Ma. Carbajo et al., Laparoscopic treatment vs open surgery in the solution of major incisionaland abdominal wall hernias with mesh, SURG ENDOSC, 13(3), 1999, pp. 250-252
Citations number
12
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
Background: Despite being one of the most exact indications, laparoscopic t
reatment of eventrations and ventral hernias is barely known among the arra
y of laparoscopic-techniques.
Methods: A total of 60 patients were assigned at random over a 3-year perio
d to two homogeneous groups to be operated on for major ventral hernias wit
h mesh. Half of them were operated upon laparoscopically and the rest with
open surgery. Early and longer-term complications were analyzed, as were op
erative time and postoperative hospital stays.
Results: The two groups were homogeneous in terms of demographic and clinic
al characteristics. The group that was operated on laparoscopically present
ed a lower rate of postoperative and longer-term complications; similarly,
surgery rime was significantly Tower (p < 0.05), Hospitalization time was a
lso significant lower than in the group undergoing conventional open surger
y (p < 0.05).
Conclusions: Laparoscopic treatment of postoperative eventration and primar
y ventral hernia reduces complications and relapse rates, eliminates reinte
rvention through mesh infection, reduces operative time, and considerably s
hortens the hospital stay.