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Laparoscopic intraperitoneal versus enhanced-view totally extraperitoneal retromuscular mesh repair for ventral hernia:a retrospective cohort study

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  • المؤلفون: Bui, Nam H.; Jørgensen, Lars N.; Jensen, Kristian K.
  • المصدر:
    Bui , N H , Jørgensen , L N & Jensen , K K 2022 , ' Laparoscopic intraperitoneal versus enhanced-view totally extraperitoneal retromuscular mesh repair for ventral hernia : a retrospective cohort study ' , Surgical Endoscopy , vol. 36 , no. 2 , pp. 1500-1506 .
  • نوع التسجيلة:
    Electronic Resource
  • الدخول الالكتروني :
    https://researchprofiles.ku.dk/da/publications/laparoscopic-intraperitoneal-versus-enhancedview-totally-extraperitoneal-retromuscular-mesh-repair-for-ventral-hernia(51eab96c-3bf2-411a-bf9e-eece80ae04e6).html
    https://doi.org/10.1007/s00464-021-08436-8
  • معلومة اضافية
    • Publisher Information:
      2022
    • نبذة مختصرة :
      Background: Laparoscopic enhanced-view totally extraperitoneal retromuscular repair (eTEP-RM) was recently introduced as a new technique for ventral hernia repair. The aim of the current study was to examine the outcomes of laparoscopic eTEP-RM compared with laparoscopic IPOM for patients with primary ventral and incisional hernia. Methods: This was a retrospective cohort study of patients undergoing laparoscopic ventral hernia repair at a single University Hospital from June 2017 to November 2020. Medical charts of all patients subjected to IPOM and eTEP-RM were evaluated to identify patient- and procedure related variables, as well as postoperative 30-day outcomes. Results: A total of 72 patients were included in the study, 43 and 29 of whom underwent IPOM and eTEP-RM repair, respectively. Patient demographics showed no differences in terms of gender, age, smoking and comorbidity. The median age was 57 years and body mass index 30.5 kg/m2. The rate of patients with incisional hernia was higher in the IPOM group (39.5% vs. 20.7%, p = 0.154). There was no difference in horizontal and vertical hernia size defect. The duration of surgery was significantly shorter for IPOM (mean 82.4 vs. 103.4 min, p = 0.010), whereas the length of stay was significantly longer after IPOM (median 1 days vs. 0 days (p < 0.001). The rate of patients requiring postoperative transversus abdominis plane (TAP) block or epidural analgesia was significantly higher after IPOM (33% vs. 0%, p = 0.002). A subgroup analysis on patients undergoing primary ventral hernia showed similar results. Conclusion: The study found laparoscopic eTEP-RM safe and effective compared to traditional laparoscopic IPOM. The patients undergoing eTEP-RM had significantly reduced need for additional analgesic treatment and length of stay.
    • الموضوع:
      Extraperitoneal; Fixation; Incisional hernia; Ventral hernia; article
    • Availability:
      Open access content. Open access content
      info:eu-repo/semantics/closedAccess
    • Note:
      English
    • Other Numbers:
      DAV oai:pure.atira.dk:publications/51eab96c-3bf2-411a-bf9e-eece80ae04e6
      1349073845
    • Contributing Source:
      UNIV OF COPENHAGEN
      From OAIster®, provided by the OCLC Cooperative.
    • الرقم المعرف:
      edsoai.on1349073845
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