Document Detail


Immediate, early, and late morbidity with laparoscopic ventral hernia repair and tolerance to composite mesh.
MedLine Citation:
PMID:  15471018     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The laparoscopic repair of ventral hernias is still a controversial therapeutic option, and little is known of its medium- and long-term morbidity. The purpose of the study is to evaluate the postoperative morbidity of laparoscopic ventral hernia repair and analyze the clinical factors that might be related to it. 86 consecutive patients who had ventral hernia and underwent endoscopic surgery in a Universitary teaching hospital. Epidemiological, clinical, postoperative complications, tolerance, aesthetic evaluation of the wall and recurrence rate are analyzed. The mean follow-up (100%) was 42 months (range: 1-5 years) and included clinical and ultrasonographic evaluation. The overall postoperative morbidity rate was 23.2%, with one case of mortality following a sepsis due to intestinal perforation; the rate of re-admissions and recurrences was 3.5%. Statistically significant relationships were shown between the complications and infra-umbilical location (P < 0.001), age over 60 years and female sex (P < 0.05). The dynamic ultrasound study showed 91% and 94% of the patients to be adhesion-free at 1 and 3 years respectively. Aesthetic assessment of the wall at 3 years showed persistent asymmetries in 5% of the patients and a 92% degree of personal satisfaction. The morbidity with laparoscopic ventral hernia repair is not negligible. The surgeon must know these complications and be able to treat them appropriately.
Authors:
Alfredo Moreno-Egea; José Antonio Torralba; Enrique Girela; Miguel Corral; Marina Bento; Joaquin Cartagena; Juan Pablo Vicente; José Luis Aguayo; Manuel Canteras
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical laparoscopy, endoscopy & percutaneous techniques     Volume:  14     ISSN:  1530-4515     ISO Abbreviation:  Surg Laparosc Endosc Percutan Tech     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-10-08     Completed Date:  2004-11-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100888751     Medline TA:  Surg Laparosc Endosc Percutan Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  130-5     Citation Subset:  IM    
Affiliation:
Abdominal Wall Unit, Abdominal Surgery, J.M. Morales Meseguer Hospital, Murcia, Spain. amorenoe@worldonline.es
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Hernia, Ventral / surgery*
Humans
Laparoscopy*
Male
Middle Aged
Postoperative Complications*
Reoperation
Surgical Mesh / adverse effects
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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