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Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair

BACKGROUND: An incisional hernia is a common complication of abdominal surgery. AIM: To evaluate the outcomes and complications of hybrid application of open and laparoscopic approaches in giant ventral hernia repair. METHODS: Medical records of patients who underwent open, laparoscopic, or hybrid s...

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Autores principales: Yang, Shuo, Wang, Ming-Gang, Nie, Yu-Sheng, Zhao, Xue-Fei, Liu, Jing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727244/
https://www.ncbi.nlm.nih.gov/pubmed/35071505
http://dx.doi.org/10.12998/wjcc.v10.i1.51
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author Yang, Shuo
Wang, Ming-Gang
Nie, Yu-Sheng
Zhao, Xue-Fei
Liu, Jing
author_facet Yang, Shuo
Wang, Ming-Gang
Nie, Yu-Sheng
Zhao, Xue-Fei
Liu, Jing
author_sort Yang, Shuo
collection PubMed
description BACKGROUND: An incisional hernia is a common complication of abdominal surgery. AIM: To evaluate the outcomes and complications of hybrid application of open and laparoscopic approaches in giant ventral hernia repair. METHODS: Medical records of patients who underwent open, laparoscopic, or hybrid surgery for a giant ventral hernia from 2006 to 2013 were retrospectively reviewed. The hernia recurrence rate and intra- and postoperative complications were calculated and recorded. RESULTS: Open, laparoscopic, and hybrid approaches were performed in 82, 94, and 132 patients, respectively. The mean hernia diameter was 13.11 ± 3.4 cm. The incidence of hernia recurrence in the hybrid procedure group was 1.3%, with a mean follow-up of 41 mo. This finding was significantly lower than that in the laparoscopic (12.3%) or open procedure groups (8.5%; P < 0.05). The incidence of intraoperative intestinal injury was 6.1%, 4.1%, and 1.5% in the open, laparoscopic, and hybrid procedures, respectively (hybrid vs open and laparoscopic procedures; P < 0.05). The proportion of postoperative intestinal fistula formation in the open, laparoscopic, and hybrid approach groups was 2.4%, 6.8%, and 3.3%, respectively (P > 0.05). CONCLUSION: A hybrid application of open and laparoscopic approaches was more effective and safer for repairing a giant ventral hernia than a single open or laparoscopic procedure.
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spelling pubmed-87272442022-01-21 Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair Yang, Shuo Wang, Ming-Gang Nie, Yu-Sheng Zhao, Xue-Fei Liu, Jing World J Clin Cases Retrospective Study BACKGROUND: An incisional hernia is a common complication of abdominal surgery. AIM: To evaluate the outcomes and complications of hybrid application of open and laparoscopic approaches in giant ventral hernia repair. METHODS: Medical records of patients who underwent open, laparoscopic, or hybrid surgery for a giant ventral hernia from 2006 to 2013 were retrospectively reviewed. The hernia recurrence rate and intra- and postoperative complications were calculated and recorded. RESULTS: Open, laparoscopic, and hybrid approaches were performed in 82, 94, and 132 patients, respectively. The mean hernia diameter was 13.11 ± 3.4 cm. The incidence of hernia recurrence in the hybrid procedure group was 1.3%, with a mean follow-up of 41 mo. This finding was significantly lower than that in the laparoscopic (12.3%) or open procedure groups (8.5%; P < 0.05). The incidence of intraoperative intestinal injury was 6.1%, 4.1%, and 1.5% in the open, laparoscopic, and hybrid procedures, respectively (hybrid vs open and laparoscopic procedures; P < 0.05). The proportion of postoperative intestinal fistula formation in the open, laparoscopic, and hybrid approach groups was 2.4%, 6.8%, and 3.3%, respectively (P > 0.05). CONCLUSION: A hybrid application of open and laparoscopic approaches was more effective and safer for repairing a giant ventral hernia than a single open or laparoscopic procedure. Baishideng Publishing Group Inc 2022-01-07 2022-01-07 /pmc/articles/PMC8727244/ /pubmed/35071505 http://dx.doi.org/10.12998/wjcc.v10.i1.51 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Retrospective Study
Yang, Shuo
Wang, Ming-Gang
Nie, Yu-Sheng
Zhao, Xue-Fei
Liu, Jing
Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair
title Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair
title_full Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair
title_fullStr Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair
title_full_unstemmed Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair
title_short Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair
title_sort outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair
topic Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727244/
https://www.ncbi.nlm.nih.gov/pubmed/35071505
http://dx.doi.org/10.12998/wjcc.v10.i1.51
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