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2015 | 86 | 8 | 353-358
Tytuł artykułu

Laparoscopic Treatment of Abdominal Hernia – 5 Years of Experience

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Laparoscopic surgery has become a well approved method of abdominal hernias treatment in recent years. Due to the advancement of laparoscopy and the use of improved synthetic materials laparoscopic surgery is characterized not only by low complication but also by a short period of recovery after surgery. The aim of the study was a retrospective analysis of the results of laparoscopic abdominal hernia surgeries (IPOM). Material and methods. Between year 2007 and 2012, 65 patients aged between 29 to 76 underwent laproscopic abdominal hernia surgeries due to either primary or postoperative abdominal hernias. All patients were examined in perioperative period, after 12 and 24 months after surgery in search of complications, pain and reccurence. Recovery period was also estimated. Results. In most cases postoperative pain was estimated from 1 to 4 on VAS scale. The most frequent complications were seromas that occured in 3 patients. The other complications were pneumothorax, wound hematoma and wound infection that occured once each. One patient required reoperation due to wound hematoma. Chronic postoperative pain was diagnosed in 3 patients and 4 recurrences were stated. Conclusions. Laparoscopic therapy of abdominal hernias is a safe operative method characterized by low recurrence and complication rates as well as short hospital stay and quick recovery. This technique is restricted by high material costs and the lack of full refund for the procedure.
Słowa kluczowe
Wydawca

Rocznik
Tom
86
Numer
8
Strony
353-358
Opis fizyczny
Daty
wydano
2014-08-01
otrzymano
2014-06-23
online
2014-10-03
Twórcy
  • Surgical Clinic, 4th Military Teaching Hospital with Polyclinic in Wrocław, litarski@wp.pl
  • Surgical Clinic, 4th Military Teaching Hospital with Polyclinic in Wrocław
  • Surgical Clinic, 4th Military Teaching Hospital with Polyclinic in Wrocław
  • Kierownik: dr hab. D. Janczak, prof. nadzw. Student Research Club at the Surgical Clinic, 4th Military Teaching Hospital with Polyclinic in Wrocław
  • Surgical Clinic, 4th Military Teaching Hospital with Polyclinic in Wrocław
  • Surgical Clinic, 4th Military Teaching Hospital with Polyclinic in Wrocław
  • Surgical Clinic, 4th Military Teaching Hospital with Polyclinic in Wrocław
  • Kierownik: dr hab. D. Janczak Division of Nursing in Surgical Procedures, Medical University in Wrocław
Bibliografia
  • 1. Trojanowski P, Kwiatkowski A, Paśnik K i wsp.: Współczesne metody leczenia przepuklin brzusznych. Pol Merk Lek2009; XXVI; 155: 569-71.
  • 2. Skalski M, Wróblewski T, Nyckowski P i wsp.: Laparoskopowe leczenie przepuklin brzusznych sposobem IPOM - doniesienie wstępne. Wideochirurgia 2006; 2: 47-53.
  • 3. Lee Y, Iqubal A, Vitamvas M, Mcbride C: Is it safe to perform laparoscopic ventral hernia repair with mesh in elderly patients? Hernia2008; 12: 239-42.[WoS][Crossref][PubMed]
  • 4. Romańczuk M, Mitura K, Wróblewski T: Porównanie metod i wyników chirurgicznego leczenia pooperacyjnych przepuklin brzusznych. Wideochirurgia 2006; 1(3): 95-100.
  • 5. Misiakos E, Machairas A, Patapis Paul, Liakakos T: Laparoscopic ventral hernia repair: pros and conscompared with open hernia repair. JSLS2008; 12: 117-25.[PubMed]
  • 6. LeBlanc K, Booth W: Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 1993; 3: 39-41.[PubMed]
  • 7. Eriksen J, Gogenur I, Rosenberg J: Choice of mesh for laparoscopic ventral hernia repair. Hernia 2007; 11: 481-92.[PubMed][Crossref]
  • 8. Śmietański M, Krajewski J, Bigda J i wsp.: Laparoskopowe zaopatrzenie przepukliny brzusznej z użyciem implantu Proceed - 3 lata obserwacji pierwszej grupy chorych. Wideochirurgia 2008; 4: 151-56.
  • 9. Kiudelis M, Jonciauskiene J, Deduchovas O et al.: Effect of different kinds of meches on postoperative adhesion formation in the New Zeland rabbit. Hernia 2007; 11: 19-23.[Crossref]
  • 10. Harrel AG, Novitsky YW , Peindl RD et al.: Prospective evaluation of adhesion formation and shrinkage of intra abdominal prosthetics in a rabbit model. Am Surg 2006; 72: 808-13.
  • 11. Franklin MR Jr, Gonzales JJ Jr, Glass JL et al.: Laparoscopic central and incisional hernia repair: an 11- year experience. Hernia 2004; 8(1): 23-27.[Crossref]
  • 12. Ascencio F, Aguillio J, Peiro S et al.: Open randomized clinical trial of laporoscopic versus open incisional hernia repair. Surg Endosc 2008; 31: 2267-71.[WoS]
  • 13. Rosen M, Brody F, Ponsky J et al.: Reccurence after laparoscopic ventral hernia repair. Surg Endosc 2003; 17: 123-28.[Crossref]
  • 14. Iannitti D, Hope W, Norton James et al.: Technique and outcomes of abdominal incisional hernia repair rusing a synthetic composite mesh: a report of 455 cases. J Am Coll Surg 2008; 206: 83-88.
  • 15. Pham C, Perera C, Watkin D, Maddern G: Laparoscopic ventral hernia repair: a systematic review. Surg Endosc 2009; 23: 4-15.[PubMed][Crossref]
  • 16. Itani K, Neumayer L, Reda D et al.: Repair of ventral incisional hernia: the design of a randomized trial to compare open and laparoscopic surgical techniques. A J Surg 2004. 188: 22S-29S.
  • 17. Ben-Haim M, Kuriansky J, Tal R et al.: Pitfalls and complications with laparoscopic intraperitoneal expanded polytetrafluoroethylene patch repair of postoperative central hernia. Surg Endosc 2003; 16: 785-88.
  • 18. Olmi S, Scaini A, Cesana G et al.: Laparoscopic versus open incisonal hernia repair. Surg Endosc 2007; 21: 555-559.[Crossref]
  • 19. Bower CE , Reade CC , Kirby LW, Roth SJ: Complications of laparoscopic incisional-ventral hernia repair: the experience of single institution. Surg Endosc 2004; 18: 672-75.[PubMed]
  • 20. Moreno-Egea A, Bustos JA, Aguayo-Albasini JL: Long -term results of laparoscopic repair of incisional hernias using an intraperitoneal composite mesh. Surg Endosc 2010; 24: 359-65. [Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0063
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