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Revista chilena de cirugía

versión On-line ISSN 0718-4026


GAMBOA C, CRISTIAN et al. Laparoscopic repair of incisional hernias: Experience in 21 patients. Rev Chil Cir [online]. 2010, vol.62, n.1, pp.42-48. ISSN 0718-4026.

Background: Ventral hernias are one of the most common complications of open abdominal surgery and can be repaired laparoscopically. Aim: To assess the feasibility, safety and efficacy of the laparoscopic repair of incisional hernias. Patients and Methods: Retrospective study of the patients undergoing laparoscopic ventral hernia repair from march 2006 to october 2008 at a surgical department of a clinical hospital. We analyzed patient's characteristics, surgical variables, perioperative results, complications and short term follow up. Results: Twenty-one patients aged 54 ± 14 years (16 females) underwent laparoscopic ventral hernia repair during this period. Their mean body mass index was 32.2 ±6.5 kg/m2. One patient was converted to open surgery. The mean hernia ring diameter was 8.4 ± 3.9 cm (range 3-17). Median operative time was 92 minutes (range 45-300). Mean hospital stay was 3.0 ±1.6 days. During the procedure, two patients were simultaneously subjected to a sleeve gastrectomy and cholecystectomy, respectively. Apulmonary atelectasis and a seroma occurred in two patients (10%) as early minor complications. As late complications, two patients (10%) experienced continuing pain in the área in both operations. No patient died. Follow up was 100% with a mean of 14 months (range 4-36), without hernia recurrence during this period. Conclusions: Laparoscopic incisional hernia repair is a feasible technique to perform, without serious complications.

Palabras clave : Incisional hernia; laparoscopy; laparoscopic hernia repair.

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