Recurrence after laparoscopic ventral hernia repair

Rosen, Michael J.; Brody, Fred; Ponsky, Jeffrey L.; Walsh, R. Matthew; Rosenblatt, Steven; Duperier, Frank D; Fanning, Alicia; Siperstein, Allan

doi:10.1007/s00464-002-8813-y

Cited by 132 publications

(89 citation statements)

References 17 publications

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“…In addition, the overall prevalence of recurrence of 2.8% was low compared with that reported in the literature (1-20%). 5,[10][11][12][13][14] The duration of follow-up of our study was relatively short (median, 30.2 months), but most recurrences reported in the literature occur within one year of surgery, and our follow-up period is at least comparable with that of other studies. Similarly, the prevalence of recurrence reported here is equal or superior to most series of open repairs reported.…”

Section: Discussionmentioning

confidence: 71%

Laparoscopic incisional and ventral hernia repair in a district general hospital

Mann

Luther

Hart

et al. 2015

annals

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INTRODUCTIONThe laparoscopic approach to repairing ventral and incisional hernias has gained increasing popularity worldwide. We reviewed the experience of laparoscopic ventral hernia repair at a district general hospital in the UK with particular reference to patients with massive defects (diameter ≥15cm) and the morbidly obese. METHODS A total of 144 patients underwent laparoscopic ventral (incisional or umbilical/paraumbilical) hernia repair between April 2007 and September 2012. RESULTS The prevalence of conversion to open surgery was 2.8%. The prevalence of postoperative complications was 3.5%. Median postoperative follow-up was 30.2 months. A total of 5.6% cases suffered late complications and 2.8% developed recurrence. Thirty-four patients underwent repair of defects ≥10cm in diameter with a prevalence of recurrence of 5.6%. Sixteen patients underwent repair of 'massive' incisional hernia (diameter ≥15cm) with a prevalence of recurrence of 12.5%. Sixteen patients with a body mass index (BMI) ≥40kg/m 2 (range, 40-61kg/m 2 ) underwent laparoscopic repair with a prevalence of recurrence of 6.3% (p>0.05 vs BMI <40kg/m

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Section: Discussionmentioning

confidence: 71%

Laparoscopic incisional and ventral hernia repair in a district general hospital

Mann

Luther

Hart

et al. 2015

annals

View full text Add to dashboard Cite

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“…La mediana del diámetro mayor de los defectos reparados fue 6 cm (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). 67,7% de los defectos reparados correspondieron a hernias incisionales, un 26% (n = 33) de los casos eran recidivas de reparaciones anteriores, esteroidales y paracetamol por horario.…”

Section: Resultsunclassified

“…La menor incidencia se ha registrado en reparaciones que utilizan puntos transfaciales y una corona doble de fijación, sobrepasando la malla 5 cm en forma circunferencial el defecto 12,13 . En nuestro caso, hemos utilizado esta técnica de fijación combinada pero con sólo una corona, lo que ha demostrado porcentaje de recidivas similares a la técnica de doble fijación 14,15 .…”

Section: Discussionunclassified

Hernioplastía Ventral Laparoscópica

et al. 2014

Rev Chil Cir

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Laparoscopic repair of ventral herniasBackground: Ventral hernias are defects of the anterior abdominal wall, the laparoscopic repair has shown some advantages compared to open repair. Aim: To evaluate perioperative outcomes of the laparoscopic ventral hernia repair and to describe risk factors associated to recurrence. Methods: Non-concurrent prospective cohort study, clinical data of all patients who underwent laparoscopic ventral hernia repair between June 2006 and May 2013 were reviewed. Univariate analyses were performed using chi-square for categorical variables and U Mann-Whitney test for continuous variables. Multivariate analysis was performed using a logistic regression model. Results: 127 patients underwent laparoscopic ventral hernia, 52% female, age of 58.1 ± 1.2 years old. Mean Body Mass Index (BMI) was 31 ± 0.5 kg/m 2 and 67.7% were incisional hernias. Median operative time was 80 minutes (ranging from 30-350) and the median defect size was 6 cm (ranging from 2-20). Conversion to open surgery was necessary in 4 cases (3.9%). Median of hospital stay was 2 days (ranging from 1-15). Recurrence rate was 14.2% and the median to recurrence was 9 months. Recurrence rate was associated positively to defect size > 10 cm (p = 0.002), previous recurrence (p = 0.029) and operative time > 90 minutes (p = 0.017) in the univariate analyses. However, it was only associated to the first two in the multivariate analysis (OR 3.906; respectively). Conclusions: Laparoscopic repair of ventral hernia is a safe procedure with acceptable perioperative complication rates. Defect size and previous recurrence are associated to a higher recurrence rate.

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“…17 Mesh placement in the inner layer of the abdominal wall (beneath the peritoneum) seems to be the most physiological method of hernia repair, allowing the lowest relapse rate. 18 All laparoscopic hernia repair included in this study underwent the same repair technique. The mesh was positioned over the defect initially with trans-parietal stitches and then fixed to the abdominal wall with spiral tacks, even though it was suggested that tacks alone allow a higher relapse rate.…”

Section: Discussionmentioning

confidence: 99%