Short- and mid-term outcome after laparoscopic repair of large incisional hernia
Purpose To compare the outcome after laparoscopic incisional and ventral herniorrhaphy (LIVH) for fascial defect larger or equal than 15 cm in width with the outcome after LIVH in patients with hernia defect smaller than 15 cm. Methods From 2003 through 2010, 350 patients were submitted to LIVH. In...
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| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2013-10, Vol.17 (5), p.567-572 |
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| creator | Baccari, P. Nifosi, J. Ghirardelli, L. Staudacher, C. |
| description | Purpose
To compare the outcome after laparoscopic incisional and ventral herniorrhaphy (LIVH) for fascial defect larger or equal than 15 cm in width with the outcome after LIVH in patients with hernia defect smaller than 15 cm.
Methods
From 2003 through 2010, 350 patients were submitted to LIVH. In 70 cases, hernia defect was ≥15 cm in width and in 280 was |
| doi_str_mv | 10.1007/s10029-012-1026-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1443385477</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1443385477</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-e3cbb26111adb98c8b11e53cf22333389c0dac3f085e9950b2235b63f385e4213</originalsourceid><addsrcrecordid>eNp1kEtLxDAUhYMozjj6A9xIwI2baF7tJEsRXzCgoK5DmqYzGdqmJu1i_r0pHUUEs8jj5LvnJgeAc4KvCcbLm5hmKhEmFBFMc7Q7AHNCuUCSYn447vMMcYnzGTiJcYsxFjwXx2BGGc0lx3gOXt82PvQI6raEjStRb0MD_dAb31ioq3SEte508NH4zhkYbKddgL5Kclhb6FrjovOtruHGhtbpU3BU6Tras_26AB8P9-93T2j18vh8d7tChjPRI8tMUdCcEKLLQgojCkJsxkxFKUtDSINLbViFRWalzHCR9KzIWcWSwClhC3A1-XbBfw429qpx0di61q31Q1SE82ST8eUyoZd_0K0fQnrySDHBqBx7LgCZKJM-G4OtVBdco8NOEazGuNUUt0pxqzFutUs1F3vnoWhs-VPxnW8C6ATEdNWubfjV-l_XL3KxiZ0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1438329233</pqid></control><display><type>article</type><title>Short- and mid-term outcome after laparoscopic repair of large incisional hernia</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Baccari, P. ; Nifosi, J. ; Ghirardelli, L. ; Staudacher, C.</creator><creatorcontrib>Baccari, P. ; Nifosi, J. ; Ghirardelli, L. ; Staudacher, C.</creatorcontrib><description>Purpose
To compare the outcome after laparoscopic incisional and ventral herniorrhaphy (LIVH) for fascial defect larger or equal than 15 cm in width with the outcome after LIVH in patients with hernia defect smaller than 15 cm.
Methods
From 2003 through 2010, 350 patients were submitted to LIVH. In 70 cases, hernia defect was ≥15 cm in width and in 280 was <15 cm. Incisional hernias were often recurrent, double or multiorificial. In the group of larger hernias, the rate of obesity, recurrent hernia and multiorificial hernia was 27.1, 24.2 and 12.8 %, respectively, and in the group of smaller hernias 27.3, 16.1 and 2.8 %, respectively. Patients were interviewed using McGill pain score test to measure postoperative quality of life (QoL) in the mid-term.
Results
LIVH for hernia ≥15 cm required longer surgical time (
p
= 0.034) and postoperative hospital stay (
p
= 0.0001). Besides, there were higher rate of postoperative prolonged ileus (
p
= 0.035) and polmonitis (
p
= 0.001). Overall recurrence rate was 2.6, 8.6 % for larger and 1.1 % for smaller incisional hernias,
p
= 0.045. Mc Gill pain test revealed no significant difference in the two groups of patients in postoperative QoL within 36 months.
Conclusions
Laparoscopic approach seems safe and effective even to repair large incisional hernia, the rate of recurrence was higher, but acceptable, if compared to smaller hernias. To the best of our knowledge, this is the largest reported series of incisional hernias ≥15 cm managed by laparoscopy.</description><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-012-1026-y</identifier><identifier>PMID: 23269400</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Comparative Effectiveness Research ; Female ; Hernia, Ventral - physiopathology ; Hernia, Ventral - psychology ; Hernia, Ventral - surgery ; Herniorrhaphy - adverse effects ; Herniorrhaphy - methods ; Herniorrhaphy - statistics & numerical data ; Humans ; Italy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Laparoscopy - statistics & numerical data ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Operative Time ; Original Article ; Postoperative Complications - classification ; Postoperative Complications - etiology ; Quality of Life ; Recurrence ; Retrospective Studies ; Severity of Illness Index ; Surgical Mesh ; Treatment Outcome</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2013-10, Vol.17 (5), p.567-572</ispartof><rights>Springer-Verlag France 2012</rights><rights>Springer-Verlag France 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-e3cbb26111adb98c8b11e53cf22333389c0dac3f085e9950b2235b63f385e4213</citedby><cites>FETCH-LOGICAL-c438t-e3cbb26111adb98c8b11e53cf22333389c0dac3f085e9950b2235b63f385e4213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-012-1026-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-012-1026-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23269400$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baccari, P.</creatorcontrib><creatorcontrib>Nifosi, J.</creatorcontrib><creatorcontrib>Ghirardelli, L.</creatorcontrib><creatorcontrib>Staudacher, C.</creatorcontrib><title>Short- and mid-term outcome after laparoscopic repair of large incisional hernia</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Purpose
To compare the outcome after laparoscopic incisional and ventral herniorrhaphy (LIVH) for fascial defect larger or equal than 15 cm in width with the outcome after LIVH in patients with hernia defect smaller than 15 cm.
Methods
From 2003 through 2010, 350 patients were submitted to LIVH. In 70 cases, hernia defect was ≥15 cm in width and in 280 was <15 cm. Incisional hernias were often recurrent, double or multiorificial. In the group of larger hernias, the rate of obesity, recurrent hernia and multiorificial hernia was 27.1, 24.2 and 12.8 %, respectively, and in the group of smaller hernias 27.3, 16.1 and 2.8 %, respectively. Patients were interviewed using McGill pain score test to measure postoperative quality of life (QoL) in the mid-term.
Results
LIVH for hernia ≥15 cm required longer surgical time (
p
= 0.034) and postoperative hospital stay (
p
= 0.0001). Besides, there were higher rate of postoperative prolonged ileus (
p
= 0.035) and polmonitis (
p
= 0.001). Overall recurrence rate was 2.6, 8.6 % for larger and 1.1 % for smaller incisional hernias,
p
= 0.045. Mc Gill pain test revealed no significant difference in the two groups of patients in postoperative QoL within 36 months.
Conclusions
Laparoscopic approach seems safe and effective even to repair large incisional hernia, the rate of recurrence was higher, but acceptable, if compared to smaller hernias. To the best of our knowledge, this is the largest reported series of incisional hernias ≥15 cm managed by laparoscopy.</description><subject>Abdominal Surgery</subject><subject>Comparative Effectiveness Research</subject><subject>Female</subject><subject>Hernia, Ventral - physiopathology</subject><subject>Hernia, Ventral - psychology</subject><subject>Hernia, Ventral - surgery</subject><subject>Herniorrhaphy - adverse effects</subject><subject>Herniorrhaphy - methods</subject><subject>Herniorrhaphy - statistics & numerical data</subject><subject>Humans</subject><subject>Italy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Laparoscopy - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Postoperative Complications - classification</subject><subject>Postoperative Complications - etiology</subject><subject>Quality of Life</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Surgical Mesh</subject><subject>Treatment Outcome</subject><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kEtLxDAUhYMozjj6A9xIwI2baF7tJEsRXzCgoK5DmqYzGdqmJu1i_r0pHUUEs8jj5LvnJgeAc4KvCcbLm5hmKhEmFBFMc7Q7AHNCuUCSYn447vMMcYnzGTiJcYsxFjwXx2BGGc0lx3gOXt82PvQI6raEjStRb0MD_dAb31ioq3SEte508NH4zhkYbKddgL5Kclhb6FrjovOtruHGhtbpU3BU6Tras_26AB8P9-93T2j18vh8d7tChjPRI8tMUdCcEKLLQgojCkJsxkxFKUtDSINLbViFRWalzHCR9KzIWcWSwClhC3A1-XbBfw429qpx0di61q31Q1SE82ST8eUyoZd_0K0fQnrySDHBqBx7LgCZKJM-G4OtVBdco8NOEazGuNUUt0pxqzFutUs1F3vnoWhs-VPxnW8C6ATEdNWubfjV-l_XL3KxiZ0</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Baccari, P.</creator><creator>Nifosi, J.</creator><creator>Ghirardelli, L.</creator><creator>Staudacher, C.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Short- and mid-term outcome after laparoscopic repair of large incisional hernia</title><author>Baccari, P. ; Nifosi, J. ; Ghirardelli, L. ; Staudacher, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-e3cbb26111adb98c8b11e53cf22333389c0dac3f085e9950b2235b63f385e4213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abdominal Surgery</topic><topic>Comparative Effectiveness Research</topic><topic>Female</topic><topic>Hernia, Ventral - physiopathology</topic><topic>Hernia, Ventral - psychology</topic><topic>Hernia, Ventral - surgery</topic><topic>Herniorrhaphy - adverse effects</topic><topic>Herniorrhaphy - methods</topic><topic>Herniorrhaphy - statistics & numerical data</topic><topic>Humans</topic><topic>Italy</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Laparoscopy - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Postoperative Complications - classification</topic><topic>Postoperative Complications - etiology</topic><topic>Quality of Life</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Surgical Mesh</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baccari, P.</creatorcontrib><creatorcontrib>Nifosi, J.</creatorcontrib><creatorcontrib>Ghirardelli, L.</creatorcontrib><creatorcontrib>Staudacher, C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baccari, P.</au><au>Nifosi, J.</au><au>Ghirardelli, L.</au><au>Staudacher, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short- and mid-term outcome after laparoscopic repair of large incisional hernia</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>17</volume><issue>5</issue><spage>567</spage><epage>572</epage><pages>567-572</pages><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Purpose
To compare the outcome after laparoscopic incisional and ventral herniorrhaphy (LIVH) for fascial defect larger or equal than 15 cm in width with the outcome after LIVH in patients with hernia defect smaller than 15 cm.
Methods
From 2003 through 2010, 350 patients were submitted to LIVH. In 70 cases, hernia defect was ≥15 cm in width and in 280 was <15 cm. Incisional hernias were often recurrent, double or multiorificial. In the group of larger hernias, the rate of obesity, recurrent hernia and multiorificial hernia was 27.1, 24.2 and 12.8 %, respectively, and in the group of smaller hernias 27.3, 16.1 and 2.8 %, respectively. Patients were interviewed using McGill pain score test to measure postoperative quality of life (QoL) in the mid-term.
Results
LIVH for hernia ≥15 cm required longer surgical time (
p
= 0.034) and postoperative hospital stay (
p
= 0.0001). Besides, there were higher rate of postoperative prolonged ileus (
p
= 0.035) and polmonitis (
p
= 0.001). Overall recurrence rate was 2.6, 8.6 % for larger and 1.1 % for smaller incisional hernias,
p
= 0.045. Mc Gill pain test revealed no significant difference in the two groups of patients in postoperative QoL within 36 months.
Conclusions
Laparoscopic approach seems safe and effective even to repair large incisional hernia, the rate of recurrence was higher, but acceptable, if compared to smaller hernias. To the best of our knowledge, this is the largest reported series of incisional hernias ≥15 cm managed by laparoscopy.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>23269400</pmid><doi>10.1007/s10029-012-1026-y</doi><tpages>6</tpages></addata></record> |
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| ispartof | Hernia : the journal of hernias and abdominal wall surgery, 2013-10, Vol.17 (5), p.567-572 |
| issn | 1265-4906 1248-9204 |
| language | eng |
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| subjects | Abdominal Surgery Comparative Effectiveness Research Female Hernia, Ventral - physiopathology Hernia, Ventral - psychology Hernia, Ventral - surgery Herniorrhaphy - adverse effects Herniorrhaphy - methods Herniorrhaphy - statistics & numerical data Humans Italy Laparoscopy - adverse effects Laparoscopy - methods Laparoscopy - statistics & numerical data Male Medicine Medicine & Public Health Middle Aged Operative Time Original Article Postoperative Complications - classification Postoperative Complications - etiology Quality of Life Recurrence Retrospective Studies Severity of Illness Index Surgical Mesh Treatment Outcome |
| title | Short- and mid-term outcome after laparoscopic repair of large incisional hernia |
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