Laparoscopic Repair of a Ventral Hernia Using Composix E/X Dual Mesh at a Single Institution.

概要

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Introduction: Although abdominal ventral hernias are common, there is still no consensus regarding the most appropriate technique to be used for surgical repair. We herein present our initial experiences of laparoscopic ventral herniorrhaphy to repair abdominal ventral hernias. Patients: From April 2007 to March 2009, four patients were assigned to recieve laparoscopic ventral hernia repair. The operative technique was demonstrated. Additionally clinical factors, including operative time, length of hospital stay, complications, and recurrence rates, were evaluated. Results: All of the patients were successfully treated laparoscopically without conversion to open laparotomy. The median operative time was 107.5 (range 75 - 130) minutes and the mean length of hospital stay was 13 (range 5 -19) days. There were no significant complications or hernia recurrences during a follow-up period of 36 months ( median, 28 - 42 ). Conclusion: Laparoscopic repair of abdominal ventral hernias may therefore be a feasible option with a great potential to both improve treatment outcomes and reduce surgical morbidity.