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>Journals >Cirujano General >Year 2005, Issue 4


LeBlanc KA
Update of laparoscopic incisional hernia repair
Cir Gen 2005; 27 (4)

Language: Inglés
References: 33
Page: 304-311
PDF: 4. Kb.


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ABSTRACT

The repair of incisional hernias with the laparoscopic technique has continued to evolve since its inception in 1991. An analysis of the current literature has revealed that hernias as large as 1,600cm2 have been successfully repaired with this method. The average size appears to lie in the 105cm2 range, however. There are several choices of biomaterials that are available today. These differ in the type of synthetic product or the combination of products that are used to manufacture them. Others incorporate an absorbable component. The goal of all is to prevent adhesion formation. The fixation devices that can be used are also varied. The use of transfascial sutures in addition to a metal fixation device remains controversial but most place these sutures.
The results of laparoscopic incisional hernia repair are described. The conversion rate of these procedures is an impressive 2.4% with an enterotomy rate of 1.8%. These results affirm the low risk of this operation. The recurrence rate of 4.2% confirms the permanence of the repair. This procedure may become the standard of care in the near future.


Key words: Laparoscopy, incision, hernioplasty, prosthetic biomaterial.


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