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Related Experiment Videos

Recurrence after laparoscopic ventral hernia repair.

M Rosen1, F Brody, J Ponsky

  • 1Department of General Surgery, Minimally invasive Surgery Center, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Surgical Endoscopy
|October 3, 2002
PubMed
Summary

Laparoscopic ventral hernia repair (LVHR) shows a higher recurrence rate than initially thought, emphasizing the need for long-term follow-up. Prior failed repairs and increased blood loss predict recurrence in LVHR outcomes.

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Area of Science:

  • General Surgery
  • Minimally Invasive Surgery

Background:

  • Laparoscopic ventral hernia repair (LVHR) is a common procedure.
  • Limited long-term data exists on LVHR recurrence rates.
  • This study evaluates a single institution's long-term LVHR outcomes.

Purpose of the Study:

  • To assess the long-term recurrence rates of laparoscopic ventral hernia repair (LVHR).
  • To identify factors predicting recurrence after LVHR.

Main Methods:

  • Retrospective analysis of 100 LVHR cases from 1996-2001.
  • Long-term follow-up via physical exam or telephone.
  • Cox regression analysis to determine predictors of recurrence.

Main Results:

  • 17 out of 96 hernias (17.7%) recurred over a mean 30-month follow-up.

Related Experiment Videos

  • Prior failed hernia repair (OR 3.6) and increased blood loss (OR 1.03) predicted recurrence.
  • BMI, defect size, mesh size, type, and fixation did not predict recurrence.

    • Conclusions:

    • LVHR has a higher recurrence rate than suggested by short-term studies.
    • Long-term follow-up is crucial for accurate assessment of LVHR outcomes.
    • Prior failed repair and blood loss are key indicators for potential recurrence.