Laparoscopic Repair of Ventral Hernias

Nine Years' Experience with 850 Consecutive Hernias

B. Todd Heniford, Adrian Park, Bruce J. Ramshaw, Guy Voeller, John G. Hunter, Robert Joseph Fitzgibbons

Research output: Contribution to journalArticle

570 Citations (Scopus)

Abstract

Objective: To evaluate the efficacy and safety of laparoscopic repair of ventral hernias. Summary Background Data: The recurrence rate after standard repair of ventral hernias may be as high as 12-52%, and the wide surgical dissection required often results in wound complications. Use of a laparoscopic approach may decrease rates of complications and recurrence after ventral hernia repair. Methods: Data on all patients who underwent laparoscopic ventral hernia repair (LVHR) performed by 4 surgeons using a standardized procedure between November 1993 and October 2002 were collected prospectively (85% of patients) or retrospectively. Results: LVHR was completed in 819 of the 850 patients (422 men; 428 women) in whom it was attempted. Thirty-four percent of completed LVHRs were for recurrent hernias. The patient mean body mass index was 32; the mean defect size was 118 cm2. Mesh, averaging 344 cm 2, was used in all cases. Mean operating time was 120 min, mean estimated blood loss was 49 mL, and hospital stay averaged 2.3 days. There were 128 complications in 112 patients (13.2%). One patient died of a myocardial infarction. The most common complications were ileus (3%) and prolonged seroma (2.6%). During a mean follow-up time of 20.2 months (range, 1-94 months), the hernia recurrence rate was 4.7%. Recurrence was associated with large defects, obesity, previous open repairs, and perioperative complications. Conclusion: In this large series, LVHR had a low rate of conversion to open surgery, a short hospital stay, a moderate complication rate, and a low risk of recurrence.

Original languageEnglish
Pages (from-to)391-400
Number of pages10
JournalAnnals of Surgery
Volume238
Issue number3
StatePublished - Sep 2003

Fingerprint

Ventral Hernia
Hernia
Herniorrhaphy
Recurrence
Length of Stay
Conversion to Open Surgery
Seroma
Ileus
Dissection
Body Mass Index
Obesity
Myocardial Infarction
Safety
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Heniford, B. T., Park, A., Ramshaw, B. J., Voeller, G., Hunter, J. G., & Fitzgibbons, R. J. (2003). Laparoscopic Repair of Ventral Hernias: Nine Years' Experience with 850 Consecutive Hernias. Annals of Surgery, 238(3), 391-400.

Laparoscopic Repair of Ventral Hernias : Nine Years' Experience with 850 Consecutive Hernias. / Heniford, B. Todd; Park, Adrian; Ramshaw, Bruce J.; Voeller, Guy; Hunter, John G.; Fitzgibbons, Robert Joseph.

In: Annals of Surgery, Vol. 238, No. 3, 09.2003, p. 391-400.

Research output: Contribution to journalArticle

Heniford, BT, Park, A, Ramshaw, BJ, Voeller, G, Hunter, JG & Fitzgibbons, RJ 2003, 'Laparoscopic Repair of Ventral Hernias: Nine Years' Experience with 850 Consecutive Hernias', Annals of Surgery, vol. 238, no. 3, pp. 391-400.
Heniford BT, Park A, Ramshaw BJ, Voeller G, Hunter JG, Fitzgibbons RJ. Laparoscopic Repair of Ventral Hernias: Nine Years' Experience with 850 Consecutive Hernias. Annals of Surgery. 2003 Sep;238(3):391-400.
Heniford, B. Todd ; Park, Adrian ; Ramshaw, Bruce J. ; Voeller, Guy ; Hunter, John G. ; Fitzgibbons, Robert Joseph. / Laparoscopic Repair of Ventral Hernias : Nine Years' Experience with 850 Consecutive Hernias. In: Annals of Surgery. 2003 ; Vol. 238, No. 3. pp. 391-400.
@article{777d76cb82154d358bd04f776369c84a,
title = "Laparoscopic Repair of Ventral Hernias: Nine Years' Experience with 850 Consecutive Hernias",
abstract = "Objective: To evaluate the efficacy and safety of laparoscopic repair of ventral hernias. Summary Background Data: The recurrence rate after standard repair of ventral hernias may be as high as 12-52{\%}, and the wide surgical dissection required often results in wound complications. Use of a laparoscopic approach may decrease rates of complications and recurrence after ventral hernia repair. Methods: Data on all patients who underwent laparoscopic ventral hernia repair (LVHR) performed by 4 surgeons using a standardized procedure between November 1993 and October 2002 were collected prospectively (85{\%} of patients) or retrospectively. Results: LVHR was completed in 819 of the 850 patients (422 men; 428 women) in whom it was attempted. Thirty-four percent of completed LVHRs were for recurrent hernias. The patient mean body mass index was 32; the mean defect size was 118 cm2. Mesh, averaging 344 cm 2, was used in all cases. Mean operating time was 120 min, mean estimated blood loss was 49 mL, and hospital stay averaged 2.3 days. There were 128 complications in 112 patients (13.2{\%}). One patient died of a myocardial infarction. The most common complications were ileus (3{\%}) and prolonged seroma (2.6{\%}). During a mean follow-up time of 20.2 months (range, 1-94 months), the hernia recurrence rate was 4.7{\%}. Recurrence was associated with large defects, obesity, previous open repairs, and perioperative complications. Conclusion: In this large series, LVHR had a low rate of conversion to open surgery, a short hospital stay, a moderate complication rate, and a low risk of recurrence.",
author = "Heniford, {B. Todd} and Adrian Park and Ramshaw, {Bruce J.} and Guy Voeller and Hunter, {John G.} and Fitzgibbons, {Robert Joseph}",
year = "2003",
month = "9",
language = "English",
volume = "238",
pages = "391--400",
journal = "Annals of Surgery",
issn = "0003-4932",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Laparoscopic Repair of Ventral Hernias

T2 - Nine Years' Experience with 850 Consecutive Hernias

AU - Heniford, B. Todd

AU - Park, Adrian

AU - Ramshaw, Bruce J.

AU - Voeller, Guy

AU - Hunter, John G.

AU - Fitzgibbons, Robert Joseph

PY - 2003/9

Y1 - 2003/9

N2 - Objective: To evaluate the efficacy and safety of laparoscopic repair of ventral hernias. Summary Background Data: The recurrence rate after standard repair of ventral hernias may be as high as 12-52%, and the wide surgical dissection required often results in wound complications. Use of a laparoscopic approach may decrease rates of complications and recurrence after ventral hernia repair. Methods: Data on all patients who underwent laparoscopic ventral hernia repair (LVHR) performed by 4 surgeons using a standardized procedure between November 1993 and October 2002 were collected prospectively (85% of patients) or retrospectively. Results: LVHR was completed in 819 of the 850 patients (422 men; 428 women) in whom it was attempted. Thirty-four percent of completed LVHRs were for recurrent hernias. The patient mean body mass index was 32; the mean defect size was 118 cm2. Mesh, averaging 344 cm 2, was used in all cases. Mean operating time was 120 min, mean estimated blood loss was 49 mL, and hospital stay averaged 2.3 days. There were 128 complications in 112 patients (13.2%). One patient died of a myocardial infarction. The most common complications were ileus (3%) and prolonged seroma (2.6%). During a mean follow-up time of 20.2 months (range, 1-94 months), the hernia recurrence rate was 4.7%. Recurrence was associated with large defects, obesity, previous open repairs, and perioperative complications. Conclusion: In this large series, LVHR had a low rate of conversion to open surgery, a short hospital stay, a moderate complication rate, and a low risk of recurrence.

AB - Objective: To evaluate the efficacy and safety of laparoscopic repair of ventral hernias. Summary Background Data: The recurrence rate after standard repair of ventral hernias may be as high as 12-52%, and the wide surgical dissection required often results in wound complications. Use of a laparoscopic approach may decrease rates of complications and recurrence after ventral hernia repair. Methods: Data on all patients who underwent laparoscopic ventral hernia repair (LVHR) performed by 4 surgeons using a standardized procedure between November 1993 and October 2002 were collected prospectively (85% of patients) or retrospectively. Results: LVHR was completed in 819 of the 850 patients (422 men; 428 women) in whom it was attempted. Thirty-four percent of completed LVHRs were for recurrent hernias. The patient mean body mass index was 32; the mean defect size was 118 cm2. Mesh, averaging 344 cm 2, was used in all cases. Mean operating time was 120 min, mean estimated blood loss was 49 mL, and hospital stay averaged 2.3 days. There were 128 complications in 112 patients (13.2%). One patient died of a myocardial infarction. The most common complications were ileus (3%) and prolonged seroma (2.6%). During a mean follow-up time of 20.2 months (range, 1-94 months), the hernia recurrence rate was 4.7%. Recurrence was associated with large defects, obesity, previous open repairs, and perioperative complications. Conclusion: In this large series, LVHR had a low rate of conversion to open surgery, a short hospital stay, a moderate complication rate, and a low risk of recurrence.

UR - http://www.scopus.com/inward/record.url?scp=0141906806&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141906806&partnerID=8YFLogxK

M3 - Article

VL - 238

SP - 391

EP - 400

JO - Annals of Surgery

JF - Annals of Surgery

SN - 0003-4932

IS - 3

ER -