Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias
Standard
Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias. / Schroeder, Alexander Daniel; Debus, Eike Sebastian; Schroeder, Michael; Reinpold, Wolfgang Matthias Johann.
in: SURG ENDOSC, Jahrgang 27, Nr. 2, 02.2013, S. 648-654.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias
AU - Schroeder, Alexander Daniel
AU - Debus, Eike Sebastian
AU - Schroeder, Michael
AU - Reinpold, Wolfgang Matthias Johann
PY - 2013/2
Y1 - 2013/2
N2 - BACKGROUND: Incisional hernia is a frequent complication after abdominal surgery. Today open sublay mesh repair and the laparoscopic intraperitoneal onlay mesh repair are the most widely used techniques for its cure. We developed a laparoscopic transperitoneal sublay mesh repair for the treatment of small- and medium-size ventral and incisional hernias. Outcomes of the new technique and the Rives-Stoppa repair were compared.METHODS: This prospective cohort study with a control group involved 93 patients. Between 2008 and 2010, 43 patients underwent the laparoscopic transperitoneal sublay mesh repair. During the same period of time, a control group of 50 patients underwent an open sublay repair after Rives and Stoppa. In 2011, all patients were invited for follow-up. This included pain assessments and physical examinations with use of ultrasound.RESULTS: The two groups were comparable in terms of patient characteristics and hernia data. The operating time was slightly longer for the laparoscopic technique. The hospital stay was shorter in the laparoscopy group. There was less chronic pain in the laparoscopy group, but this difference was not statistically significant. There was no significant difference in postoperative complications, use of analgetics, foreign body sensation, and paresthesia between the two groups. We found one long-term hematoma in the laparoscopy group and one seroma in the open group. In this series, there were no recurrences and no wound infections.CONCLUSIONS: Our initial results indicate that the new laparoscopic transperitoneal sublay mesh repair is a safe and effective method for the treatment of small- and medium-size ventral and incisional hernias.
AB - BACKGROUND: Incisional hernia is a frequent complication after abdominal surgery. Today open sublay mesh repair and the laparoscopic intraperitoneal onlay mesh repair are the most widely used techniques for its cure. We developed a laparoscopic transperitoneal sublay mesh repair for the treatment of small- and medium-size ventral and incisional hernias. Outcomes of the new technique and the Rives-Stoppa repair were compared.METHODS: This prospective cohort study with a control group involved 93 patients. Between 2008 and 2010, 43 patients underwent the laparoscopic transperitoneal sublay mesh repair. During the same period of time, a control group of 50 patients underwent an open sublay repair after Rives and Stoppa. In 2011, all patients were invited for follow-up. This included pain assessments and physical examinations with use of ultrasound.RESULTS: The two groups were comparable in terms of patient characteristics and hernia data. The operating time was slightly longer for the laparoscopic technique. The hospital stay was shorter in the laparoscopy group. There was less chronic pain in the laparoscopy group, but this difference was not statistically significant. There was no significant difference in postoperative complications, use of analgetics, foreign body sensation, and paresthesia between the two groups. We found one long-term hematoma in the laparoscopy group and one seroma in the open group. In this series, there were no recurrences and no wound infections.CONCLUSIONS: Our initial results indicate that the new laparoscopic transperitoneal sublay mesh repair is a safe and effective method for the treatment of small- and medium-size ventral and incisional hernias.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Cohort Studies
KW - Female
KW - Hernia, Ventral/surgery
KW - Herniorrhaphy/methods
KW - Humans
KW - Laparoscopy/methods
KW - Male
KW - Middle Aged
KW - Peritoneum
KW - Prospective Studies
KW - Surgical Mesh
U2 - 10.1007/s00464-012-2508-9
DO - 10.1007/s00464-012-2508-9
M3 - SCORING: Journal article
C2 - 22955899
VL - 27
SP - 648
EP - 654
JO - SURG ENDOSC
JF - SURG ENDOSC
SN - 0930-2794
IS - 2
ER -