Prospective, multicenter study of laparoscopic ventral hernioplasty - Preliminary results

被引：131

作者：

Toy, FK ^{[1
]}

Bailey, RW ^{[1
]}

Carey, S ^{[1
]}

Chappuis, CW ^{[1
]}

Gagner, M ^{[1
]}

Josephs, LG ^{[1
]}

Mangiante, EC ^{[1
]}

Park, AE ^{[1
]}

Pomp, A ^{[1
]}

Smoot, RT ^{[1
]}

Uddo, JF ^{[1
]}

Voeller, GR ^{[1
]}

机构：

[1] Community Med Ctr, Scranton, PA 18510 USA

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 1998年 / 12卷 / 07期

关键词：

laparoscopic hernioplasty; ventral; incisional; expanded polytetrafluoroethylene; peritoneal onlay; multicenter study; tension-free repair; human;

D O I：

10.1007/s004649900755

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: A standard technique for laparoscopic ventral hernioplasty (peritoneal onlay using an expanded polytetrafluoroethylene [ePTFE] patch for hernias greater than or equal to 4 cm(2)) is being used in a prospective, multicenter, long-term study. Methods: Demographic, operative, and postoperative data were collected and analyzed. Follow-up clinical evaluations were conducted 7-10 days, 4 weeks, 6 months, 1 year, and then annually after surgery in all patients. Results: In the first 2 years of the study, 144 patients were enrolled; nine were lost to follow-up. The mean operating time was 120 min. The mean follow-up was 222 days (range 5-731). Postoperative complications were five infections, three cases of prolonged ileus, one bowel obstruction, 23 seromas (15 resolved without intervention), and six hernia recurrences. Hospital discharge occurred a mean of 2.3 days after surgery and return to normal activity a mean of 15 days postoperatively. Conclusions: Laparoscopic prosthetic ventral hernioplasty avoids the large wound required in open repairs, with attendant complications and recurrences, and appears safe, especially if an ePTFE mesh is used. Compared with conventional open ventral hernioplasty, the laparoscopic technique may also allow shorter hospitalization and a quicker return to normal activities after surgery.

引用

页码：955 / 959

页数：5

共 27 条

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