Complications in Laparoscopic Versus Open Incisional Ventral Hernia Repair. A Retrospective Comparative Study

Background: The aim of this study was to compare the efficacy of a hybrid approach (HA) versus laparoscopy in reducing the risk of complications related to complex adhesiolysis in incisional ventral hernia repair (IVHR). Methods: This study included 269 adult patients who underwent laparoscopic IVHR at the Oulu University Hospital, Finland during 2006-2012. Baseline, operative and postoperative data was collected and compared between the treatment groups; that is, a comparison was made between the laparoscopic approach (LA, 38 patients) and the hybrid approach (HA, 24 patients). Results: In the LA group, 11 (28.9%) patients experienced postoperative complications. There were 4 undetected enterotomies that led to major complications, reoperations and one death. In the HA group, 6 (25%) patients experienced mild and moderate complications. During adhesiolysis, 4 enterotomies occurred but were immediately sutured without any complication. Conclusion: Adhesiolysis through a minimally invasive open technique may be associated with a lower risk of undetected enterotomy in patients with complex adhesions. In IVHR, the hybrid should be considered the operative method of choice when adhesions are foreseeable.

show abstract

“…The study design is shown in Figure 1 . The results of the excluded cases are published in another study [17] .…”

Section: Methodsmentioning

confidence: 99%

“…We used the Clavien-Dindo grading system to classify the postoperative complications, which occurred in these patients [16] . The severity of adhesions was graded based on Mueller's classification [17] , that is, grade 0 = no adhesions, grade 1 = simple omental adhesions and grade 2 = intense serosal adhesions.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic versus Hybrid Approach for Treatment of Incisional Ventral Hernia

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…En los defectos herniarios mayores la técnica de separación de componentes y colocación de malla tipo sublay es el método más descrito, aunque se debe individualizar cada paciente para determinar la mejor técnica quirúrgica (14).…”

Section: Discussionunclassified

Corrección por laparoscopia de hernia incisional en paciente con diálisis peritonal

et al. 2017

View full text Add to dashboard Cite

Comparte ResumenLa hernia incisional es un problema común en pacientes que son llevados a procedimientos quirúrgicos abdominales y predomina en pacientes con laparotomía mediana, en quienes tiene gran impacto en cuanto a la morbilidad y complicaciones, particularmente en pacientes con diálisis peritoneal. El manejo laparoscópico con colocación de malla ha sido la opción recomendada en el caso de las hernias incisionales, por lo que su implementación en pacientes dializados es determinante para reducir la morbilidad y las futuras complicaciones. AbstractIncisional hernia is a common problem in patients who are carried abdominal surgical procedures, predominantly in patients with median laparotomy where have an increased incidence, having a major impact in terms of morbidity and complications, especially in patients with peritoneal dialysis. Laparoscopic management with mesh placement has been the gold standard in its handling so that its implementation in this special population will be crucial to improve morbidity and future complications.Keywords: Peritoneal dialyisis, Incisional hernia, Surgical mesh, Abdominal wall. IntroducciónLos defectos de la pared abdominal hacen parte de las enfermedades con mayor afectación de la morbilidad y la calidad de vida en los pacientes que son llevados a cirugía abdominal; su incidencia es baja y su formación depende tanto de eventos propios de la técnica quirúrgica como de eventos fisiopatológicos del paciente (1).De otro lado, los pacientes que son llevados a diálisis peritoneal que consecuentemente presentan defectos de la pared abdominal, presentan mayor tasas de complicaciones, siendo necesario en ocasiones el retiro del catéter, reparos emergentes o tardíos de la pared abdominal con complicaciones a largo plazo (2).

show abstract

“…After the introduction of laparoscopic repair, comparison of laparoscopic and open repair has been questioned by the literature. Although laparoscopic repair promises less pain and faster return to daily activities, these advantages are blamed to be impaired by longer operation time and higher complications such as bowel injury (15). One disadvantage of laparoscopic repair is the higher costs.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic approach was first described by Le Blanc and Booth in 1993 by using intraperitoneal polytetrafluoroethylene (PTFE) mesh (11). This technique has advantages like less pain, scar and seroma formation (12,13) and disadvantages like longer operation time and higher risk of bowel injury (14,15).…”

Section: Introductionmentioning

confidence: 99%

Comparison of pain score and patient satisfaction between laparoscopic and open abdominal incisional hernia repair

et al. 2018

View full text Add to dashboard Cite

show abstract

Complications in Laparoscopic Versus Open Incisional Ventral Hernia Repair. A Retrospective Comparative Study

Abstract: Laparoscopic incisional ventral hernia repair has a low rate of postoperative complications but it is associated with an increased risk of undetected enterotomies, in particular during cases involving adhesiolysis.

Cited by 29 publications

References 30 publications

Laparoscopic versus Hybrid Approach for Treatment of Incisional Ventral Hernia

Laparoscopic versus Hybrid Approach for Treatment of Incisional Ventral Hernia

Corrección por laparoscopia de hernia incisional en paciente con diálisis peritonal

Comparison of pain score and patient satisfaction between laparoscopic and open abdominal incisional hernia repair

Contact Info

Product

Resources

About