title: [Complications in the laparoscopic treatment of primary and secondary hernias of the abdominal wall].
abstract: BACKGROUND
  Hernia is a common problem in general surgery practice. Incisional hernia can develop in 15-25% patients after abdominal surgery. The aim of this study is to evaluate the complications of hernia surgery.
  
  
  METHODS
  A retrospective analysis of database of surgery department from January 2003 to April 2009 has involved 84 patients who were treated in laparoscopy at the General Surgery and Oncology Department of Catania University. Sixty-three cases were incisional hernia, 21 primitive ventral hernia. In 51 cases (64.5%) the Dual Mesh were applied and in 28 (35.4%) the Bard Composix Mesh. Postoperatory complications were classified in early and late ones, respectively according to their occurrence before or after 30 days from surgery. Clinical follow ups were performed at one month and thereafter at quarterly intervals for the first year and then annually.
  
  
  RESULTS
  Among the early complications we found that patients treated with the Dual Mesh had an incidence of seroma, 8.9% versus 7.8% if compared to those treated with the Bard Composix. Insignificant was the impact of other early complications related to both types of mesh. Some influence in the onset of complications is BMI, in fact the average of complicated cases were 29.5%, while uncomplicated ones were lower: 25 (p < 0.05).
  
  
  CONCLUSIONS
  In our study we looked at early and late complications that can follow laparoscopic treatment of the parietal defects. We have not found statistically significant differences between the two types of implants, which are nevertheless among the early seroma complications which are found to be more frequent in cases treated with the Dual Mesh.
  
  
  CONCLUSIONS
  During this study we observed a higher incidence of seroma and recurrence in cases treated with Dual Mesh in agreement with data reported in literature.
authors.affiliation: Azienda Ospedaliera Universitaria Vittorio Emanuele--Ferrarotto--S. Bambino, Catania.
authors.forename: Antonio
authors.initials: A
authors.lastname: Biondi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Tropea
authors.forename: Giuliana
authors.initials: G
authors.lastname: Monaco
authors.forename: Nicola
authors.initials: N
authors.lastname: Musmeci
authors.forename: G
authors.initials: G
authors.lastname: Zanghi
authors.forename: Francesco
authors.initials: F
authors.lastname: Basile
mesh_terms: D034861:Abdominal Wall / Q000601:surgery; D015992:Body Mass Index; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D009765:Obesity; D011126:Polypropylenes; D012189:Retrospective Studies; D012307:Risk Factors; D055502:Secondary Prevention; D049291:Seroma / Q000209:etiology / Q000601:surgery; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes