Laparoscopic ventral hernia repair with primary closure versus no primary closure of the defect: potential benefits of the robotic technology

被引:48
作者
Gonzalez, Anthony Michael [1 ]
Romero, Rey Jesus [1 ]
Seetharamaiah, Rupa [1 ]
Gallas, Michelle [2 ]
Lamoureux, Julie [3 ]
Rabaza, Jorge Rafael [1 ]
机构
[1] Baptist Hlth South Florida, Dept Gen & Bariatr Surg, Miami, FL USA
[2] Baptist Hlth South Florida, Ctr Res & Grants, Miami, FL USA
[3] West Kendall Baptist Hosp, Dept Qual & Risk Management, Miami, FL USA
关键词
laparoscopic; robotic; ventral hernia; incisional hernia; surgery; defect; MESH REPAIR; EXPERIENCE; OUTCOMES; TACKS; COST;
D O I
10.1002/rcs.1605
中图分类号
R61 [外科手术学];
学科分类号
摘要
BackgroundSome authors recommend primary closure of the defect before placement of the mesh. The purpose of this study is to compare laparoscopic ventral hernia repair (LVHR) without primary closure of the defect (NPCD) versus LVHR with primary closure of the defect (PCD). MethodsA retrospective review of 134 LVHR was performed. Each group included 67 cases. For the PCD group the robotic platform was used. ResultsGroups were similar in terms of demographics and comorbidities. For NPCD and PCD groups mean surgical time was 87.953.1 and 107.6 +/- 33.9 minutes (p=0.012); conversion to open surgery was seen in 3(4.5%) and 1(1.5%) (p=0.310); complications were 7(10.4%) and 2(3%) (p=0.084); and finally, recurrences were seen in 5(7.5%) and 1(1.5%) (p=0.095). ConclusionsPCD has longer surgical time, however, a tendency in terms of complications and recurrences was found favoring the PCD group. The robotic assistance is a good alternative when primary closure of the defect is attempted. Copyright (c) 2014 John Wiley & Sons, Ltd.
引用
收藏
页码:120 / 125
页数:6
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