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Laparoscopic Incisional and Ventral Hernia Repair with Absorbable Tacks in a Long Term Follow-up: A Retrospective Control Study

[ Vol. 14 , Issue. 2 ]

Author(s):

Simone Zanella*, Lauro Enrico, Francesco Franceschi, Francesco Buccelletti, Annalisa Potenza, Andrea Zanoni, Giovanni Scudo, Enzo Bonadies, Mario De Bellis, Francesco Ricci and Antonios Vassiliadis   Pages 141 - 146 ( 6 )

Abstract:


Background: Laparoscopic Incisional and Ventral Hernia Repair (LIVHR) is a safe and worldwide accepted procedure performed using absorbable tacks. The aim of the study was to evaluate recurrence rate in a long term follow-up and whether the results of laparoscopic IVH repair in the elderly (≥65 years old) are different with respect to results obtained in younger patients.

Patients and Methods: One hundred and twenty-nine consecutive patients (74 women and 55 men, median age 67 years, range = 30-87 years) with ventral (N = 42, 32.5%) or post incisional (N = 87, 67.5%) hernia were enrolled in the study. Patients were divided into two groups according to their age: group A (N = 55, 42.6%) aged <65 years and group B (N = 74, 57.4%) aged ≥65 years.

Results: The mean operative time was not significantly different between groups (66.7 ± 37 vs. 74 ± 48.4 min, p = 0.4). To the end of 2016, seven recurrences had occurred (group A = 3, group B = 4, p = 1). Complications occurred in 8 (16%) patients in group A and 21 (28.3%) patients in group B.

Conclusion: In conclusion, our results confirm that the use of absorbable tacks does not increase recurrence frequency and laparoscopic incisional and ventral repair is a safety procedure also in elderly patients.

Keywords:

Elderly, laparoscopic ventral hernia repair (LVHR), ventral hernia, laparoscopic incisional, absorbable tacks, retrospective control study.

Affiliation:

General Surgery, S. Maria del Carmine Hospital, Rovereto, General Surgery, S. Maria del Carmine Hospital, Rovereto, Institute of Internal Medicine, Catholic University of Rome, Rome, Department of Emergency, S. Chiara Hospital, Trento, Institute of Internal Medicine, Catholic University of Rome, Rome, General Surgery, S. Maria del Carmine Hospital, Rovereto, General Surgery, S. Maria del Carmine Hospital, Rovereto, General Surgery, S. Maria del Carmine Hospital, Rovereto, Department of Emergency, S. Chiara Hospital, Trento, General Surgery, S. Maria del Carmine Hospital, Rovereto, General Surgery, S. Maria del Carmine Hospital, Rovereto



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