Laparoscopies up for ventral hernia repair in obese patients

Laparoscopies up for ventral hernia repair in obese patients
In obese patients, there has been a significant increase in the use of laparoscopic ventral hernia repairs, which are associated with a lower complication rate and shorter median length of hospital stay compared with open surgeries, according to research published online June 12 in JAMA Surgery.

(HealthDay)—In obese patients, there has been a significant increase in the use of laparoscopic ventral hernia repairs (VHRs), which are associated with a lower complication rate and shorter median length of hospital stay compared with open surgeries, according to research published online June 12 in JAMA Surgery.

Justin Lee, M.D., of Tufts University in Boston, and colleagues conducted a retrospective cohort analysis to evaluate the outcomes of laparoscopic surgery versus open surgery for VHR in . Cases of obese patients who underwent VHR from 2008 to 2009 were identified in the Nationwide Inpatient Sample database.

The researchers found that the use of laparoscopic VHR increased more than four-fold, from 1,547 (6.5 percent) of 23,917 cases in 2008 to 6,629 (28.0 percent) of 23,704 cases in 2009. Compared with open repair, laparoscopic VHR was associated with significantly lower overall (6.3 versus 13.7 percent), shorter median length of hospital stay (three versus four days), and lower mean total ($40,387 versus $48,513). Multivariate showed that the use of laparoscopic VHR was more likely in patients with private insurance (odds ratio [OR], 1.20) and less likely in patients with a gangrenous bowel (OR, 0.14).

"In the era of laparoscopy, the overall use of laparoscopic VHR in obese patients has increased significantly and appears to be safe, with a shorter stay and a lower cost of care," the authors write.

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

Related Stories

Electroacupuncture reduces duration of post-op ileus

date Feb 09, 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 ...

Laparoscopic hysterectomy rates on rise over past decade

date Apr 16, 2013

(HealthDay)—The rate of laparoscopic hysterectomy has greatly increased over the past decade and is now higher than that of abdominal hysterectomy, according to a study in the April issue of the American Jo ...

More complications for inpatient lumbar discectomy

date Feb 04, 2013

(HealthDay)—Patients undergoing inpatient lumbar discectomy have significantly higher overall complication rates than those treated as outpatients, according to a study published in the Feb. 1 issue of ...

Recommended for you

New software helps improve surgical safety

date Apr 13, 2015

Because the spine is made up of repeating elements that look alike, surgeons can mistakenly operate on the wrong vertebra. To avoid this, Johns Hopkins researchers have developed a software program that works ...

Can facial plastic surgery make you more likeable?

date Apr 09, 2015

Facial plastic surgery may do more than make you look youthful. It could change—for the better—how people perceive you. The first study of its kind to examine perception after plastic surgery finds that ...

User 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.