The satisfaction with the overall result of the operation was a mean value of 5.7 (0–10) in the laparoscopic group. Results: 4 Seromas without need for intervention developed, in 2 patients postoperative ileus occured. The data are reported as means with standard deviations (SDs), ranges. For statistical analysis, possible associations between therapeutic, prognostic parameters, hernia recurrence were examined univariately by means of Student’s t, Fisher’s exact test. At follow up the recurrence rate, satisfaction with the surgical results on a scale (0 = no satisfaction, 10 = very satisfied) were determined. The mesh was anchored with four transfascial full-thickness sutures to the anterior abdominal wall, fixed with spiral tacks using the double-crown technique. Parietex-Composite mesh (covidien) were used. Eight patients have recurrent, 9 have incisional hernia. Antibiotic prophylaxis were made routinely. ASA score is mean 2.05 (1–3), operative time is 160.5 ± 82 min (mean). Mean hernia defect size 7.5 cm (4–15), 6 patients have multiple fascial defect. Mean follow-up period are 8.1 (1–22) months. Method: We aim to present first 17 patient experiences on LIHR 17 of 22 patient included. Some studies showed LIHR is associated with less postoperative pain, comparable postop complications, low recurrence rate, safety, good long term results, lower ssi incidence, but some others reported, it is not better than open technic in term of recurrence. We have good outcomes in incisional hernia patients who have sublay hernia repair technique.Īims: Minimal invasive surgery (MIS) for incisional hernia repair is still debated. Although in our research there is no statistical significant difference between sublay and primary repair technique in recurrence rates. Recent literature advises the use of mesh repair. Primary repair can be done, for instance, with a direct suture technique, but recurrence rates are high. Our rate is 45,8 % and about two-fold higher than the literature rates. Prospective analysis of onlay technique is not available, but a retrospective review has reported recurrence rates of 28 %. Conclusion: Retromuscular Mesh Placement avoids contact between the mesh and abdominal viscera and has been shown in long-term studies to have a respectable recurrence rate (14 %) in large incisional hernias. Surgical site infections in onlay group increases statistically significant the recurrence rate. There is a significant difference between onlay and sublay repair group. Results: there are recurrence 42,9 % of patients in primary repair group, 45,8 % in onlay group, 21,6 % in sublay group. There is no statistically significant difference between 3 groups in mean ages, previous operation types and weights. 14 (18,7 %) patients have primary, 24 (32 %) patients have onlay, 37 (49,3 %) patients have sublay hernia repair. The patient’s age, sex, location and size of the defect, previous operation type (emergency or elective), operation findings, duration of hospitalization, early and late complications and recurrences were recorded. #Song of farca ventilation room serial#Material/Patients and Methods: We studied a serial of 75 patients retrospectively, operated due to incisional hernia in between 2003–2008 in Ankara Atatu¨rk Training and Research Hospital General Surgery Department. Objectives: We aimed to evaluate the long-term recurrence rate in patients operated with primary repair-onlay-sublay mesh repair techniques for incisional hernia. Introduction: Incisional hernia after abdominal surgery is an important problem. Samsun Education and Research Hospital, Samsun, Turkey P002 - Abdominal Cavity and Abdominal WallĮffects of Chosen Operation Techniques on Recurrence Rates About Incisional Herniaįirst Results of One General Surgical Clinic About Laparoscopic Incisional Hernia Repair: Problems P001 - Abdominal Cavity and Abdominal Wall Ó Springer Science+Business Media New York 2015 14th World Congress of Endoscopic Surgery and 22nd International Congress of the European Association for Endoscopic Surgery (EAES) Paris, France, 25–28 June 2014 Poster Presentations
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