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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Laparoscopic ventral hernia repair: a single center experience.
W S Cobb1, K W Kercher, B D Matthews
1Carolinas Laparoscopic and Advanced Surgery Program, Department of General Surgery, Carolinas Medical Center, 1000 Blythe Blvd., MEB #601, Charlotte, NC 28203, USA. todd.heniford@carolinashealthcare.org
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|February 3, 2006
Summary
Laparoscopic ventral hernia repair (LVHR) is a safe and effective procedure, with a 98% success rate and a low recurrence rate of 4.7% in difficult cases. This minimally invasive approach offers a viable option for patients with complex hernias.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Abdominal Wall Reconstruction
Background:
- Ventral hernias are common surgical conditions, often requiring complex repair.
- Previous open repairs can lead to challenging recurrent hernias.
- Laparoscopic Ventral Hernia Repair (LVHR) has emerged as an alternative approach.
Purpose of the Study:
- To evaluate the outcomes of Laparoscopic Ventral Hernia Repair (LVHR).
- To assess the efficacy and safety of LVHR in patients with recurrent or complex ventral hernias.
Main Methods:
- Retrospective chart review of patients undergoing LVHR between July 1998 and December 2003.
- Inclusion criteria: all patients who underwent LVHR.
- Data collected: operative time, blood loss, length of stay, complications, and recurrence rates.
Main Results:
- Successful LVHR in 98% of 277 attempted repairs.
- Average defect size: 143.3 cm², mesh used in all cases.
- Mean operative time: 168.3 min, mean blood loss: 50 cc, average hospitalization: 3.0 days.
- Complication rate: 11% (31/277 patients), mesh infection rate: 0.7% (2/277 patients).
- Mean follow-up: 21 months, hernia recurrence rate: 4.7%.
Conclusions:
- LVHR demonstrates high success and low recurrence rates in a challenging patient population.
- The procedure is safe, with low complication and mesh infection rates.
- LVHR is a promising approach for ventral hernias, particularly in obese patients and those with prior failed repairs.
