title: Laparoscopic management of non-midline incisional hernia: A multicentric study.
abstract: BACKGROUND
  The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years.
  
  
  METHODS
  A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs: subcostal, suprapubic, lumbar, and epigastric. We also conducted a literature review.
  
  
  RESULTS
  No difference was found between the four subgroups in terms of demographic data, defect characteristics, admission data, and complications. Subcostal defects required a shorter operating time. Obesity was found to be a risk factor for recurrence.
  
  
  CONCLUSIONS
  In our experience, subcostal defects were easier to perform, with a lower recurrence rate, lesser chronic pain, and faster surgical performance. A more specific prospective randomized trial with a larger sample is awaited. Based on our experience, however, the laparoscopic approach is a safe treatment for NMVHs in specialized centers.
authors.affiliation: University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: alessia.ferrarese@gmail.com.
authors.forename: Alessia
authors.initials: A
authors.lastname: Ferrarese
authors.affiliation: University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: Stefano_e@libero.it.
authors.forename: Stefano
authors.initials: S
authors.lastname: Enrico
authors.affiliation: University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: mariosolej@gmail.com.
authors.forename: Mario
authors.initials: M
authors.lastname: Solej
authors.affiliation: University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: alessandra_sur@gmail.com.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Surace
authors.affiliation: Hospital "Umberto Parini", Section of General Surgery, Aosta, Italy. Electronic address: marionardijr@libero.it.
authors.forename: Mario Junior
authors.initials: MJ
authors.lastname: Nardi
authors.affiliation: Hospital "Umberto Parini", Section of General Surgery, Aosta, Italy. Electronic address: pmillo@ausl.vda.it.
authors.forename: Paolo
authors.initials: P
authors.lastname: Millo
authors.affiliation: Hospital "Umberto Parini", Section of General Surgery, Aosta, Italy. Electronic address: rallieta@ausl.vda.it.
authors.forename: Rosaldo
authors.initials: R
authors.lastname: Allieta
authors.affiliation: Hospital "Sant'Andrea", Section of General Surgery, La Spezia, Italy. Electronic address: cosimofeleppa@gmail.com.
authors.forename: Cosimo
authors.initials: C
authors.lastname: Feleppa
authors.affiliation: Hospital "Sant'Andrea", Section of General Surgery, La Spezia, Italy. Electronic address: luigidambra68@libero.it.
authors.forename: Luigi
authors.initials: L
authors.lastname: D'Ambra
authors.affiliation: Hospital "Sant'Andrea", Section of General Surgery, La Spezia, Italy. Electronic address: Stefano.berti@asl5.liguria.it.
authors.forename: Stefano
authors.initials: S
authors.lastname: Berti
authors.affiliation: Hospital "Santa Croce e Carle", Section of General Surgery, Cuneo, Italy. Electronic address: enricogelarda@email.it.
authors.forename: Enrico
authors.initials: E
authors.lastname: Gelarda
authors.affiliation: Hospital "Santa Croce e Carle", Section of General Surgery, Cuneo, Italy. Electronic address: borghi.f@ospedale.cuneo.it.
authors.forename: Felice
authors.initials: F
authors.lastname: Borghi
authors.affiliation: Hospital "Civile", Section of General Surgery, Asti, Italy. Electronic address: gpozzo@asl.at.it.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Pozzo
authors.affiliation: Hospital "Civile", Section of General Surgery, Asti, Italy. Electronic address: bmarino@asl19.asti.it.
authors.forename: Bartolomeo
authors.initials: B
authors.lastname: Marino
authors.affiliation: Hospital "Santa Croce", Section of General Surgery, Moncalieri, Italy. Electronic address: emma.marchigiano@libero.it.
authors.forename: Emma
authors.initials: E
authors.lastname: Marchigiano
authors.affiliation: Hospital "Santa Croce", Section of General Surgery, Moncalieri, Italy. Electronic address: pietrocumbo@gmail.com.
authors.forename: Pietro
authors.initials: P
authors.lastname: Cumbo
authors.affiliation: Hospital "Gradenigo", Section of General Surgery, Torino, Italy. Electronic address: paola.bellomo@fastwebnet.it.
authors.forename: Maria Paola
authors.initials: MP
authors.lastname: Bellomo
authors.affiliation: Hospital "Gradenigo", Section of General Surgery, Torino, Italy. Electronic address: claudio.filippa@fastwebnet.it.
authors.forename: Claudio
authors.initials: C
authors.lastname: Filippa
authors.affiliation: Hospital "Gradenigo", Section of General Surgery, Torino, Italy. Electronic address: paolo_depaolis@fastwebnet.it.
authors.forename: Paolo
authors.initials: P
authors.lastname: Depaolis
authors.affiliation: University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: mario.nano@unito.it.
authors.forename: Mario
authors.initials: M
authors.lastname: Nano
authors.affiliation: University of Turin, Department of Oncology, School of Medicine, Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, Orbassano, Torino, Italy. Electronic address: valtermartino.md@gmail.com.
authors.forename: Valter
authors.initials: V
authors.lastname: Martino
mesh_terms: D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D000069290:Incisional Hernia / Q000601:surgery*; D007558:Italy / Q000453:epidemiology; D010535:Laparoscopy / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D011446:Prospective Studies; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors
keywords: Laparoscopic repair; Non-midline ventral hernia; Ventral hernia