Evaluation of port site hernias, chronic pain and recurrence rates after laparoscopic ventral hernia repair: a monocentric long-term study
Objective The aim of this study was to evaluate hernia appearance at the trocar site after laparoscopic treatment of primary or incisional ventral hernias using an intraperitoneal prosthetic mesh. Chronic pain at the trocar site and primary hernia recurrence were also evaluated. Patients and methods...
Gespeichert in:
| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2017-12, Vol.21 (6), p.917-923 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 923 |
|---|---|
| container_issue | 6 |
| container_start_page | 917 |
| container_title | Hernia : the journal of hernias and abdominal wall surgery |
| container_volume | 21 |
| creator | Liot, Emilie Bréguet, Romain Piguet, Valérie Ris, Frédéric Volonté, Francesco Morel, Philippe |
| description | Objective
The aim of this study was to evaluate hernia appearance at the trocar site after laparoscopic treatment of primary or incisional ventral hernias using an intraperitoneal prosthetic mesh. Chronic pain at the trocar site and primary hernia recurrence were also evaluated.
Patients and methods
Two-hundred and twenty-six consecutive patients who underwent a standardized laparoscopic hernia repair for primary or incisional ventral hernia at our centre between January 2000 and December 2008 were included. All patients had clinical and radiological examinations. Primary end points were port site hernia and the occurrence of chronic trocar site pain. Secondary end point was primary hernia recurrence.
Results
Seventy-eight patients were excluded: 6 declined to participate, 48 were unreachable, and 24 did not meet the inclusion criteria (nine underwent a single site laparoscopic approach, ten died of unrelated disease, three were unable to visit the hospital and two had relocated). After exclusion, 148 remained in our study. Mean follow-up was 49 ± 12.6 months. Mean age at the time of surgery was 60 years (range, 28–83) In total, 504 port sites were clinically and radiologically evaluated, and only one (0.02%) had secondary herniation. Three patients (2.0%) had a recurrent hernia, and 14 (9.5%) had developed chronic pain at time of assessment. Nine patients (6.1%) were re-operated for the recurrent hernia before the follow-up evaluation. The overall recurrence rate is, therefore, 8.1%. Only two minor complications and no major complications occurred after surgery. No mortality was observed.
Conclusion
Laparoscopic repair for primary or incisional ventral hernias is a safe surgical approach, with low rates of hernia recurrence and a low morbidity rate. When fascial closure is maintained for 10 mm port sites, the incidence of port site hernias is very low. Five millimetre ports do not require closure. |
| doi_str_mv | 10.1007/s10029-017-1663-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1936162041</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1936162041</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-2fd79bafecccb15459ebf43d0b81b9fd1b1e726695ed565a20a4ccae49a52d463</originalsourceid><addsrcrecordid>eNp1kc1q3TAQhUVoaP76ANkUQTddVKkky7KVXQhpGghk06zFWB4nDrbkSHIgr9Cnri73JpRCNxrBfOeMNIeQU8HPBOfN91ROaRgXDRNaV0zukUMhVcuM5OrD5q5rpgzXB-QopSfOeat0-5EcyLbVygh5SH5fvcC0Qh6Dp2GgS4iZpjEjfcToR0jfqHuMwY-OLjB6Cr6nEd0aI3qHNELGRGHIGOkEC8SQXFgK_II-R5h2LkVS1PGcAp2DD27TLNAU_AMr0pmmvPavJ2R_gCnhp109Jvc_rn5d_mS3d9c3lxe3zFWNzEwOfWM6GNA514la1Qa7QVU971rRmaEXncBGam1q7Gtdg-SgnANUBmrZK10dk69b3yWG5xVTtvOYHE4TeAxrssJUWuiyQVHQL_-gT2GNvryuULo1SvDKFEpsKVf-nyIOdonjDPHVCm43QdltULYEZTdBWVk0n3fOazdj_654S6YAcguk0vIPGP8a_V_XPzOEoMw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1968941039</pqid></control><display><type>article</type><title>Evaluation of port site hernias, chronic pain and recurrence rates after laparoscopic ventral hernia repair: a monocentric long-term study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Liot, Emilie ; Bréguet, Romain ; Piguet, Valérie ; Ris, Frédéric ; Volonté, Francesco ; Morel, Philippe</creator><creatorcontrib>Liot, Emilie ; Bréguet, Romain ; Piguet, Valérie ; Ris, Frédéric ; Volonté, Francesco ; Morel, Philippe</creatorcontrib><description>Objective
The aim of this study was to evaluate hernia appearance at the trocar site after laparoscopic treatment of primary or incisional ventral hernias using an intraperitoneal prosthetic mesh. Chronic pain at the trocar site and primary hernia recurrence were also evaluated.
Patients and methods
Two-hundred and twenty-six consecutive patients who underwent a standardized laparoscopic hernia repair for primary or incisional ventral hernia at our centre between January 2000 and December 2008 were included. All patients had clinical and radiological examinations. Primary end points were port site hernia and the occurrence of chronic trocar site pain. Secondary end point was primary hernia recurrence.
Results
Seventy-eight patients were excluded: 6 declined to participate, 48 were unreachable, and 24 did not meet the inclusion criteria (nine underwent a single site laparoscopic approach, ten died of unrelated disease, three were unable to visit the hospital and two had relocated). After exclusion, 148 remained in our study. Mean follow-up was 49 ± 12.6 months. Mean age at the time of surgery was 60 years (range, 28–83) In total, 504 port sites were clinically and radiologically evaluated, and only one (0.02%) had secondary herniation. Three patients (2.0%) had a recurrent hernia, and 14 (9.5%) had developed chronic pain at time of assessment. Nine patients (6.1%) were re-operated for the recurrent hernia before the follow-up evaluation. The overall recurrence rate is, therefore, 8.1%. Only two minor complications and no major complications occurred after surgery. No mortality was observed.
Conclusion
Laparoscopic repair for primary or incisional ventral hernias is a safe surgical approach, with low rates of hernia recurrence and a low morbidity rate. When fascial closure is maintained for 10 mm port sites, the incidence of port site hernias is very low. Five millimetre ports do not require closure.</description><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-017-1663-2</identifier><identifier>PMID: 28864912</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Chronic pain ; Chronic Pain - epidemiology ; Female ; Hernia ; Hernia, Ventral - epidemiology ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy - adverse effects ; Humans ; Incidence ; Laparoscopy ; Laparoscopy - adverse effects ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morbidity ; Original Article ; Pain ; Pain, Postoperative - epidemiology ; Recurrence ; Reoperation ; Surgery ; Surgical Mesh</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2017-12, Vol.21 (6), p.917-923</ispartof><rights>Springer-Verlag France SAS 2017</rights><rights>Hernia is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-2fd79bafecccb15459ebf43d0b81b9fd1b1e726695ed565a20a4ccae49a52d463</citedby><cites>FETCH-LOGICAL-c372t-2fd79bafecccb15459ebf43d0b81b9fd1b1e726695ed565a20a4ccae49a52d463</cites><orcidid>0000-0002-2856-5260</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-017-1663-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-017-1663-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28864912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liot, Emilie</creatorcontrib><creatorcontrib>Bréguet, Romain</creatorcontrib><creatorcontrib>Piguet, Valérie</creatorcontrib><creatorcontrib>Ris, Frédéric</creatorcontrib><creatorcontrib>Volonté, Francesco</creatorcontrib><creatorcontrib>Morel, Philippe</creatorcontrib><title>Evaluation of port site hernias, chronic pain and recurrence rates after laparoscopic ventral hernia repair: a monocentric long-term study</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Objective
The aim of this study was to evaluate hernia appearance at the trocar site after laparoscopic treatment of primary or incisional ventral hernias using an intraperitoneal prosthetic mesh. Chronic pain at the trocar site and primary hernia recurrence were also evaluated.
Patients and methods
Two-hundred and twenty-six consecutive patients who underwent a standardized laparoscopic hernia repair for primary or incisional ventral hernia at our centre between January 2000 and December 2008 were included. All patients had clinical and radiological examinations. Primary end points were port site hernia and the occurrence of chronic trocar site pain. Secondary end point was primary hernia recurrence.
Results
Seventy-eight patients were excluded: 6 declined to participate, 48 were unreachable, and 24 did not meet the inclusion criteria (nine underwent a single site laparoscopic approach, ten died of unrelated disease, three were unable to visit the hospital and two had relocated). After exclusion, 148 remained in our study. Mean follow-up was 49 ± 12.6 months. Mean age at the time of surgery was 60 years (range, 28–83) In total, 504 port sites were clinically and radiologically evaluated, and only one (0.02%) had secondary herniation. Three patients (2.0%) had a recurrent hernia, and 14 (9.5%) had developed chronic pain at time of assessment. Nine patients (6.1%) were re-operated for the recurrent hernia before the follow-up evaluation. The overall recurrence rate is, therefore, 8.1%. Only two minor complications and no major complications occurred after surgery. No mortality was observed.
Conclusion
Laparoscopic repair for primary or incisional ventral hernias is a safe surgical approach, with low rates of hernia recurrence and a low morbidity rate. When fascial closure is maintained for 10 mm port sites, the incidence of port site hernias is very low. Five millimetre ports do not require closure.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chronic pain</subject><subject>Chronic Pain - epidemiology</subject><subject>Female</subject><subject>Hernia</subject><subject>Hernia, Ventral - epidemiology</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - adverse effects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Original Article</subject><subject>Pain</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1q3TAQhUVoaP76ANkUQTddVKkky7KVXQhpGghk06zFWB4nDrbkSHIgr9Cnri73JpRCNxrBfOeMNIeQU8HPBOfN91ROaRgXDRNaV0zukUMhVcuM5OrD5q5rpgzXB-QopSfOeat0-5EcyLbVygh5SH5fvcC0Qh6Dp2GgS4iZpjEjfcToR0jfqHuMwY-OLjB6Cr6nEd0aI3qHNELGRGHIGOkEC8SQXFgK_II-R5h2LkVS1PGcAp2DD27TLNAU_AMr0pmmvPavJ2R_gCnhp109Jvc_rn5d_mS3d9c3lxe3zFWNzEwOfWM6GNA514la1Qa7QVU971rRmaEXncBGam1q7Gtdg-SgnANUBmrZK10dk69b3yWG5xVTtvOYHE4TeAxrssJUWuiyQVHQL_-gT2GNvryuULo1SvDKFEpsKVf-nyIOdonjDPHVCm43QdltULYEZTdBWVk0n3fOazdj_654S6YAcguk0vIPGP8a_V_XPzOEoMw</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Liot, Emilie</creator><creator>Bréguet, Romain</creator><creator>Piguet, Valérie</creator><creator>Ris, Frédéric</creator><creator>Volonté, Francesco</creator><creator>Morel, Philippe</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>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2856-5260</orcidid></search><sort><creationdate>20171201</creationdate><title>Evaluation of port site hernias, chronic pain and recurrence rates after laparoscopic ventral hernia repair: a monocentric long-term study</title><author>Liot, Emilie ; Bréguet, Romain ; Piguet, Valérie ; Ris, Frédéric ; Volonté, Francesco ; Morel, Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-2fd79bafecccb15459ebf43d0b81b9fd1b1e726695ed565a20a4ccae49a52d463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chronic pain</topic><topic>Chronic Pain - epidemiology</topic><topic>Female</topic><topic>Hernia</topic><topic>Hernia, Ventral - epidemiology</topic><topic>Hernia, Ventral - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - adverse effects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Original Article</topic><topic>Pain</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liot, Emilie</creatorcontrib><creatorcontrib>Bréguet, Romain</creatorcontrib><creatorcontrib>Piguet, Valérie</creatorcontrib><creatorcontrib>Ris, Frédéric</creatorcontrib><creatorcontrib>Volonté, Francesco</creatorcontrib><creatorcontrib>Morel, Philippe</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 Edition)</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>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</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>Liot, Emilie</au><au>Bréguet, Romain</au><au>Piguet, Valérie</au><au>Ris, Frédéric</au><au>Volonté, Francesco</au><au>Morel, Philippe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of port site hernias, chronic pain and recurrence rates after laparoscopic ventral hernia repair: a monocentric long-term study</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>21</volume><issue>6</issue><spage>917</spage><epage>923</epage><pages>917-923</pages><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Objective
The aim of this study was to evaluate hernia appearance at the trocar site after laparoscopic treatment of primary or incisional ventral hernias using an intraperitoneal prosthetic mesh. Chronic pain at the trocar site and primary hernia recurrence were also evaluated.
Patients and methods
Two-hundred and twenty-six consecutive patients who underwent a standardized laparoscopic hernia repair for primary or incisional ventral hernia at our centre between January 2000 and December 2008 were included. All patients had clinical and radiological examinations. Primary end points were port site hernia and the occurrence of chronic trocar site pain. Secondary end point was primary hernia recurrence.
Results
Seventy-eight patients were excluded: 6 declined to participate, 48 were unreachable, and 24 did not meet the inclusion criteria (nine underwent a single site laparoscopic approach, ten died of unrelated disease, three were unable to visit the hospital and two had relocated). After exclusion, 148 remained in our study. Mean follow-up was 49 ± 12.6 months. Mean age at the time of surgery was 60 years (range, 28–83) In total, 504 port sites were clinically and radiologically evaluated, and only one (0.02%) had secondary herniation. Three patients (2.0%) had a recurrent hernia, and 14 (9.5%) had developed chronic pain at time of assessment. Nine patients (6.1%) were re-operated for the recurrent hernia before the follow-up evaluation. The overall recurrence rate is, therefore, 8.1%. Only two minor complications and no major complications occurred after surgery. No mortality was observed.
Conclusion
Laparoscopic repair for primary or incisional ventral hernias is a safe surgical approach, with low rates of hernia recurrence and a low morbidity rate. When fascial closure is maintained for 10 mm port sites, the incidence of port site hernias is very low. Five millimetre ports do not require closure.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>28864912</pmid><doi>10.1007/s10029-017-1663-2</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2856-5260</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1265-4906 |
| ispartof | Hernia : the journal of hernias and abdominal wall surgery, 2017-12, Vol.21 (6), p.917-923 |
| issn | 1265-4906 1248-9204 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1936162041 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Adult Aged Aged, 80 and over Chronic pain Chronic Pain - epidemiology Female Hernia Hernia, Ventral - epidemiology Hernia, Ventral - surgery Hernias Herniorrhaphy - adverse effects Humans Incidence Laparoscopy Laparoscopy - adverse effects Longitudinal Studies Male Medicine Medicine & Public Health Middle Aged Morbidity Original Article Pain Pain, Postoperative - epidemiology Recurrence Reoperation Surgery Surgical Mesh |
| title | Evaluation of port site hernias, chronic pain and recurrence rates after laparoscopic ventral hernia repair: a monocentric long-term study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T14%3A52%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluation%20of%20port%20site%20hernias,%20chronic%20pain%20and%20recurrence%20rates%20after%20laparoscopic%20ventral%20hernia%20repair:%20a%20monocentric%20long-term%20study&rft.jtitle=Hernia%20:%20the%20journal%20of%20hernias%20and%20abdominal%20wall%20surgery&rft.au=Liot,%20Emilie&rft.date=2017-12-01&rft.volume=21&rft.issue=6&rft.spage=917&rft.epage=923&rft.pages=917-923&rft.issn=1265-4906&rft.eissn=1248-9204&rft_id=info:doi/10.1007/s10029-017-1663-2&rft_dat=%3Cproquest_cross%3E1936162041%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1968941039&rft_id=info:pmid/28864912&rfr_iscdi=true |