Laparoscopic repair of incisional hernia

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Published: Mar 5, 2018
Keywords:
Conversion to open surgery, Incisional hernia, Laparoscopy, Risk factors

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Antonio Zanghì
General and Breast Surgery Unit, Department of Surgery, University of Catania, AOU Policlinico, Catania, Italy
Maria Di Vita
General and Breast Surgery Unit, Department of Surgery, University of Catania, AOU Policlinico, Catania, Italy
Antonio Borzì
General and Breast Surgery Unit, Department of Surgery, University of Catania, AOU Policlinico, Catania, Italy
Andrea Cavallaro
General and Breast Surgery Unit, Department of Surgery, University of Catania, AOU Policlinico, Catania, Italy
Francesco Cardì
General and Breast Surgery Unit, Department of Surgery, University of Catania, AOU Policlinico, Catania, Italy
Alessia Giaquinta
Vascular Surgery and Organ Transplant Unit, Department of Surgery, University Hospital of Catania, Catania, Italy
Emanuele Lo Menzo
The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, Fl, USA
Alessandro Cappellani
General and Breast Surgery Unit, Department of Surgery, University of Catania, AOU Policlinico, Catania, Italy

Abstract

INTRODUCTION: Some factors may affect the conversion to open of the laparoscopic treatment of incisional hernia. Their presence can help to choose the most appropriate technique identifying patients at high risk conversion.


 


METHODS: A retrospective study has been performed on a cohort of 306 patients, selected among those undergone to elective laparoscopic surgery for post incisional hernia between 2005 and 2015. Only symptomatic patients with single site wall defect, diameter between 5 and 10 cm, ASA ≤3, have been included. Patients were divided in 2 groups, Laparoscopic (L) and Converted (C) and preoperatory data were evaluated and statistically analyzed.


 


RESULTS: The L group accounted for 228 patients and C group for 78 patients. The univariate analysis showed that risk factor for conversion included BMI ≥ 30, Smoking, Diabetes mellitus, Prior emergency surgery. Age > 60 years was associate with lower risk of conversion.


 


CONCLUSIONS: The result of this retrospective study allows us to say that the choice of the technique, in the presence of multiple risk factors, should be carefully assessed and discussed with the patient. A prospective study with a larger number of patients would allow a better definition of the risk determined by individual factors and the development of a score that could be used in practice to simplify the risk assessment

Article Details

How to Cite
Zanghì, Antonio, et al. “Laparoscopic Repair of Incisional Hernia”. Annali Italiani Di Chirurgia, vol. 7, no. March, Mar. 2018, pp. 1-5, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1863.
Issue
Vol. 7 No. March (2018)
Section
Case Report