Laparoscopic versus open umbilical hernia repair.

Rodrigo Gonzalez, Edward Mason, Titus Duncan, Russell Wilson, Bruce Ramshaw

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

BACKGROUND: The use of prosthetic material for open umbilical hernia repair has been reported to reduce recurrence rates. The aim of this study was to compare outcomes after laparoscopic versus open umbilical hernia repair. METHODS: We reviewed all umbilical hernia repairs performed from November 1995 to October 2000. Demographic data, hernia characteristics, and outcomes were compared. RESULTS: Of the 76 patients identified, 32 underwent laparoscopic repair (LR), 24 primary suture repairs (PSR), and 20 open repairs with mesh (ORWM). Preoperative characteristics were similar between groups. Hernia size was similar between LR and ORWM groups, and both were larger than that in the PSR group. ORWM compared with the other techniques resulted in longer operating time, more frequent use of drains, higher complication rates, and prolonged return to normal activities (RTNA). The length of stay (LOS) was longer in the ORWM than in the PSR group. When compared with ORWM, LR resulted in lower recurrence rates. LR resulted in fewer recurrences in patients with previous repairs and hernias larger than 3 cm than in both open techniques. CONCLUSIONS: LR results in faster RTNA, and lower complication and recurrence rates compared with those in ORWM. Patients with larger hernias and previous repairs benefit from LR.

Original languageEnglish (US)
Pages (from-to)323-328
Number of pages6
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Volume7
Issue number4
StatePublished - Jan 1 2003
Externally publishedYes

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Umbilical Hernia
Herniorrhaphy
Sutures
Recurrence
Hernia
Length of Stay
Demography

All Science Journal Classification (ASJC) codes

  • Surgery

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Laparoscopic versus open umbilical hernia repair. / Gonzalez, Rodrigo; Mason, Edward; Duncan, Titus; Wilson, Russell; Ramshaw, Bruce.

In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, Vol. 7, No. 4, 01.01.2003, p. 323-328.

Research output: Contribution to journalArticle

Gonzalez, Rodrigo ; Mason, Edward ; Duncan, Titus ; Wilson, Russell ; Ramshaw, Bruce. / Laparoscopic versus open umbilical hernia repair. In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons. 2003 ; Vol. 7, No. 4. pp. 323-328.
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