Feasibility of laparoscopic abdominal wall reconstruction in an outpatient community-hospital setting using cPTFE prosthetic mesh: a prospective, multicenter case series.
Objective This study investigated the use of prosthetic condensed polytetrafluoroethylene (cPTFE) for laparoscopic ventral hernia repair (LVHR) in an outpatient community-hospital setting. Methods Patients underwent LVHR with cPTFE at one of three community hospitals. Primary endpoint was hernia recurrence at 1-year postoperatively. Secondary endpoints included pain, surgical site infection, medical/surgical complications, and patient-reported outcomes. Results This study included 65 females and 52 males, aged 46.6 ± 13.2 years (mean ± SD; range 18-84 years). Mean prosthetic size was 413.8 ± 336.11 cm2(range 165-936 cm2). Mean follow-up was 30 months (range 12-46 months). Hernia recurrence rate was 4.3%. Rate of hospitalization in the first postoperative week was 2.6%. Early and late secondary endpoint complication rates were 24.8% and 27.4%, respectively; pain was the most common complication, followed by seroma (8.5%). Conclusions Outpatient LVHR using cPTFE is feasible in community hospitals. Complication rates were similar to previous reports, and the seroma rate was markedly lower.
1 Department of Surgery, Medical Center Hospital & Odessa Regional Medical Center, Odessa, TX, USA.
Terry
T
Unruh
2 College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Joseph Adjei
JA
Boachie
3 Department of Surgery, Division of Surgical Critical Care, University of Illinois at Chicago, Chicago, IL, USA.
Eduardo
E
Smith-Singares
D034861:Abdominal Wall / Q000473:pathology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006555:Hernia, Ventral / Q000473:pathology / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000295:instrumentation*; D006764:Hospitals, Community; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D010146:Pain / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D011138:Polytetrafluoroethylene / Q000627:therapeutic use*; D011183:Postoperative Complications; D011446:Prospective Studies; D012008:Recurrence; D049291:Seroma / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D013526:Surgical Mesh; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene
cPTFE mesh; incisional hernia; outpatient laparoscopic hernia; ventral hernia