Is it safe to perform laparoscopic ventral hernia repair with mesh in elderly patients?
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Ventral hernia is a common surgical condition occurring most often as a complication following abdominal surgery. Laparoscopic repair of a ventral hernia has been shown to be safe with low rates of complications, shortened length of stay, and low rates of early recurrence as compared to open surgery. Few studies have documented long-term outcomes of laparoscopic repair in elderly patients. The aim of this study is to report the long-term outcomes of laparoscopic ventral hernia repair with mesh in elderly patients.
Methods and materials
This is a retrospective study in a university setting with IRB approval. Between the years 2000 and 2006, 117 patients underwent laparoscopic repair of ventral hernia with synthetic mesh. Data were collected using patient charts and radiographic reports. Patient variables included age, sex, size and content of hernia, size of mesh used, length of hospital stay (LHS), estimated blood loss (EBL), follow-up duration, and post-operative complications (PC) including infection, deep vein thrombosis, bleeding, and pulmonary embolism. The comparison was done between two different age groups (A <55 years old; B ≥ 55 years old).
Current median (range) follow-up periods for group A (<55 years) and B (≥55 years) were 57.5 and 53 months, respectively. Group A (63 patients) and B (54 patients) had same median LHS (1 day) and size of mesh utilized (285 cm2). For groups A and B, the percent female, and the percentages of recurrence, minimal EBL (<50 ml), and PC were 61.9 and 44.4; 1.6 and 3.7; 96.8 and 92.6; 4.8 and 12.9, respectively. Median hernia sizes for groups A and B were 55.1 and 54 cm2. No significant differences were found for any of the above variables.
No significant difference was found in outcomes between younger versus older patients undergoing laparoscopic ventral hernia repair with mesh. Laparoscopic repair provides a durable and effective method of repairing a ventral hernia with low morbidity and mortality in the elderly population.
- Van’t RM, Vrijland WW, Lange JF, Hop WC, Jeekel J, Bonjer HJ (2002) Mesh repair of incisional hernia: comparison of laparoscopic and open repair. Eur J Surg 168(12):684–689 CrossRef
- Yavuz N, Ipek T, As A, Kapan M, Eyuboglu E, Erguney S (2005) Laparoscopic repair of ventral and incisional hernias: our experience in 150 patients. Laparoendosc Adv Surg Tech A 6:601–605 CrossRef
- Itani KM, Neumayer L, Reda D, Kim L, Anthony T (2004) Repair of ventral incisional hernia: the design of a randomized trial to compare open and laparoscopic surgical techniques. Am J Surg 188(Suppl 6A):22S–29S CrossRef
- Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238(3):391–399, discussion 399–400
- Lomanto D, Iyer SG, Shabbir A, Cheah WK (2006) Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surg Endosc 20(7):1030–1035 CrossRef
- Barbaros U, Asoglu O, Seven R, Erbil Y, Dinccag A, Deveci U, Ozarmagan S,Mercan S (2007) The comparison of laparoscopic and open ventral hernia repairs: a prospective randomized study. Hernia 11(1):51–56 CrossRef
- Earle D, Seymour N, Fellinger E, Perez A (2006) Laparoscopic versus open incisional hernia repair: a single-institution analysis of hospital resource utilization for 884 consecutive cases. Surg Endosc 20(1):71–75 CrossRef
- Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:518–526 CrossRef
- Perrone JM, Soper NJ, Eagon JC, Klingensmith ME, Aft RL, Frisella MM, Brunt LM (2005) Perioperative outcomes and complications of laparoscopic ventral hernia repair. Surgery 138(4):708–715, discussion 715–716 CrossRef
- Is it safe to perform laparoscopic ventral hernia repair with mesh in elderly patients?
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