Laparoscopic management of non-midline incisional hernia: A multicentric study.
Int J Surg
; 33 Suppl 1: S108-13, 2016 Sep.
Article
em En
| MEDLINE
| ID: mdl-27353846
ABSTRACT
BACKGROUND:
The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years.METHODS:
A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs subcostal, suprapubic, lumbar, and epigastric. We also conducted a literature review.RESULTS:
No difference was found between the four subgroups in terms of demographic data, defect characteristics, admission data, and complications. Subcostal defects required a shorter operating time. Obesity was found to be a risk factor for recurrence.CONCLUSIONS:
In our experience, subcostal defects were easier to perform, with a lower recurrence rate, lesser chronic pain, and faster surgical performance. A more specific prospective randomized trial with a larger sample is awaited. Based on our experience, however, the laparoscopic approach is a safe treatment for NMVHs in specialized centers.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Hérnia Incisional
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Hérnia Ventral
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article