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A decade of experience with laparoscopic ventral hernia repairs
Authors:Sarah Lund  David Farley
Institution:1. Mayo Clinic School of Medicine, 200 1st Street SW, Rochester, MN, 55902, USA;2. Mayo Clinic Department of General Surgery, 200 1st Street SW, Rochester, MN, 55902, USA
Abstract:

Background

Few studies have evaluated surgical outcomes in long-term follow-up for patients undergoing Laparoscopic Ventral Hernia Repair (LVHR).

Methods

A retrospective review of long-term follow-up of LVHR patients (2002–2005) at a single institution.

Results

Sixty-three patients (37 males; mean age?=?63, mean BMI?=?33, 41% for recurrence) underwent LVHR. Mean operative time was 164?min. Mean hospital stay was 3.7 days. Short- and long-term complications occurred in 19% and 44% of patients, respectively.Mean follow-up was 12.4 years. Recurrent hernias were noted in 15 patients. Seroma formation occurred in 14 patients; small bowel obstruction occurred in 10 patients. Five patients developed mesh infection. Use of PTFE mesh, longer operative time, and a larger hernia defect were risk factors for mesh infection (p?<?0.05).

Conclusions

Long-term outcomes for patients undergoing LVHR are fraught with complications (44%) and a considerable risk of hernia recurrence (23%).
Keywords:Corresponding author  Mayo Clinic Department of General Surgery  200 1st Street SW  Rochester  MN  55902  USA  
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