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01-10-2013 | Original Article

Single-access laparoscopic primary and incisional prosthetic hernia repair: first 50 patients

Authors: G. Dapri, J. Bruyns, M. Paesmans, J. Himpens, G.-B. Cadière

Published in: Hernia | Issue 5/2013

Abstract

Background

Primary and incisional hernia can be repaired by multitrocar laparoscopy. Single-access laparoscopy (SAL) recently gained interest to decrease the invasiveness and to reduce the abdominal trauma, besides improved cosmetic results. The authors report first 50 patients who consulted for primary and incisional hernia and treated by SAL prosthetic repair.

Patients and methods

Between December 2009 and March 2012, 50 patients (24 females, 26 males) were submitted to SAL for primary (23) and incisional hernia (27). Mean age was 49.1 ± 15.1 years (17–75), and mean body mass index 29.7 ± 5.7 kg/m² (19–44.1). A total of 26 primary and 30 incisional hernias were treated. The technique consisted in implied the use of an 11-mm trocar for 10-mm scope, curved reusable instruments without trocars, and dualface prosthesis fixed by tacks without transfascial closures.

Results

No conversion to open surgery nor addition of one or more trocars was necessary. Mean perioperative hernia sizes were 7.0 ± 5.0 cm (2–24) in length and 6.0 ± 3.4 cm (1–16) in width, for a surface of 55.0 ± 64.6 cm² (2.8–268.2). Mean prosthesis size used was 188.1 ± 113.4 cm² (56.2–505.6). Mean laparoscopic time was 60.2 ± 32.8 min (26–153), and mean final scar length was 21.2 ± 4.5 mm (13–35). Mean hospital stay was 2.2 ± 1.2 days (1–8). Perioperative complications were registered in 4 patients and minor early complications in 13 patients of each group. After a mean follow-up of 16.1 ± 8.8 months (4–34), 2 late complications were observed in one patient of each group.

Conclusion

Primary and incisional hernia can safely be treated by SAL prosthetic repair, but a learning curve is unavoidable. Thanks to this approach, in patients with primary hernia, only a small scar is finally visible, and in patients who proved to be prone to develop incisional hernia, the number of fascial incisions can be reduced.

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Title: Single-access laparoscopic primary and incisional prosthetic hernia repair: first 50 patients
Authors: G. Dapri
J. Bruyns
M. Paesmans
J. Himpens
G.-B. Cadière
Publication date: 01-10-2013
Publisher: Springer Paris
Published in: Hernia / Issue 5/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-012-1025-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single-access laparoscopic primary and incisional prosthetic hernia repair: first 50 patients

Abstract

Background

Patients and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Patients and methods

Results

Conclusion

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