Laparoscopic ventral hernia repair during the learning curve

被引：1
|
作者：
Salameh J.R. [1 ]
Sweeney J.F. [1 ]
Graviss E.A. [2 ]
Essien F.A. [1 ]
Williams M.D. [1 ]
Awad S. [3 ]
Itani K.M. [3 ]
Fisher W.E. [1 ]
机构：
[1] Michael E. DeBakey Dept. of Surgery, Baylor College of Medicine, Smith Tower, Houston, TX 77030
[2] Department of Pathology, Baylor College of Medicine, Houston, TX 77030
[3] Houston Veterans Affairs Med. Ctr., Houston, TX 77030
来源：
Hernia | 2002年 / 6卷 / 4期
关键词：
Clinical trial; Incisional hernia; Laparoscopic surgery; Ventral hernia;
D O I：
10.1007/s10029-002-0083-z
中图分类号：
学科分类号：
摘要：
Large series of laparoscopic ventral hernia repair have shown excellent results. However, published comparative studies have had conflicting outcomes. We retrospectively reviewed the first 29 laparoscopic ventral hernia repairs performed at a VA Medical Center from January 2000 to June 2001. The outcome was compared to that of open repairs performed during the same time period. Outcomes between the groups were similar in all respects, except for the length of stay. The conversion rate for the laparoscopic approach was 13.8%. There was one death in the laparoscopic group due to an unrecognized enterotomy. There were three recurrences in the open group and one in the laparoscopic group with a mean follow up of 13 months. In our series, laparoscopic hernia repair resulted in a shorter hospital stay but no other significant benefits, along with a risk of missed enterotomy. The risk-benefit ratio for this procedure may be high during the learning curve.
引用
收藏
页码：182 / 187
页数：5
相关论文
共 50 条
  • [31] Learning curve for laparoscopic repair of very large hiatal hernia
    Neo, Eu Ling
    Zingg, Urs
    Devitt, Peter G.
    Jamieson, Glyn G.
    Watson, David I.
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (06): : 1775 - 1782
  • [32] Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia
    Choi, Yoon Young
    Kim, Zisun
    Hur, Kyung Yul
    CANADIAN JOURNAL OF SURGERY, 2012, 55 (01) : 33 - 36
  • [33] The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair
    Liem, MSL
    vanSteensel, GJ
    Boelhouwer, RU
    Weidema, WF
    Clevers, GJ
    Meijer, WS
    Vente, JP
    deVries, LS
    vanVroonhoven, TJMV
    AMERICAN JOURNAL OF SURGERY, 1996, 171 (02): : 281 - 285
  • [34] Learning curve for laparoscopic repair of very large hiatal hernia
    Eu Ling Neo
    Urs Zingg
    Peter G. Devitt
    Glyn G. Jamieson
    David I. Watson
    Surgical Endoscopy, 2011, 25 : 1775 - 1782
  • [35] Simple technique for mesh placement during laparoscopic ventral hernia repair
    A. A. Saber
    Surgical Endoscopy And Other Interventional Techniques, 2004, 18 : 162 - 164
  • [36] Suture passer tip breakage during laparoscopic ventral hernia repair
    Salameh, JR
    SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2005, 15 (02): : 112 - 114
  • [37] Simple technique for mesh placement during laparoscopic ventral hernia repair
    Saber, AA
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2004, 18 (01): : 162 - 164
  • [38] Ventral hernia repair with a hybrid laparoscopic technique
    Bell-Allen, Nicholas
    Swift, Kate
    Sontag, Nis-Julius
    O'Rourke, Nicholas
    ANZ JOURNAL OF SURGERY, 2022, 92 (10) : 2529 - 2533
  • [39] Laparoscopic treatment of ventral hernia - Bilayer repair
    Farrakha, M
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2001, 15 (10): : 1243 - 1243
  • [40] Choice of mesh for laparoscopic ventral hernia repair
    Eriksen J.R.
    Gögenur I.
    Rosenberg J.
    Hernia, 2007, 11 (6) : 481 - 492
12345