Comparison of laparoscopic and open ventral herniorrhaphy

Bruce Ramshaw, Playton Esartia, Jeff Schwab, Edward M. Mason, Russell A. Wilson, Titus D. Duncan, Jacqueline Miller, George W. Lucas, John Promes

Research output: Contribution to journalArticle

231 Citations (Scopus)

Abstract

The repair of large and/or recurrent ventral hernias is associated with significant complications and a recurrence rate that can be more than 50 per cent. Laparoscopic ventral herniorrhaphy, a recent development, has been shown to be safe and effective in the repair of ventral hernias. This study retrospectively reviews all ventral hernia repairs over a 3-year period, November 1995 through December 1998, at a community-based teaching hospital. The purpose of the study was to compare open and laparoscopic repairs. A total of 253 ventral hernia repairs were performed during this time, 174 open and 79 laparoscopic. The age, weight, and sex distribution was similar for each group. The hernias in the open group averaged 34.1 cm2 in size, and mesh used averaged 47.3 cm2. In the laparoscopic group, the hernia defect averaged 73.0 cm2, and the mesh size averaged 287.4 cm2. Operative time was longer in the open group, 82.0 versus 58.0 minutes. In the open group, there were 38 (21.8%) minor and 8 (4.6%) major complications, compared with 13 (16.5%) minor and 2 (2.5%) major complications in the laparoscopic group. Hospital stay was shorter for the laparoscopic group, 1.7 versus 2.8 days. At an average follow-up of 21 months (range, 2-40 months), there have been 36 recurrences in the open group (20.7%) compared with 2 recurrences in the laparoscopic group (2.5%). In this series, laparoscopic ventral herniorrhaphy compares favorably to open ventral herniorrhaphy with respect to wound complications, hospital stay, operative time, and recurrence rate.

Original languageEnglish (US)
Pages (from-to)827-832
Number of pages6
JournalAmerican Surgeon
Volume65
Issue number9
StatePublished - Sep 1 1999

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Herniorrhaphy
Ventral Hernia
Recurrence
Operative Time
Hernia
Length of Stay
Sex Distribution
Age Distribution
Teaching Hospitals
Weights and Measures
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Ramshaw, B., Esartia, P., Schwab, J., Mason, E. M., Wilson, R. A., Duncan, T. D., ... Promes, J. (1999). Comparison of laparoscopic and open ventral herniorrhaphy. American Surgeon, 65(9), 827-832.

Comparison of laparoscopic and open ventral herniorrhaphy. / Ramshaw, Bruce; Esartia, Playton; Schwab, Jeff; Mason, Edward M.; Wilson, Russell A.; Duncan, Titus D.; Miller, Jacqueline; Lucas, George W.; Promes, John.

In: American Surgeon, Vol. 65, No. 9, 01.09.1999, p. 827-832.

Research output: Contribution to journalArticle

Ramshaw, B, Esartia, P, Schwab, J, Mason, EM, Wilson, RA, Duncan, TD, Miller, J, Lucas, GW & Promes, J 1999, 'Comparison of laparoscopic and open ventral herniorrhaphy', American Surgeon, vol. 65, no. 9, pp. 827-832.
Ramshaw B, Esartia P, Schwab J, Mason EM, Wilson RA, Duncan TD et al. Comparison of laparoscopic and open ventral herniorrhaphy. American Surgeon. 1999 Sep 1;65(9):827-832.
Ramshaw, Bruce ; Esartia, Playton ; Schwab, Jeff ; Mason, Edward M. ; Wilson, Russell A. ; Duncan, Titus D. ; Miller, Jacqueline ; Lucas, George W. ; Promes, John. / Comparison of laparoscopic and open ventral herniorrhaphy. In: American Surgeon. 1999 ; Vol. 65, No. 9. pp. 827-832.
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