Laparoscopic cure of small ventral hernias with composite mesh

被引：13
作者：
Johanet H. [1 ]
Dabrowski A. [1 ]
Hauters P. [1 ]
Coelio [2 ]
机构：
[1] Service de Chirurgie Générale et Digestive, Hôpital Bichat, 75018 Paris
[2] CMC Parly 2, 78150 Le Chesnay
来源：
Hernia | 2006年 / 10卷 / 5期
关键词：
Composite mesh; Incisional hernia; Laparoscopy; Umbilical hernia;
D O I：
10.1007/s10029-006-0128-9
中图分类号：
学科分类号：
摘要：
Background: The use of mesh is recommended to reduce the rate of recurrence after the curing of ventral hernias. Methods: A multicentre prospective trial was conducted to assess the laparoscopic cure of small ventral hernias with a composite mesh. Results: Around 222 patients entered the trial and received laparoscopic repair for ventral hernias of less than 5 cm. There was one conversion. The mean length of post-operative hospitalisation was 2.5 days. At 1 year, the recurrence rate was 2%. Two meshes were removed due to infection, 3% of the patients were using analgesics and 86.1% of the patients described no pain on EVA scoring. Conclusion: The laparoscopiccure of small ventral hernias with composite mesh is efficient. Further technical progress is warranted to reduce the rate of seroma formation. © Springer-Verlag 2006.
引用
收藏
页码：414 / 418
页数：4
相关论文
共 15 条
  • [1] Luijendijk R.W., Hop W.E.J., Petrousjka Van Den Tol M., de Lange D.C.D., Braaksma M.M.J., Ijzermans J.N.M., Boelhouwer R.U., de Vries B.C., Salu M.K., Wereldsma J.C., Bruijninckx C.M., Jeekel J., A comparison of suture repair with mesh repair for incisional hernia, N Engl J Med, 343, 6, pp. 392-398, (2000)
  • [2] Arroyo A., Garcia P., Perez F., Andreu J., Candela F., Calpena R., Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults, Br J Surg, 88, 10, pp. 1321-1323, (2001)
  • [3] Cassar K., Munro A., Surgical treatment of incisional hernia, Br J Surg, 89, 5, pp. 534-545, (2002)
  • [4] Mutter D., Jamali F.R., Moody D.L., Rodeheaver G.T., Therin M., Marescaux J., The concept of protected mesh to minimize adhesion formation in intraperitoneal abdominal wall reinforcement. Preclinical evaluation of a new composite mesh, Hernia, 4, SUPPL. 1, (2000)
  • [5] Mueller M.D., Tschudi J., Hermann U., Klaiber C., An evaluation of laparoscopic adhesiolysis in patients with chronic abdominal pain, Surg Endosc, 9, 7, pp. 802-804, (1995)
  • [6] LeBlanc K.A., Booth W.V., Laparoscopic repair of incisional abdominal hernia using expanded polytetrafluoroethylene: Preliminary findings, Surg Laparosc Endosc, 3, 1, pp. 39-41, (1993)
  • [7] Berger D., Bientzle M., Muller A., Postoperative complications after laparoscopic incisional hernia repair. Incidence and treatment, Surg Endosc, 16, 12, pp. 1720-1723, (2002)
  • [8] Holzman M.D., Purut C.M., Rentgen K., Eubanks S., Pappas T.N., Laparoscopic ventral and incisional hernioplasty, Surg Endosc, 11, 1, pp. 32-35, (1997)
  • [9] Bageacu S., Blanc P., Breton C., Gonzales M., Porcheron J., Chabert M., Balique J.G., Laparoscopic repair of incisional hernia: A retrospective study of 159 patients, Surg Endosc, 16, 2, pp. 345-348, (2002)
  • [10] Goodney P.P., Birkmeyer C.M., Birkmeyer J.D., Short-term outcomes of laparoscopic and open ventral hernia repair: A meta-analysis, Arch Surg, 137, 10, pp. 1161-1165, (2002)
12