Laparoscopic ventral and incisional hernia repair

Morris E. Franklin, James P. Dorman, Jeffrey L. Glass, Jorge E. Balli, John J. Gonzalez

Research output: Contribution to journalArticlepeer-review

112 Scopus citations

Abstract

Incisional hernia repair poses a difficult problem for the general surgeon because of the high incidence of recurrence (50%) and a reported 10% infection rate. Use of a mesh by the anterior approach to replace or reinforce the defect has marginally reduced the recurrence rate, but not the infection rate, especially in obese patients. With the evolution of minimally invasive surgery, we thought that a potential was present to reduce the postoperative stay, lessen pain, and decrease the incidence of both recurrence and infection. From February 1991 through February 1998, a total of 176 patients with complicated umbilical and incisional hernias have been repaired; the follow-up has been from 1 to 84 months. The complication rate was 5.1%, with an infection rate of 1.7% and a 1.1% incidence of recurrence. Seventeen patients had combined procedures, including cholecystectomy, inguinal hernia repair, and antireflux procedures.

Original languageEnglish (US)
Pages (from-to)294-299
Number of pages6
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume8
Issue number4
DOIs
StatePublished - 1998
Externally publishedYes

Keywords

  • Hernia
  • Incisional
  • Laparoscopy
  • Mesh
  • Recurrence
  • Ventral

ASJC Scopus subject areas

  • Surgery

Fingerprint

Dive into the research topics of 'Laparoscopic ventral and incisional hernia repair'. Together they form a unique fingerprint.

Cite this