title: Laparoscopic incisional hernia repair after solid-organ transplantation.
abstract: OBJECTIVE
  Laparoscopic incisional hernia repair (LIHR) is efficacious in transplant recipients.
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Thirty-one transplant recipients who underwent LIHR between July 9, 2004, and October 27, 2005.
  
  
  METHODS
  Operative complications and incisional hernia recurrence.
  
  
  RESULTS
  The mean (SD) mesh size required for LIHR was 611 (307) cm2. Median (range) hospital stay was 4 (1-28) days, with follow-up of 589 (22-953) days. Eighteen patients developed a postoperative complication, most frequently seroma formation, which occurred in 13 patients (72%). The mesh size required for LIHR was significantly larger in patients with a postoperative complication (n = 18; 706 [319] cm2 vs n = 13; 480 [244] cm2; P = .04). Seroma formation was not associated with previous open hernia repair, diabetes mellitus, or corticosteroid use. No statistically significant relationship was noted between the transplanted organ and seroma development. There were no post-LIHR wound infections. In 7 patients (23%), hernia recurred.
  
  
  CONCLUSIONS
  Laparoscopic incisional hernia repair in solid-organ transplant recipients is associated with a high rate of seroma formation but minimal long-term morbidity. The recurrence rate after LIHR is equivalent to that after open hernia repair. These results suggest that LIHR is a safe and effective alternative to open repair in this patient population.
authors.affiliation: Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
authors.forename: Peter T
authors.initials: PT
authors.lastname: Kennealey
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Johnson
authors.forename: A Joseph
authors.initials: AJ
authors.lastname: Tector
authors.forename: Don J
authors.initials: DJ
authors.lastname: Selzer
mesh_terms: D000328:Adult; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016377:Organ Transplantation / Q000009:adverse effects*; D012189:Retrospective Studies; D013526:Surgical Mesh