Incisional Hernia: Laparoscopic or Open Repair?

被引：8

作者：

Stipa, Francesco ^{[1
]}

Giaccaglia, Valentina ^{[1
]}

Burza, Antonio ^{[1
]}

Santini, Ettore ^{[1
]}

Bascone, Bruno ^{[1
]}

Picchio, Marcello ^{[1
]}

机构：

[1] San Giovanni Hosp, Dept Surg, I-00186 Rome, Italy

来源：

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2013年 / 23卷 / 04期

关键词：

incisional hernia; open repair; laparoscopic repair; VENTRAL HERNIA; ABDOMINAL-WALL; HERNIORRHAPHY; EXPERIENCE; RECURRENCE;

D O I：

10.1097/SLE.0b013e31828e3c33

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose: To compare laparoscopic and open repair of incisional hernia in terms of complications and failure rates.Methods: Between June 2005 and April 2012, 252 patients underwent incisional hernia repair. Of these, 126 underwent laparoscopic and 126 open repair. The median follow-up was 38.7 months.Results: Baseline characteristics [age, body mass index, American Society of Anesthesiologists (ASA) score, comorbidities, hernia size, and follow-up] did not differ significantly. Mean operative time was similar (72 vs. 83 min). Laparoscopic repair was associated with less postoperative pain, less postoperative complications (3.9% vs. 13.4%, P=0.012), and shorter hospital stay (3.5 vs. 4.3, P=0.002). Recurrence occurred in 6 patients of group 1 and in 7 patients of group 2 (4.7% vs. 5.5%, P=not significant).Conclusions: In this study, the trend in favor of laparoscopic treatment for incisional hernias is remarkable. Fewer postoperative complications and shorter hospital stay with similar operative time may balance the higher costs associated with the technique.

引用

页码：419 / 422

页数：4

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