger sample is awaited. Based on our experience, however, the laparoscopic approach is a safe treatment for NMVHs in specialized centers.
BACKGROUND: The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years. METHODS: A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs: subcostal, suprapubic, lumbar, and epigastric. We also conducted a literature review. RESULTS: No difference was found between the four subgroups in terms of demographic data, defect characteristics, admission data, and complications. Subcostal defects required a shorter operating time. Obesity was found to be a risk factor for recurrence. CONCLUSIONS: In our experience, subcostal defects were easier to perform, with a lower recurrence rate, lesser chronic pain, and faster surgical performance. A more specific prospective randomized trial with a larger sample is awaited. Based on our experience, however, the laparoscopic approach is a safe treatment for NMVHs in specialized centers.
Authors: Alessia Ferrarese; Valentina Gentile; Marco Bindi; Matteo Rivelli; Jacopo Cumbo; Mario Solej; Stefano Enrico; Valter Martino Journal: Open Med (Wars) Date: 2016-11-26
Authors: Alessandra Surace; Alessia Ferrarese; Valentina Gentile; Marco Bindi; Jacopo Cumbo; Mario Solej; Stefano Enrico; Valter Martino Journal: Open Med (Wars) Date: 2016-11-19