Laparoscopic incisional hernia repair is effective choice

March 25, 2013
Laparoscopic incisional hernia repair is effective choice
Laparoscopic incisional hernia repair has recurrence rates comparable with open repair, according to a study published in the March issue of JAMA Surgery.

(HealthDay)—Laparoscopic incisional hernia repair has recurrence rates comparable with open repair, according to a study published in the March issue of JAMA Surgery.

Hasan H. Eker, M.D., from the Erasmus Medical Center in Rotterdam, Netherlands, and colleagues randomized 206 patients with an incisional hernia (between 3 and 15 cm) from 10 hospitals to either laparoscopic or open mesh repair.

The researchers found that in the laparoscopic group, patients had significantly less median (10 mL versus 50 mL) and received significantly fewer wound drains (3 percent of patients versus 45 percent). Laparoscopic operative time was significantly longer (100 versus 76 minutes) and resulted in significantly higher perioperative complications (9 versus 2 percent). There were no significant differences between the groups with respect to visual analog scale scores for pain and before surgery and postoperatively. A recurrence rate of 14 percent in the open group versus 18 percent in the laparoscopic group was seen at 35 months of follow-up (P = 0.30). Recurrence was significantly predicted by the size of the defect.

"Based on this large , incisional hernia repair is an effective technique with recurrence rates comparable with open repair," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Endovascular, open aneurysm repair long-term survival akin

November 22, 2012

(HealthDay)—For repair of abdominal aortic aneurysms, endovascular repair and open repair result in similar long-term survival, according to a study published in the Nov. 22 issue of the New England Journal of Medicine.

Similar oncologic efficacy for robotic, open cystectomy

December 21, 2012

(HealthDay)—For patients with bladder cancer undergoing radical cystectomy, a robotic approach seems to have the same oncologic efficacy as an open approach and demonstrates potential perioperative benefits, according to ...

Electroacupuncture reduces duration of post-op ileus

February 9, 2013

(HealthDay)—Electroacupuncture reduces the duration of postoperative ileus and shortens hospital stay for patients treated with laparoscopic surgery for colorectal cancer, according to research published in the February ...

Recommended for you

A recipe for long-lasting livers

April 22, 2015

People waiting for organ transplants may soon have higher hopes of getting the help that they need in time. Researchers at the RIKEN Center for Developmental Biology have developed a new technique that extends the time that ...

Surgeon to offer ideas on a way to do human head transplants

February 26, 2015

Sergio Canavero of the Turin Advanced Neuromodulation Group has made it known that he intends to announce at this summer's American Academy of Neurological and Orthopedic Surgeons meeting, that he believes he has put together ...

New tool helps guide brain cancer surgery

July 3, 2014

A tool to help brain surgeons test and more precisely remove cancerous tissue was successfully used during surgery, according to a Purdue University and Brigham and Women's Hospital study.

New imaging technique sharpens surgeons' vision

February 11, 2014

Which superhuman power would you choose for help on the job? For Dr. Julie Margenthaler, it's a technology that brings to mind X-ray vision, used for the first time Monday during an operation to remove a patient's lymph node.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.