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Hernia

, Volume 12, Issue 1, pp 9–22 | Cite as

Minimally invasive ventral herniorrhaphy: an analysis of 6,266 published cases

  • M. A. Carlson
  • C. T. Frantzides
  • V. K. Shostrom
  • L. E. Laguna
Review

Abstract

Background

Over 300,000 ventral abdominal wall hernias are repaired each year in the United States; many of these operations are done with a minimally invasive approach. Despite these numbers, there are few controlled data that evaluate the minimally invasive method of ventral hernia repair.

Methods

A review of over 6,000 published cases of minimally invasive ventral herniorrhaphy was performed in order to determine major outcome statistics for this procedure.

Results

The mean follow-up period was 20 months. The operative mortality was 0.1%. The mean recurrence rate (weighted) was 2.7%, and the major complication rate (mostly bowel injury and infection) was 3%.

Conclusion

The results from published cases of minimally invasive ventral herniorrhaphy appear to be competitive with the historical results of open ventral herniorrhaphy. The major caveats of this review are that most of the data are (1) retrospective/uncontrolled and (2) obtained from specialized centers.

Keywords

Hernia Herniorrhaphy Ventral Incisional Laparoscopic Minimally invasive 

Abbreviations

BMI

Body mass index

PTFE

Polytetrafluoroethylene

Notes

Acknowledgments

MAC was supported by a training grant from the NIH (K08 GM00703). LEL was supported by educational grants from Ethicon Endo-Surgery and United States Surgical.

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • M. A. Carlson
    • 1
    • 2
    • 6
  • C. T. Frantzides
    • 3
    • 4
  • V. K. Shostrom
    • 5
  • L. E. Laguna
    • 3
    • 4
  1. 1.Department of Surgery University of Nebraska Medical CenterOmahaUSA
  2. 2.Department of SurgeryOmaha VA Medical CenterOmahaUSA
  3. 3.Department of SurgeryEvanston Northwestern Healthcare and Northwestern UniversityEvanstonUSA
  4. 4.The Chicago Institute of Minimally Invasive SurgeryChicagoUSA
  5. 5.Department of Preventive and Societal MedicineUniversity of Nebraska Medical CenterOmahaUSA
  6. 6.Surgery 112VA Medical CenterOmahaUSA

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