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Laparoscopic Repair of Ventral Hernia in a Laparoscopic Experienced Surgical Center: Low Recurrence Rate, Morbidity, and Chronic Pain are Achievable

Cocozza, Eugenio MD; Berselli, Mattia MD; Latham, Lorenzo MD; Livraghi, Lorenzo MD; Farassino, Luca MD; Bianchi, Veronica MD; Mangano, Alberto MD; Guffanti, Enrico MD

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: April 2014 - Volume 24 - Issue 2 - p 168–172
doi: 10.1097/SLE.0b013e31828f6b81
Original Articles
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Purpose: Recurrence rate and the perioperative outcome evaluation through laparoscopic approach for ventral (primary and incisional) hernia repair.

Materials and Methods: A retrospective evaluation of a series of patients treated through a minimally invasive approach for ventral hernia was performed. A standardized surgical technique was adopted. All the patients were evaluated through a clinical follow-up.

Results: From July 2004 to June 2011, 150 videolaparoscopic ventral hernia repairs were performed. The median follow-up was 40 months. One hernia recurrence (0.7%) was detected after 55 months. The intraoperative and postoperative complication rate was 2.6% (1 conversion to open surgery) and 5.3%, respectively. Chronic pain nonresponsive to drug was registered in 2 patients (1.3%).

Conclusions: The videolaparoscopic approach to ventral hernia repair is a safe technique that can guarantee a low recurrence rate; moreover, if it is performed in an experienced laparoscopic surgical center, it can be a valid alternative to the traditional open approach.

Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi, Varese, Italy

The authors declare no conflicts of interest.

Reprints: Eugenio Cocozza, MD, Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi, Viale Borri 57, Varese 21100, Italy (e-mail: eugenio.cocozza@ospedale.varese.it).

Received June 18, 2012

Accepted January 27, 2013

© 2014 by Lippincott Williams & Wilkins