Sarah Lund1, David Farley2. 1. Mayo Clinic School of Medicine, 200 1st Street SW, Rochester, MN, 55902, USA; Mayo Clinic Department of General Surgery, 200 1st Street SW, Rochester, MN, 55902, USA. Electronic address: lund.sarah@mayo.edu. 2. Mayo Clinic Department of General Surgery, 200 1st Street SW, Rochester, MN, 55902, USA.
Abstract
BACKGROUND: Few studies have evaluated surgical outcomes in long-term follow-up for patients undergoing Laparoscopic Ventral Hernia Repair (LVHR). METHODS: A retrospective review of long-term follow-up of LVHR patients (2002-2005) at a single institution. RESULTS: Sixty-three patients (37 males; mean age = 63, mean BMI = 33, 41% for recurrence) underwent LVHR. Mean operative time was 164 min. Mean hospital stay was 3.7 days. Short- and long-term complications occurred in 19% and 44% of patients, respectively. Mean follow-up was 12.4 years. Recurrent hernias were noted in 15 patients. Seroma formation occurred in 14 patients; small bowel obstruction occurred in 10 patients. Five patients developed mesh infection. Use of PTFE mesh, longer operative time, and a larger hernia defect were risk factors for mesh infection (p < 0.05). CONCLUSIONS: Long-term outcomes for patients undergoing LVHR are fraught with complications (44%) and a considerable risk of hernia recurrence (23%).
BACKGROUND: Few studies have evaluated surgical outcomes in long-term follow-up for patients undergoing Laparoscopic Ventral Hernia Repair (LVHR). METHODS: A retrospective review of long-term follow-up of LVHR patients (2002-2005) at a single institution. RESULTS: Sixty-three patients (37 males; mean age = 63, mean BMI = 33, 41% for recurrence) underwent LVHR. Mean operative time was 164 min. Mean hospital stay was 3.7 days. Short- and long-term complications occurred in 19% and 44% of patients, respectively. Mean follow-up was 12.4 years. Recurrent hernias were noted in 15 patients. Seroma formation occurred in 14 patients; small bowel obstruction occurred in 10 patients. Five patients developed mesh infection. Use of PTFE mesh, longer operative time, and a larger hernia defect were risk factors for mesh infection (p < 0.05). CONCLUSIONS: Long-term outcomes for patients undergoing LVHR are fraught with complications (44%) and a considerable risk of hernia recurrence (23%).
Authors: Stefano Olmi; Matteo Uccelli; Giovanni Carlo Cesana; Alberto Oldani; Riccardo Giorgi; Stefano Maria De Carli; Francesca Ciccarese; Roberta Villa Journal: JSLS Date: 2020 Jan-Mar Impact factor: 2.172