Laparoscopic management of non-midline incisional hernia: A multicentric study

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• 作者：Alessia Ferrarese^a ; ^{alessia.ferrarese@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Stefano Enrico^a ; ^{Stefano_e@libero.it" class="auth_mail" title="E-mail the corresponding author} ; Mario Solej^a ; ^{mariosolej@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Alessandra Surace^a ; ^{alessandra_sur@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Mario Junior Nardi^b ; ^{marionardijr@libero.it" class="auth_mail" title="E-mail the corresponding author} ; Paolo Millo^b ; ^{pmillo@ausl.vda.it" class="auth_mail" title="E-mail the corresponding author} ; Rosaldo Allieta^b ; ^{rallieta@ausl.vda.it" class="auth_mail" title="E-mail the corresponding author} ; Cosimo Feleppa^c ; ^{cosimofeleppa@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Luigi D'Ambra^c ; ^{luigidambra68@libero.it" class="auth_mail" title="E-mail the corresponding author} ; Stefano Berti^c ; ^{Stefano.berti@asl5.liguria.it" class="auth_mail" title="E-mail the corresponding author} ; Enrico Gelarda^d ; ^{enricogelarda@email.it" class="auth_mail" title="E-mail the corresponding author} ; Felice Borghi^d ; ^{borghi.f@ospedale.cuneo.it" class="auth_mail" title="E-mail the corresponding author} ; Gabriele Pozzo^e ; ^{gpozzo@asl.at.it" class="auth_mail" title="E-mail the corresponding author} ; Bartolomeo Marino^e ; ^{bmarino@asl19.asti.it" class="auth_mail" title="E-mail the corresponding author} ; Emma Marchigiano^f ; ^{emma.marchigiano@libero.it" class="auth_mail" title="E-mail the corresponding author} ; Pietro Cumbo^f ; ^{pietrocumbo@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Maria Paola Bellomo^g ; ^{paola.bellomo@fastwebnet.it" class="auth_mail" title="E-mail the corresponding author} ; Claudio Filippa^g ; ^{claudio.filippa@fastwebnet.it" class="auth_mail" title="E-mail the corresponding author} ; Paolo Depaolis^g ; ^{paolo_depaolis@fastwebnet.it" class="auth_mail" title="E-mail the corresponding author} ; Mario Nano^a ; ^{mario.nano@unito.it" class="auth_mail" title="E-mail the corresponding author} ; Valter Martino^a ; ^{valtermartino.md@gmail.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Non-midline ventral hernia ; Ventral hernia ; Laparoscopic repair
• 刊名：International Journal of Surgery
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：33
• 期：supp_S1
• 页码：S108-S113
• 全文大小：259 K

文摘

The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years.

Methods

A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs: subcostal, suprapubic, lumbar, and epigastric. We also conducted a literature review.

Results

No difference was found between the four subgroups in terms of demographic data, defect characteristics, admission data, and complications. Subcostal defects required a shorter operating time. Obesity was found to be a risk factor for recurrence.

Conclusions

In our experience, subcostal defects were easier to perform, with a lower recurrence rate, lesser chronic pain, and faster surgical performance. A more specific prospective randomized trial with a larger sample is awaited. Based on our experience, however, the laparoscopic approach is a safe treatment for NMVHs in specialized centers.