Conclusion
Laparoscopic ventral hernioplasty has been evaluated by a prospective, multicenter study.20 This study reported 144 hernioplasties, 64% incisional, with a mean defect size of 98cm2. The mean operative time was 120min with no major perioperative complications. The mean discharge from the hospital was 2.3 days, with a mean return to normal activity of 15 days. There were 2 major infections (1.4%) that required removal of the patch; these were believed secondary to inadequate shaving of the patient and pulling hair into the suture wounds. The recurrence rate was 4.2%, with a mean follow-up duration of 355 days and a follow-up rate of 94.5%.
Clearly, the laparoscopic repair of the ventral/incisional hernia is a major addition to the surgical armamentarium for this difficult problem.
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Toy, F.K. (2004). Laparoscopic Ventral/Incisional Hernioplasty. In: MacFadyen, B.V., et al. Laparoscopic Surgery of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/0-387-21780-0_35
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DOI: https://doi.org/10.1007/0-387-21780-0_35
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