Perioperative outcomes and complications of laparoscopic ventral hernia repair

Perrone, Juan M.; Soper, Nathaniel J.; Eagon, J. Christopher; Klingensmith, Mary E.; Aft, Rebecca; Frisella, Margaret M.; Brunt, L. Michael

doi:10.1016/j.surg.2005.06.054

Cited by 148 publications

(95 citation statements)

References 22 publications

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“…This figure is higher when compared to the values observed in the previous studies [20,21] . This is likely due to the fact that this analysis included only patients undergoing complex adhesiolysis.…”

Section: Discussioncontrasting

confidence: 73%

Laparoscopic versus Hybrid Approach for Treatment of Incisional Ventral Hernia

et al. 2017

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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.

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Section: Discussioncontrasting

confidence: 73%

Laparoscopic versus Hybrid Approach for Treatment of Incisional Ventral Hernia

et al. 2017

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“…[1][2][3] Data on morbidity and recurrence rates are still inconclusive. 4,5 The purpose of this study was to compare the outcome of patients undergoing open and laparoscopic intraperitoneal onlay mesh repairs in a single institution during a 10-year period. We hypothesized that there is no difference in the complication rate, severity of complications, long-term recurrence rate, and length of hospital stay between patients undergoing the open or laparoscopic repair.…”

Section: Discussionmentioning

confidence: 99%

“…The complication rates and recurrence rates, however, revealed large variations without a clear difference between the open and laparoscopic methods. 4,5 Our study used the Clavien classification of complications to account not only for the occurrence of a complication but also for the severity. Using this classification, our data suggest that more severe complications occurred in patients undergoing open ventral hernia repair, whereas seromas were more frequently noted in patients undergoing laparoscopic repair.…”

Section: Commentmentioning

confidence: 99%

Long-term Outcomes in Laparoscopic vs Open Ventral Hernia Repair

et al. 2007

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To investigate whether there was a difference in morbidity, recurrence rate, and length of hospital stay between patients undergoing open or laparoscopic incisional hernia repair.Design and Setting: Single-institution cohort study. We compared prospectively collected patient cohorts undergoing laparoscopic or open intraperitoneal onlay mesh repair. Statistical analysis was performed by Fisher exact test and analysis of variance.

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“…[17][18][19][20] Post-operative ileus was also reported here in this series but only in 02.77% of cases, which was much less than other reported series. 13 Riley KK et al in their study titled suture versus tack fixation of mesh in laparoscopic umbilical hernia repair didn't find any differences in their result between suture and tack fixation of mesh for LVHR. 21 Here, result of this study also didn't find any shortfall in surgical outcome of these tack only mesh fixation after comparing with result of any other case series reported earlier in respect of LVHR.…”

Section: Discussionmentioning

confidence: 94%

“…Rest of the post-operative complications were at par or even lower than results of other reported series. 13,14 Prolonged seromas is considered one of the commonest post-operative complication followed by prolonged pain. In normal circumstances seromas are supposed to be resolved within ninety days of postoperative period.…”

Section: Discussionmentioning

confidence: 99%