title: Laparoscopic ventral hernia repair with primary closure versus no primary closure of the defect: potential benefits of the robotic technology.
abstract: BACKGROUND
  Some authors recommend primary closure of the defect before placement of the mesh. The purpose of this study is to compare laparoscopic ventral hernia repair (LVHR) without primary closure of the defect (NPCD) versus LVHR with primary closure of the defect (PCD).
  
  
  METHODS
  A retrospective review of 134 LVHR was performed. Each group included 67 cases. For the PCD group the robotic platform was used.
  
  
  RESULTS
  Groups were similar in terms of demographics and comorbidities. For NPCD and PCD groups mean surgical time was 87.9±53.1 and 107.6±33.9 minutes (p = 0.012); conversion to open surgery was seen in 3(4.5%) and 1(1.5%) (p = 0.310); complications were 7(10.4%) and 2(3%) (p = 0.084); and finally, recurrences were seen in 5(7.5%) and 1(1.5%) (p = 0.095).
  
  
  CONCLUSIONS
  PCD has longer surgical time, however, a tendency in terms of complications and recurrences was found favoring the PCD group. The robotic assistance is a good alternative when primary closure of the defect is attempted.
authors.affiliation: Department of General and Bariatric Surgery, Baptist Health South Florida. Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA.
authors.forename: Anthony Michael
authors.initials: AM
authors.lastname: Gonzalez
authors.affiliation: Department of General and Bariatric Surgery, Baptist Health South Florida. Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA.
authors.forename: Rey Jesus
authors.initials: RJ
authors.lastname: Romero
authors.affiliation: Department of General and Bariatric Surgery, Baptist Health South Florida. Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA.
authors.forename: Rupa
authors.initials: R
authors.lastname: Seetharamaiah
authors.affiliation: Center for Research & Grants, Baptist Health South Florida. Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Gallas
authors.affiliation: Department of Quality and Risk Management, West Kendall Baptist Hospital, Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA.
authors.forename: Julie
authors.initials: J
authors.lastname: Lamoureux
authors.affiliation: Department of General and Bariatric Surgery, Baptist Health South Florida. Miami, FL. USA, 7800 SW 87th Avenue Suite B210, Miami, FL, 33173, USA.
authors.forename: Jorge Rafael
authors.initials: JR
authors.lastname: Rabaza
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D013526:Surgical Mesh / Q000009:adverse effects; D016896:Treatment Outcome
keywords: defect; incisional hernia; laparoscopic; robotic; surgery; ventral hernia