title: Results of laparoscopic repair of primary and recurrent incisional hernias at a single UK institution.
abstract: In this study incisional hernia repairs at a single UK institution between 1994 and 2008 were analyzed with respect to short-term and long-term results. Prospectively collected data were analyzed retrospectively to ascertain outcomes, complications, and recurrences. Two hundred and twenty-seven operations were performed with 35% of the operations being for recurrent hernias. A self-centering suture technique was used. Median operating time was 55 minutes. There were 8 conversions and median hospital stay was 1 night. There were 52 complications (23%) including 3 postoperative bleeds, 3 mesh infections, and 4 small bowel obstructions. Median postoperative follow-up was 53 months. There were 25 recurrences (11%) being detected, a median of 17 months after initial operation. In this large series, laparoscopic incisional hernia repair is safe and is associated with a short hospital stay. Recurrences after repair remain a concern prompting the development of strategies to try and minimize the likelihood of this occurring.
authors.affiliation: Department of Surgery, Colchester General Hospital, Colchester, Essex, UK.
authors.forename: N Julian H
authors.initials: NJ
authors.lastname: Sturt
authors.forename: Christopher C L
authors.initials: CC
authors.lastname: Liao
authors.forename: Alec H
authors.initials: AH
authors.lastname: Engledow
authors.forename: Donald
authors.initials: D
authors.lastname: Menzies
authors.forename: Roger W
authors.initials: RW
authors.lastname: Motson
mesh_terms: D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D055502:Secondary Prevention; D013526:Surgical Mesh; D013537:Sutures; D013997:Time Factors; D016896:Treatment Outcome; D006113:United Kingdom