Long-term Results of Laparoscopic Versus Open Intraperitoneal Onlay Mesh Incisional Hernia Repair: a Propensity Score-matched Analysis

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2018 Jun 27

PMID 29943068

Citations 17

Authors

Joel L Lavanchy

Stefan E Buff

Andreas Kohler

Daniel Candinas

Guido Beldi

Affiliations

Soon will be listed here.

Abstract

Background: Intraperitoneal onlay mesh repair (IPOM) of incisional hernia is performed by laparoscopic and open access. The aim of the present study is to compare open versus laparoscopic surgery specifically using an IPOM technique for incisional hernia repair.

Methods: A propensity score-matched observational single center study of patients that underwent IPOM between 2004 and 2015 was conducted. The primary outcome was hernia recurrence; secondary outcomes include length of stay, surgical site infections (SSI), complications, and localization of recurrence.

Results: Among 553 patients with incisional hernia repair, 59% underwent laparoscopic and 41% open IPOM. A total of 184 patients completed follow-up. After a mean follow-up of 5.5 years recurrence rate was 20% in laparoscopic and 19% in open repair (p = 1.000). Patients undergoing laparoscopic IPOM had significantly reduced operation time (median 120 vs. 180 min, p < 0.001), shorter hospital stays (6 vs. 8 days, p = 0.002), less complications (10 vs. 23%, p = 0.046), and fewer SSI (1 vs. 21%, p < 0.001).

Conclusions: Laparoscopic IPOM is associated with reduced morbidity compared to open IPOM for incisional hernia repair.

Citing Articles

Botulinum Toxin and Progressive Pneumoperitoneum in Loss of Domain Ventral Hernias: A Systematic Review.

Giuffrida M, Biolchini F, Capelli P, Banchini F, Perrone G J Abdom Wall Surg. 2024; 3:12650.

PMID: 38572390 PMC: 10990139. DOI: 10.3389/jaws.2024.12650.

Long-term mesh-related complications from minimally invasive intraperitoneal onlay mesh for small to medium-sized ventral hernias.

Maskal S, Ellis R, Mali O, Lau B, Messer N, Zheng X Surg Endosc. 2024; 38(4):2019-2026.

PMID: 38424284 PMC: 10978620. DOI: 10.1007/s00464-024-10716-y.

Transversus abdominis release with biosynthetic mesh for large ventral hernia repair: a 5-year analysis of clinical outcomes and quality of life.

Messa 4th C, Amro C, Niu E, Habarth-Morales T, Talwar A, Thrippleton S Hernia. 2023; 28(3):789-801.

PMID: 37755523 DOI: 10.1007/s10029-023-02889-7.

Mini- or less-open sublay (E/MILOS) operation vs open sublay and laparoscopic IPOM repair for the treatment of incisional hernias: a registry-based propensity score matched analysis of the 5-year results.

Reinpold W, Berger C, Adolf D, Kockerling F Hernia. 2023; 28(1):179-190.

PMID: 37603090 DOI: 10.1007/s10029-023-02847-3.

Predictors for surgical site infection in patients undergoing therapeutic or prophylactic intra-abdominal onlay mesh (IPOM) implantation in clean and contaminated surgical fields.

Jakob M, Bruggemann A, Moser N, Candinas D, Beldi G, Haltmeier T Surg Endosc. 2023; 37(9):6885-6894.

PMID: 37311892 PMC: 10462502. DOI: 10.1007/s00464-023-10144-4.

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