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2007, Number 2

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Rev Mex Cir Endoscop 2007; 8 (2)

Laparoscopic radical cure for defects of the abdominal wall. Results 5 years after

Pagán PA, Serna ES, García SM

Language: Spanish
References: 27
Page: 85-89
PDF size: 75.52 Kb.


ABSTRACT

Introduction: The laparoscopic approach is, nowadays a valid option for the treatment of ventral hernias.
Methods: Between April, 2002 and September, 2006, 50 patients underwent laparoscopic-assisted surgery of 52 incisional hernias, most of them (48) placed in the umbilical midline. The mean follow-up was 36 months in all cases.
Results: The mean length of hospital stay was 2.4 days. Chronic pain due to the infraumbilical wounds reparation has been referred in 3.8% cases. The overall complication rate was 3.8%, including an inadvertent bowel injury during laparoscopic adhesiolysis which needed re-admission and surgery. Recurrence occurred in one case of subcostal incisional hernia.
Conclusions: Laparoscopic-assisted reparation of ventral hernia is technically feasible and safe in selected patients. It can be associated to pain in relationship with the type of stiches, with a difficult management, or even to serious complications such as bowel perforation that could be avoided by limiting the use of electric energy sources.


REFERENCES

  1. Bauer JJ, Harris MT, Kreel I, Gelernt IM. Twelve-year experience with expanded polytetrafluoroethylene in the repair of abdominal wall defects. Mt Sinai J Med 1999; 66: 20-25.

  2. Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg 1985; 72: 70-71.

  3. Schoetz DJ, Coller JA, Veidenheimer MC. Closure of abdominal wounds with polydioxanone. A prospective study. Arch Surg 1988; 123: 72-74.

  4. Bellón JM. Eventración posoperatoria. Evisceración y cierres difíciles. Cirugía Española. 2006; 1: 42-5.

  5. Bucknall TE, Cox PJ, Ellis H. Burst abdomen and incisional hernia: a prospective study of 1129 major laparotomies. BMJ 1982; 284: 931-933.

  6. Usher FC. Hernia repair with knitted polypropylene mesh. Surg Gynecol Obstet 1963; 117: 239-240.

  7. McCarthy JD, Twiest MW. Intraperitoneal polypropylene mesh support of incisional herniorrhaphy. Am J Surg 1981; 142: 707-711.

  8. Temudom T, Siadati M, Sarr MG. Repair of complex giant or recurrent ventral hernias by using tension-free intraparietal prosthetic mesh (Stoppa technique): lessons learned from our initial experience (fifty patients). Surgery 1996; 120: 738-743.

  9. Whiteley MS, Ray-Chaudhuri SB, Galland RB. Combined fascia and mesh closure of large incisional hernias. J R Coll Surg Edinb 1998; 43: 29-30.

  10. Luijendijk RW, Hop WC, van den Tol MP, de Lange DC, Braaksma MM, IJzermans JN et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 2000; 343: 392-398.

  11. Condon RE. Incisional hernia. In: Nyhus LM, Condon RE, editors. Hernia Surgery. Philadelphia 1995: 139-336.

  12. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal and ventral herniorrhaphy. Surg Laparosc Endosc 1993; 3: 39-41.

  13. Carbajo MA, del Olmo JC, Blanco JI, de la Cuesta C, Martin F, Toledano M et al. Laparoscopic treatment of ventral abdominal wall hernias: preliminary results in 100 patients. JSLS 2000; 4: 141-145.

  14. Heniford BT, Ramshaw BJ. Laparoscopic ventral hernia repair: a report of 100 consecutive cases. Surg Endosc 2000; 14: 419-423.

  15. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 2000; 190: 645-650.

  16. Sanders LM, Flint LM, Ferrara JJ. Initial experience with laparoscopic repair of incisional hernias. Am J Surg 1999; 177: 227-231.

  17. Martin-Duce A, Noguerales F, Villeta R, Hernandez P, Lozano O, Keller J et al. Modifications to Rives technique for midline incisional hernia repair. Hernia 2001; 5: 70-72.

  18. Ladurner R, Trupka A, Schmidbauer S, Hallfeldt K. The use of van underlay polypropylene mesh in complicated incisional hernias: successful French surgical technique. Minerva Chir 2001; 56: 111-117.

  19. LeBlank KA. Uptade of laparoscopic incisional hernia repair. Cir Gen 2005; 27: 304-311.

  20. Moreno A, Torralba JA, Morales G, Barceló JM, Lirón R, Gervasio J, Canteras LM, Aguayo JL. Mortalidad de la eventroplastia laparoscópica. Lecciones de una serie de 90 casos y análisis bibliográfico. http://www.cirugest.com/revista/2003-07/2003-07-14.htm.

  21. Vermeulen J, Alwayn I, Stassen LP. Prolonged abdominal wall pain caused by transfascial sutures used in the laparoscopic repair of incisional hernia. Surg Endosc 2003; 17(9): 1497.

  22. Carbonell AM, Harold KL, Mahmutovic AJ, Hassan R, Matthews BD, Kercher KW, Sing RF, Heniford BT. Local injection for the treatment of suture site pain after laparoscopic ventral hernia repair. Am Surg 2003; 69(8): 688-691.

  23. LeBlanc KA. Laparoscopic incisional and ventral hernia repair: complications-how to avoid and handle. Hernia 2004; 8(4): 323-331.

  24. Heniford BT, Park A, Ramshaw BJ, MD, Voeller G. Laparoscopic repair of ventral hernias. Nine Years’ experience with 850 consecutive hernias. Ann Surg 2003; 238: 391-400.

  25. Carbajo MA, Martp del Olmo JC, Blanco JI, Toledano M, de la Cuesta C, Ferreras C, Vaquero C. Laparoscopic approach to incisional hernia. Surg Endosc 2003; 17(1): 118-122.

  26. LeBlanc KA, Booth WV, Whitaker JM, Bellanger DE. Laparoscopic incisional and ventral herniorrhaphy in 100 patients. Am J Surg 2000; 180(3): 193-197.

  27. Wright BE, Niskanen BD, Peterson DJ, Ney AL, Odland MD, VanCamp J, Zera RT, Rodriguez JL. Laparoscopic ventral hernia repair: are there comparative advantages over traditional methods of repair? Am Surg 2002; 68(3): 291-295.




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