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Laparoscopic Ventral Hernia Repair Using a Two (5-mm) Port Technique

OBJECTIVE: High recurrence rates have been documented after primary repair of incisional hernias. Laparoscopic ventral and incisional hernia repairs have been performed with very low rates of recurrence. We have modified the standard technique of laparoscopic repair in patients with small incisional...

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Autores principales: Abir, Farshad, Eisenberg, Dan, Bell, Robert
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015548/
https://www.ncbi.nlm.nih.gov/pubmed/15791980
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author Abir, Farshad
Eisenberg, Dan
Bell, Robert
author_facet Abir, Farshad
Eisenberg, Dan
Bell, Robert
author_sort Abir, Farshad
collection PubMed
description OBJECTIVE: High recurrence rates have been documented after primary repair of incisional hernias. Laparoscopic ventral and incisional hernia repairs have been performed with very low rates of recurrence. We have modified the standard technique of laparoscopic repair in patients with small incisional and ventral hernias. The purpose of this study was to document the technique utilizing only two 5-mm ports and demonstrate that it is safe, effective, and feasible. METHODS: Three patients with small incisional or ventral hernias were examined. The standard laparoscopic ventral hernia repair technique was modified as follows: two 5-mm ports were inserted on opposite sides of the defect. The defects ranged from 2.5 cm to 4 cm in size. Expanded polytetrafluoroethylene mesh (DualMesh, WL Gore, Flagstaff, AZ) was used to cover the hernia defect, overlapping the defect margins circumferentially by 3 cm. The mesh diameter ranged from 8.5 cm to 10 cm. The mesh was inserted through a 5-mm skin incision site and affixed into position with transfascial sutures and spiral tacks. RESULTS: The operative time ranged from 53 minutes to 57 minutes. All patients were discharged home the day of surgery and reported minimal postoperative pain. Follow-up ranged from 6 months to 1 year; all patients were doing well without recurrence. CONCLUSION: Laparoscopic repair of ventral or incisional hernias can be performed using only two 5-mm ports. This technique can be done on an outpatient basis in a safe, timely fashion.
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spelling pubmed-30155482011-02-17 Laparoscopic Ventral Hernia Repair Using a Two (5-mm) Port Technique Abir, Farshad Eisenberg, Dan Bell, Robert JSLS Case Reports OBJECTIVE: High recurrence rates have been documented after primary repair of incisional hernias. Laparoscopic ventral and incisional hernia repairs have been performed with very low rates of recurrence. We have modified the standard technique of laparoscopic repair in patients with small incisional and ventral hernias. The purpose of this study was to document the technique utilizing only two 5-mm ports and demonstrate that it is safe, effective, and feasible. METHODS: Three patients with small incisional or ventral hernias were examined. The standard laparoscopic ventral hernia repair technique was modified as follows: two 5-mm ports were inserted on opposite sides of the defect. The defects ranged from 2.5 cm to 4 cm in size. Expanded polytetrafluoroethylene mesh (DualMesh, WL Gore, Flagstaff, AZ) was used to cover the hernia defect, overlapping the defect margins circumferentially by 3 cm. The mesh diameter ranged from 8.5 cm to 10 cm. The mesh was inserted through a 5-mm skin incision site and affixed into position with transfascial sutures and spiral tacks. RESULTS: The operative time ranged from 53 minutes to 57 minutes. All patients were discharged home the day of surgery and reported minimal postoperative pain. Follow-up ranged from 6 months to 1 year; all patients were doing well without recurrence. CONCLUSION: Laparoscopic repair of ventral or incisional hernias can be performed using only two 5-mm ports. This technique can be done on an outpatient basis in a safe, timely fashion. Society of Laparoendoscopic Surgeons 2005 /pmc/articles/PMC3015548/ /pubmed/15791980 Text en © 2005 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Abir, Farshad
Eisenberg, Dan
Bell, Robert
Laparoscopic Ventral Hernia Repair Using a Two (5-mm) Port Technique
title Laparoscopic Ventral Hernia Repair Using a Two (5-mm) Port Technique
title_full Laparoscopic Ventral Hernia Repair Using a Two (5-mm) Port Technique
title_fullStr Laparoscopic Ventral Hernia Repair Using a Two (5-mm) Port Technique
title_full_unstemmed Laparoscopic Ventral Hernia Repair Using a Two (5-mm) Port Technique
title_short Laparoscopic Ventral Hernia Repair Using a Two (5-mm) Port Technique
title_sort laparoscopic ventral hernia repair using a two (5-mm) port technique
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015548/
https://www.ncbi.nlm.nih.gov/pubmed/15791980
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