Five-Year Experience with the 'Four-Before' Laparoscopic Ventral Hernia Repair
| Autor: | David R. Reitter, J. Kevin Paulsen, James R. Debord, Norman C. Estes |
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| Rok vydání: | 2000 |
| Předmět: | |
| Zdroj: | The American Surgeon. 66:465-469 |
| ISSN: | 1555-9823 0003-1348 |
| Popis: | Between 1993 and 1998, we performed a linear study of laparoscopic ventral hernia repair performed in a standard fashion using expanded polytetrafluoroethylene on 49 patients. Eighteen patients had recurrent hernias and 30 patients were morbidly obese with a body mass index >30. Conversion to open procedure was required in two patients. Patients were observed a mean of 27 months. Three patients died of unrelated causes during the observation period. Three patients developed recurrent hernias. By a follow-up survey, we found that 90 per cent of patients were “satisfied” with their operation and results. Because of decreased complications, postoperative pain, hospital stay, and hernia recurrence, the “four-before” laparoscopic repair is our preference for ventral hernias. It has been particularly useful for obese patients and patients with recurrent ventral hernias. |
| Databáze: | OpenAIRE |
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