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Reviews on Recent Clinical Trials

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ISSN (Print): 1574-8871
ISSN (Online): 1876-1038

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General Research Article

Laparoscopic Incisional and Ventral Hernia Repair with Absorbable Tacks in a Long Term Follow-up: A Retrospective Control Study

Author(s): Simone Zanella*, Enrico Lauro, Francesco Franceschi, Francesco Buccelletti, Annalisa Potenza, Andrea Zanoni, Giovanni Scudo, Enzo Bonadies, Mario De Bellis, Francesco Ricci and Antonios Vassiliadis

Volume 14, Issue 2, 2019

Page: [141 - 146] Pages: 6

DOI: 10.2174/1574887114666190201111332

Price: $65

Abstract

Background: Laparoscopic Incisional and Ventral Hernia Repair (LIVHR) is a safe and worldwide accepted procedure performed using absorbable tacks. The aim of the study was to evaluate recurrence rate in a long term follow-up and whether the results of laparoscopic IVH repair in the elderly (≥65 years old) are different with respect to results obtained in younger patients.

Methods: One hundred and twenty-nine consecutive patients (74 women and 55 men, median age 67 years, range = 30-87 years) with ventral (N = 42, 32.5%) or post incisional (N = 87, 67.5%) hernia were enrolled in the study. Patients were divided into two groups according to their age: group A (N = 55, 42.6%) aged <65 years and group B (N = 74, 57.4%) aged ≥65 years.

Results: The mean operative time was not significantly different between groups (66.7 ± 37 vs. 74 ± 48.4 min, p = 0.4). To the end of 2016, seven recurrences had occurred (group A = 3, group B = 4, p = 1). Complications occurred in 8 (16%) patients in group A and 21 (28.3%) patients in group B.

Conclusion: In conclusion, our results confirm that the use of absorbable tacks does not increase recurrence frequency and laparoscopic incisional and ventral repair is a safety procedure also in elderly patients.

Keywords: Elderly, laparoscopic ventral hernia repair (LVHR), ventral hernia, laparoscopic incisional, absorbable tacks, retrospective control study.

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Graphical Abstract

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