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Proceed™ Mesh for Laparoscopic Ventral Hernia Repair
BACKGROUND AND OBJECTIVES: Laparoscopic technique to repair ventral hernia offers advantages over conventional open surgery such as shorter recovery time, decreased pain, and lower recurrence rates. There are a myriad of meshes available for laparoscopic repair of ventral hernias. This study evaluat...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866060/ https://www.ncbi.nlm.nih.gov/pubmed/24398198 http://dx.doi.org/10.4293/108680813X13693422519433 |
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author | Bhanot, Parag Franklin, Brenton R. Patel, Ketan M. |
author_facet | Bhanot, Parag Franklin, Brenton R. Patel, Ketan M. |
author_sort | Bhanot, Parag |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Laparoscopic technique to repair ventral hernia offers advantages over conventional open surgery such as shorter recovery time, decreased pain, and lower recurrence rates. There are a myriad of meshes available for laparoscopic repair of ventral hernias. This study evaluated the outcomes of laparoscopic repair of ventral hernias with Proceed mesh (Ethicon, Somerville, NJ, USA) in a single academic institution. METHODS: An institutional review board–approved retrospective review was performed for 100 consecutive patients with ventral hernia who underwent a laparoscopic approach at our institution from August 2006 to February 2009. All patients were operated on by a single surgeon using a standard technique with transabdominal suture fixation and tacks. RESULTS: The study included 100 consecutive patients (57 female and 43 male patients). The mean age was 55 years (range, 16–78 years), and the mean body mass index was 33.3 kg/m(2) (range, 19.6–68.9 kg/m(2)). Of the repairs, 27% were performed for a recurrent hernia. The mean and median size of the defect were 128 cm(2) and 119.5 cm(2) (range, 4–500 cm(2)), respectively. To ensure appropriate mesh overlap, the mean size of mesh was 253 cm(2) (range, 36–700 cm(2)). There were 4 conversions. The mean operative time was 117 minutes (range, 35–286 minutes). The mean length of stay was 1.9 days. There were no major abdominal complications. With a mean follow-up period of 50 months (range, 38–68 months), we have not recorded any recurrences. No mesh-related complications have been documented. CONCLUSIONS: The laparoscopic approach to ventral hernia repairs using Proceed mesh is associated with a low conversion rate and no major complications. At 50 months of follow-up, the recurrence rate is 0%. There were no mesh-related complications. |
format | Online Article Text |
id | pubmed-3866060 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-38660602013-12-18 Proceed™ Mesh for Laparoscopic Ventral Hernia Repair Bhanot, Parag Franklin, Brenton R. Patel, Ketan M. JSLS Scientific Papers BACKGROUND AND OBJECTIVES: Laparoscopic technique to repair ventral hernia offers advantages over conventional open surgery such as shorter recovery time, decreased pain, and lower recurrence rates. There are a myriad of meshes available for laparoscopic repair of ventral hernias. This study evaluated the outcomes of laparoscopic repair of ventral hernias with Proceed mesh (Ethicon, Somerville, NJ, USA) in a single academic institution. METHODS: An institutional review board–approved retrospective review was performed for 100 consecutive patients with ventral hernia who underwent a laparoscopic approach at our institution from August 2006 to February 2009. All patients were operated on by a single surgeon using a standard technique with transabdominal suture fixation and tacks. RESULTS: The study included 100 consecutive patients (57 female and 43 male patients). The mean age was 55 years (range, 16–78 years), and the mean body mass index was 33.3 kg/m(2) (range, 19.6–68.9 kg/m(2)). Of the repairs, 27% were performed for a recurrent hernia. The mean and median size of the defect were 128 cm(2) and 119.5 cm(2) (range, 4–500 cm(2)), respectively. To ensure appropriate mesh overlap, the mean size of mesh was 253 cm(2) (range, 36–700 cm(2)). There were 4 conversions. The mean operative time was 117 minutes (range, 35–286 minutes). The mean length of stay was 1.9 days. There were no major abdominal complications. With a mean follow-up period of 50 months (range, 38–68 months), we have not recorded any recurrences. No mesh-related complications have been documented. CONCLUSIONS: The laparoscopic approach to ventral hernia repairs using Proceed mesh is associated with a low conversion rate and no major complications. At 50 months of follow-up, the recurrence rate is 0%. There were no mesh-related complications. Society of Laparoendoscopic Surgeons 2013 /pmc/articles/PMC3866060/ /pubmed/24398198 http://dx.doi.org/10.4293/108680813X13693422519433 Text en © 2013 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/us/), 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 | Scientific Papers Bhanot, Parag Franklin, Brenton R. Patel, Ketan M. Proceed™ Mesh for Laparoscopic Ventral Hernia Repair |
title | Proceed™ Mesh for Laparoscopic Ventral Hernia Repair |
title_full | Proceed™ Mesh for Laparoscopic Ventral Hernia Repair |
title_fullStr | Proceed™ Mesh for Laparoscopic Ventral Hernia Repair |
title_full_unstemmed | Proceed™ Mesh for Laparoscopic Ventral Hernia Repair |
title_short | Proceed™ Mesh for Laparoscopic Ventral Hernia Repair |
title_sort | proceed™ mesh for laparoscopic ventral hernia repair |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866060/ https://www.ncbi.nlm.nih.gov/pubmed/24398198 http://dx.doi.org/10.4293/108680813X13693422519433 |
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