Laparoscopic sutured closure with mesh reinforcement of incisional hernias

被引：68

作者：

Palanivelu C. ^{[1
]}

Jani K.V. ^{[1
]}

Senthilnathan P. ^{[1
]}

Parthasarathi R. ^{[1
]}

Madhankumar M.V. ^{[1
]}

Malladi V.K. ^{[1
]}

机构：

[1] Department of GI and Minimally Invasive Surgery, Gem Hospital, Coimbatore 641045 Tamilnadu, 45 A, Pankaja Mill Road

来源：

Hernia | 2007年 / 11卷 / 3期

关键词：

Incisional hernia repair; Laparoscopy; Ventral hernia repair;

D O I：

10.1007/s10029-007-0200-0

中图分类号：

学科分类号：

摘要：

Background: This study reports medium-term outcomes of laparoscopic incisional hernia repair. Study Design: Laparoscopic repair was performed on 721 patients with ventral hernia. After adhesiolysis the defect was closed with no. 1 polyamide suture or loop. This was followed by reinforcement with intraperitoneal onlay repair with a bilayered mesh. Results: Laproscopic repair of ventral hernia was performed on 613 females and 108 males. Of these, 185 (25.7%) were recurrent incisional hernias of which 93 had undergone previous open hernioplasty. The remaining 92 patients had previously undergone sutured repair. The average operating time was 95 min (range 60-115 min). Conversion rate was 1%. The average hospital stay was 2 days (range 1-6 days). The commonest complication was seroma formation at the incisional hernia site. Full-thickness bowel injury occurred in two patients. The mean follow-up period was 4.2 years (range 3 months to 10 years). Recurrence was noted in four (0.55%) patients. Conclusion: Laparoscopic repair is well-tolerated and can be accomplished with minimum morbidity in ventral hernias. © Springer-Verlag 2007.

引用

页码：223 / 228

页数：5

共 29 条

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