Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti · 2013
[Laparoscopic repair of incisional hernias - our first experience].
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Oravský M, Bak V, Petrovajová T, Rajčok M, Schnorrer M
Аннотация
INTRODUCTION: The authors present their first experience with the laparscopic hernioplasty of the incisional hernias appearing after laparotomy.
MATERIAL AND METHODS: In the period from January 2008 to June 2012, 29 patients underwent hernioplasty by the IPOM technique (Intra Peritoneal Onlay Mesh) using Teflon mesh. The patients were followed up prospectively for the mean time of 29 months. The mean age of the patients was 57 years, the average size of the hernias was 6.5 cm, and the average time of the operation was 75 minutes.
RESULTS: In the early postoperative period in 3 patients (11%) occurred pseudoperitonitis caused by the irritation of the peritoneum in the area of the attached mesh. In one patient (3%) severe paralytic ileus developed, and 22 patients experienced seroma in the left hernial sac. All seroma was absorbed except for one patient. In the mentioned case, seroma absorbed completely after repeated aspiration within 3 months. During the period of follow-up no patient showed any signs of recurrence.
CONCLUSION: Since the first method of choice in the treament of incisional hernias after laparotomies is still unclear, laparoscopic repair seems to be a promising option. Results of laparoscopic repair are comparable with the conventional hernioplasty using mesh.
MATERIAL AND METHODS: In the period from January 2008 to June 2012, 29 patients underwent hernioplasty by the IPOM technique (Intra Peritoneal Onlay Mesh) using Teflon mesh. The patients were followed up prospectively for the mean time of 29 months. The mean age of the patients was 57 years, the average size of the hernias was 6.5 cm, and the average time of the operation was 75 minutes.
RESULTS: In the early postoperative period in 3 patients (11%) occurred pseudoperitonitis caused by the irritation of the peritoneum in the area of the attached mesh. In one patient (3%) severe paralytic ileus developed, and 22 patients experienced seroma in the left hernial sac. All seroma was absorbed except for one patient. In the mentioned case, seroma absorbed completely after repeated aspiration within 3 months. During the period of follow-up no patient showed any signs of recurrence.
CONCLUSION: Since the first method of choice in the treament of incisional hernias after laparotomies is still unclear, laparoscopic repair seems to be a promising option. Results of laparoscopic repair are comparable with the conventional hernioplasty using mesh.