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Initial Experience of Laparoscopic Incisional Hernia Repair

Razman J., and Shaharin S., and Lukman M.R., and Sukumar N., and Jasmi A.Y., (2006) Initial Experience of Laparoscopic Incisional Hernia Repair. Medical Journal of Malaysia, 61 (2). pp. 142-146. ISSN 0300-5283

Full text not available from this repository.

Affiliations

Hospital Universiti Kebangsaan Malaysia. Faculty of Medicine. Dept. of Surgery.
Hospital Universiti Kebangsaan Malaysia. Faculty of Medicine. Dept. of Surgery.
Hospital Universiti Kebangsaan Malaysia. Faculty of Medicine. Dept. of Surgery.
Hospital Universiti Kebangsaan Malaysia. Faculty of Medicine. Dept. of Surgery.
Hospital Universiti Kebangsaan Malaysia. Faculty of Medicine. Dept. of Surgery.

Abstract

Laparoscopic repair of ventral and incisional hernia has become increasingly popular as compared to open repair. The procedure has the advantages of minimal access surgery, reduction of post-operative pain and the recurrence rate. A prospective study of laparoscopic incisional hernia repair was performed in our center from August 2002 to April 2004. Eighteen case (n : 18) were performed during the study period. Fifteen case (n : 15) had open hernia repair previously. Sixteen patients (n : 16) had successful repair of the hernia with the laparoscopic approach and two cases were converted to open repair. The mean hernia defect size was 156 cm2. There was no intraoperative or immediate post-operative complication. The mean operating time was 100 ± 34 minutes (75-18 minutes). The post-operative pain was graded as mild to moderate according to visual analogue score. The mean day of discharge after surgery was two days (1-3 days). During follow-up, three patients (16.7%) developed seroma at the hernia sac which was resolved with conservative management after three weeks. One (5.6%) patient developed recurrence six months after surgery. In conclusion, laparoscopic repair of incisional hernia particularly recurrent hernia has been shown to be safe and effective in our centre. However, careful patient selection and acquiring the necessary advanced laparoscopic surgical skills coupled with the proper use of equipment are mandatory before embarking on this procedure.

Item Type:Journal
Keywords:Incisional Hernia, Laparoscopic Repair, Mesh Repair
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:4394

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