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Am J Surg. 2000 Sep;180(3):193-7.

Laparoscopic incisional and ventral herniorrhaphy in 100 patients.

Author information

1
Surgical Specialty Group, Inc., Baton Rouge, Louisiana 70808, USA.

Abstract

BACKGROUND:

Laparoscopic incisional and ventral herniorrhaphy, a procedure first described 7 years ago, continues to gain acceptance. A series of about 100 patients who underwent the operation is described. Follow-up in this series was longer (mean 51 months) than that in previously reported series.

METHODS:

A retrospective review was conducted of operative and follow-up records of a series of patients scheduled to undergo laparoscopic incisional or ventral herniorrhaphy between 1992 and 1997.

RESULTS:

Laparoscopic repair was completed in 96 of 100 patients. The complication rate was 14%, with seromas accounting for half of the postoperative problems. Mean hospital stay was 1 day. The late recurrence rate was 9%, with 4 of the 9 recurrences developing >2 years postoperatively.

CONCLUSIONS:

Laparoscopic incisional and ventral herniorrhaphy is safe and effective. Most patients require hospitalization for </=24 hours. Use of an adequately sized prosthesis secured with more than one method is essential. Patients should be observed >/=3 years.

PMID:
11084128
DOI:
10.1016/s0002-9610(00)00443-8
[Indexed for MEDLINE]

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