[Laparoscopic repair of incisional hernia with mesh in aged patients].
OBJECTIVE
To investigate the methods, safety and efficacy of laparoscopic incisional hernia repair using mesh in aged patients.


METHODS
Seventeen aged patients with incisional hernia accepted the laparoscopic mesh herniorrhaphy from November 2004 to June 2006. The clinical data were collected to investigate the effects and feasibility of the procedure.


RESULTS
Sixteen patients completed the procedure successfully, 1 cases was converted to open operation because of extensive adhesion intraperitoneally. The operative time was 65 - 132 min (mean, 95 min). Flatus or feces passed at 31 hours and hospital stay was 5 to 7 days after the operation. Post-operative complications: 3 patients suffered pain for more than 3 months and 5 developed seroma. Trocar incision infection occurred in one case. All complications were cured conservatively. No operation death and intestinal fistula occurred. No recurrence occurred during the follow-up period (7 - 26 months, mean, 13 months).


CONCLUSIONS
The laparoscopic incisional hernia repair using mesh after complete dissection of adhesion and fixation with stapler and suture is a safe and effective procedure for aged patients.
Tian
Wen
W
Department of General Surgery, People's Liberation Army General Hospital, Beijing 100853, China. tianwen301@sina.com
Ma
Bing
B
DU
Xiao-hui
XH
Li
Rong
R
Chen
Lin
L
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D013526:Surgical Mesh; D013537:Sutures; D016896:Treatment Outcome