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Laparoscopic incisional hernia repair with a self-centring suture

Motson, RW; Engledow, AH; Medhurst, C; Adib, R; Warren, SJ; (2006) Laparoscopic incisional hernia repair with a self-centring suture. BRIT J SURG , 93 (12) 1549 - 1553. 10.1002/bjs.5485.

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Abstract

Background: Open incisional hernia repair is associated with high morbidity and recurrence rates. Laparoscopic approaches offer improved long-term results with low complication rates.Methods: Laparoscopic repair was attempted in 117 consecutive patients (median age 68 (range 31-91) years, 50 men) undergoing 122 operations. A novel mesh centralization technique was employed. Data were recorded prospectively. Follow-up was by clinical review or telephone consultation.Results: One hundred and eighteen procedures (96.7 per cent) were completed laparoscopically; four required conversion. Forty-one patients (35.0 per cent) had additional, unsuspected defects. The median mesh size was 225 (range 42-600) cm(2). Median follow-up was 42 months. Small bowel enterotomy occurred in six patients. Fourteen postoperative seromas were successfully aspirated. Recurrence was detected in nine patients (7.7 per cent). One patient was readmitted with small bowel obstruction that settled with conservative management. There were no enterocutaneous fistulas. One patient died after operation from myocardial infarction.Conclusion: Laparoscopic incisional hernia repair using a self-centring suture provides good long-term results with low complication rates.

Type: Article
Title: Laparoscopic incisional hernia repair with a self-centring suture
DOI: 10.1002/bjs.5485
Keywords: VENTRAL HERNIA, EXPANDED POLYTETRAFLUOROETHYLENE, INITIAL-EXPERIENCE, POLYPROPYLENE MESH, COMPLICATIONS, RECURRENCE, RISK
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
URI: http://discovery.ucl.ac.uk/id/eprint/1313043
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