Introduction: Laparoscopic ventral hernia repair (LVHR) is a recent development that has been shown to be an effective way of treating ventral hernias. We present the first local series of LVHR with a review of the literature on laparoscopic ventral herniorrhaphy.
Methods: We retrospectively reviewed all our patients who underwent laparoscopic surgery for ventral hernias from December 1998 to May 2002. Results of LVHR such as operative time, length of hospital stay, complications and recurrence rates were evaluated.
Results: Twenty patients underwent LVHR. There were 16 female and four male patients. The average age was 54 years. The mean fascial defect was 46 square cm. An ePTFE Mesh was used in all the patients except for one patient who had a prolene mesh. The mean operative time was 117 minutes and the hospital stay was two days. There were two minor complications and no major complications. With a mean follow-up period of 14.9 months, the recurrence rate was 5.0 percent with a single recurrence at four months.
Conclusion: Our initial experience with this modality shows that LVHR a feasible option with great potential in both treatment success and reduction of surgical morbidity.
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Hernia
January 2025
General surgery and digestive system, Río Hortega University Hospital, Valladolid, Spain.
Introduction: The classic open ventral hernia repair provides excellent results in recurrences. However, wound complications are the Achilles heel for a good overall clinical outcome. Laparoscopic surgery is in general associated with less pain, better esthetic results, faster recovery, and lower incidence of wound complications.
View Article and Find Full Text PDFInt Urogynecol J
January 2025
Research Center for Evidence-Based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Attar-E-Neishabouri Sqr., Tabriz, 51666, Iran.
Introduction And Hypothesis: When adopting new methods, surgeons may experience a period of complexity and longer operation times because of their inexperience. This period is known as the "learning curve." This study was aimed at systematically reviewing the current literature on functional urology learning curves.
View Article and Find Full Text PDFWorld J Gastroenterol
January 2025
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China.
Background: Laparoscopic liver resection (LLR) can be challenging due to the difficulty of establishing a retrohepatic tunnel under laparoscopy. Dissecting the third hepatic hilum before parenchymal transection often leads to significant liver mobilization, tumor compression, and bleeding from the short hepatic veins (SHVs). This study introduces a novel technique utilizing the ventral avascular area of the inferior vena cava (IVC), allowing SHVs to be addressed after parenchymal transection, thereby reducing surgical complexity and improving outcomes in in situ LLR.
View Article and Find Full Text PDFBMJ Case Rep
January 2025
Pediatric Surgical Services, Mary Bridge Children's Hospital and Health Center, Tacoma, Washington, USA
Spigelian hernia and cryptorchidism syndrome in children is increasingly reported in the literature. A variety of phenotypes have been reported, so diagnostic approaches and operative techniques remain poorly defined. The case of an infant male who presented with a left spigelian hernia and ipsilateral cryptorchidism who was initially misdiagnosed with an ectopic inguinal testis is presented.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Department of Surgery, Osaka City Juso Hospital, Osaka, Japan.
Introduction And Importance: Type 1 gallbladder perforation (GBP) in the free abdominal cavity causes pan-peritonitis, which is both rare and difficult to diagnose.
Case Presentation: An 80-year-old man presented to our hospital with acute left upper abdominal pain. Twenty days prior to presentation, he had been admitted for 12 days with coronavirus disease 2019 (COVID-19).
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