Authors: Kristi Harold Kristin Mekeel Jennifer Spitler Margaret Frisella Marianne Merritt Deron Tessier Brent Matthews
Publish Date: 2009/01/01
Volume: 23, Issue: 8, Pages: 1835-1838
Abstract
Postoperative wound complications are minimized after laparoscopic ventral hernia repair LVHR while maintaining low recurrence rates and acceptable morbidity The purpose of this study is to evaluate efficacy and safety of LVHR in patients after organ transplantation in comparison to a large cohort of nontransplantation patients after LVHRLVHR was successfully completed in 38/38 transplantation patients n = 21 liver n = 5 cardiac n = 8 kidney n = 1 lung/kidney n = 2 kidney/pancreas n = 1 double lung without conversion and in 301/309 974 nontransplant patients Previous hernia repairs were attempted in 5/38 132 of the transplant patients and 108/309 350 of nontransplantation patients Mean defect size was 256 cm2 p 000001 and mesh size 780 cm2 p 000001 in the transplantation patients and 140 cm2 and 426 cm2 in nontransplantation patients respectively Mean operating time was similar between the two groups 2169 min versus 1840 min Perioperative complication rate was similar between groups 342 versus 343 p = 10 There were three 10 mesh infections and two 06 mortalities in the nontransplantation patients and one mesh infection and no mortalities in the transplantation group At mean followup of 200 range 11–41 months in the transplantation group and 50 range 1–38 months in the nontransplantation group the hernia recurrence rate was 79 and 29 respectively p = 01330Perioperative complication and hernia recurrence rates in transplant patients after LVHR are comparable to nontransplant patients although the transplantation patients had significantly larger hernias LVHR should be considered to manage ventral incisional hernias post transplantation
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