HERNIOPLASTÍA VENTRAL LAPAROSCÓPICA
| Autor: | Lissette Leiva S, Mauricio Gabrielli N, Fernando Crovari E, Felipe León F, Camilo Boza W, Ricardo Funke H, Nicolás Jarufe C, Jean P Báchler G, José Galindo R |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Revista chilena de cirugía v.66 n.5 2014 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0718-4026 |
| DOI: | 10.4067/s0718-40262014000500006 |
| Popis: | Laparoscopic repair of ventral hernias Background: Ventral hernias are defects of the anterior abdominal wall, the laparoscopic repair has shown some advantages compared to open repair. Aim: To evaluate perioperative outcomes of the laparosco- pic ventral hernia repair and to describe risk factors associated to recurrence. Methods: Non-concurrent pros- pective cohort study, clinical data of all patients who underwent laparoscopic ventral hernia repair between June�2006�andMay�2013�werereviewed.�Univariateanalyseswereperformedusingchi-squareforcategorical� variablesandUMann-Whitneytestforcontinuousvariables.�Multivariateanalysiswasperformedusinga� logistic regression model. Results: 127 patients underwent laparoscopic ventral hernia, 52% female, age of 58.1 ± 1.2 years old. Mean Body Mass Index (BMI) was 31 ± 0.5 kg/m 2 and 67.7% were incisional hernias. Median operative time was 80 minutes (ranging from 30-350) and the median defect size was 6 cm (ranging from 2-20). Conversion to open surgery was necessary in 4 cases (3.9%). Median of hospital stay was 2 days (ranging from 1-15). Recurrence rate was 14.2% and the median to recurrence was 9 months. Recurrence rate was associated positively to defect size > 10 cm (p = 0.002), previous recurrence (p = 0.029) and operative time�>�90�minutes�(p�=�0.017)�intheunivariateanalyses.�However,�itwasonlyassociatedtothefirsttwoin� the multivariate analysis (OR 3.906; IC 1.734-13.058 y OR 5.93; IC 1.546-22.976, respectively). Conclu- sions: Laparoscopic repair of ventral hernia is a safe procedure with acceptable perioperative complication rates. Defect size and previous recurrence are associated to a higher recurrence rate. |
| Databáze: | OpenAIRE |
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