Evaluation of ventral hernia laparoscopic repair – first results
Journal Title: Postępy Nauk Medycznych - Year 2011, Vol 24, Issue 1
Abstract
Ventral hernias may affect up to 10% of the population, and incisional hernias occur up to 20% of patients. A growing number of professionals support laparoscopis treatment of abdominal hernias. The following factors are in favor of laparoscopic operations: shorter hospitalization, lower percentage of surgical site infections, less pain in the postoperative period. Recurrence rate in such operations does not exceed 5%. The aim of this study was to analyze the results of the first patients operated with laparoscopic IPOM (intraperitoneal on-lay mesh) technique. From February to December 2009, 11 patients (5 women, 6 men) with abdominal hernias (10 incisional hernias and 1 umbilical hernia) were operated. The average age was 65.7 years. The average size of the hernia was 77.5 cm2, while the average mesh size was 387 cm2. Average operation time was 125 minutes (40 to 180 minutes). Average hospitalization (counting from the day of operation) was 3.45 days (from 2 to 7). One conversion to laparotomy was done due to small bowel injury. One patient was reoperated on 12 postoperative day due to early recurrence of hernia having a bowel loop carcerated under the mesh. One patient experienced wound suppuration. The average follow-up was 12 months. In the referred group, there was no seroma located in the wound, and with an exeption of a reoperated patient there were no recurrences. Laparoscopic IPOM treatment of ventral hernia is an effective method. Further own research and observation a constantly growing number of operated patients will be evaluated in subsequent papers.
Authors and Affiliations
Aleksander Grous, Wiesław Tarnowski
Keywords
Related Articles
- EP ID EP54017
- DOI -
- Views 147
- Downloads 0
Skin-mucous side effects of the retinoids in the therapy of acne vulgaris
<b>Introduction. </b>Acne vulgaris is one of the most commonly diagnosed dermatosis in patients aged 11-30 years. It is believed to be found in about 80% of patients in this age group but if c...
Resistance to pyrazinamide among Mycobacterium tuberculosis strains isolated from patients from the Mazovian Voivodeship in 2008-2010 years
Introduction. The anti-tuberculous properties of pyrazinamide (PZA) were identified over 50 years ago, and since that time it has been one of the most important drugs used for the treatment of tuberculosis, in addition R...
Wieloetapowe leczenie kamicy moczowodowej – opis przypadku
Przedstawiamy przykład zastosowania nowoczesnych metod leczenia kamicy (nefrostomia punkcyjna, ureterorenoskopia, Laser StoneLight - laser czerwony, ESWL) i metod tradycyjnych (otwarta ureterolitotomia z usunięciem złogu...
Zespół MSH6
Szacuje się, że około 5-10% nowotworów jest wynikiem obecności konstytucyjnej mutacji w pojedynczym genie o wysokiej penetracji. Geny związane z rozwojem nowotworów pełnią funkcje genów supresorowych, onkogenów czy genów...
Blood pressure control in peritoneal dialysis patients
Hypertension is a common finding in dialysis patients. Over 50 to 60% of HD patients and nearly 30 % PD patients are hypertensive. Hypertension is the prime contributor for cardiovascular diseases in dialysis patients.