Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias

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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, Vol. 27, No. 2, 02.2013, p. 648-654.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

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@article{dcb758c2470e4d62a33fe539e1524ad5,
title = "Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias",
abstract = "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.",
keywords = "Adult, Aged, Aged, 80 and over, Cohort Studies, Female, Hernia, Ventral/surgery, Herniorrhaphy/methods, Humans, Laparoscopy/methods, Male, Middle Aged, Peritoneum, Prospective Studies, Surgical Mesh",
author = "Schroeder, {Alexander Daniel} and Debus, {Eike Sebastian} and Michael Schroeder and Reinpold, {Wolfgang Matthias Johann}",
year = "2013",
month = feb,
doi = "10.1007/s00464-012-2508-9",
language = "English",
volume = "27",
pages = "648--654",
journal = "SURG ENDOSC",
issn = "0930-2794",
publisher = "Springer New York",
number = "2",

}

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 -