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Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian Consensus Conference

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Abstract

Purpose

The laparoscopic treatment of ventral incisional hernias is the object of constant attention and is becoming increasingly widespread in the international scientific-surgical community; however, there is ample debate on its technical details and indications. In order to establish a common approach on laparoscopic ventral incisional hernia repair, the first Italian Consensus Conference was organized in Naples (Italy) on 14–15 January 2010.

Methods

The format of the Consensus Conference was freely adapted from the standards of the National Institute of Health and the Italian Health Institute. The parties involved included the followings: a Promotional Committee, a Scientific Committee, a group of Experts, the Jury Panel and a Scientific Secretariat.

Results

Eleven statements, regarding three large chapters on the indications, the technical details and the management of complications were drafted on the basis of literature references collected by the Scientific Committee, documents developed by the Experts, reports presented and discussed during the Consensus Conference, and discussion among the members of the Jury.

Conclusions

The laparoscopic approach is safe and effective for defects larger than 3 cm in diameter; old age, obesity, previous abdominal operations, recurrence and strangulation are not absolute contraindications. Ensuring an adequate overlap, careful adhesiolysis and correct fixing of the prosthesis are among the technical details recommended. Complications and recurrences are comparable to, and in some cases, less numerous than with the open approach.

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Acknowledgments

Grazia Maria Attinà and Elisabetta Lupi are acknowledged for technical contribution to the manuscript and writing assistance and Mrs Jannet Hanney for the linguistic review of the manuscript

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Authors and Affiliations

  1. Department of Surgery, Monaldi Hospital, Naples, Italy

    D. Cuccurullo & F. Corcione

  2. Department of Surgery, New Sant’Agostino-Estense Hospital, Pietro Giardini Street 1355, 41126, Modena, Italy

    M. Piccoli & G. Melotti

  3. Department of Surgery, S. Maria Regina degli Angeli Hospital, Adria, Rovigo, Italy

    F. Agresta

  4. Department of Surgery, Ospedali Riuniti, Bergamo, Italy

    S. Magnone

  5. Honorary President of ACOI (Associazione Chirurghi Ospedalieri Italiani), Rome, Italy

    V. Stancanelli

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  1. D. Cuccurullo
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  2. M. Piccoli
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  3. F. Agresta
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  4. S. Magnone
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  5. F. Corcione
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Correspondence to F. Agresta.

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Cuccurullo, D., Piccoli, M., Agresta, F. et al. Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian Consensus Conference. Hernia 17, 557–566 (2013). https://doi.org/10.1007/s10029-013-1055-1

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