A Comparison of Open and Laparoscopic Techniques in Incisional Hernia Surgery: A Single-center Experience

Year 2019, , 67 - 71, 30.01.2019

Yahya Çelik , Ozan Andaç Erbil

https://doi.org/10.21673/anadoluklin.453962

Abstract

Aim:

In our
hospital, assess the results of the literature of patients undergoing open and
laparoscopic incisional hernia repair due.

Materials and
Methods:

 The results
of 250 patients who were randomized for incisional hernia between 2012 and 2016
were reviewed. Patients were divided into laparoscopic group (n: 122) and open
group (n: 128). Demographic characteristics were analyzed statistically in
terms of operation time, hospitalization time, postoperative early-late
complications and recurrence.

Results:

The mean age
of the patients we operated with open hernia method was higher. There was no
statistically significant difference between open and closed technique in terms
of perioperative characteristics and post operative complications.

Conclusion:
Laparoscopic incisional hernia repair can be applied as safe as open technique
in appropriate patients. We still believe that prospective controlled studies
with large patient groups are still needed to standardize for appropriate  technique.

Keywords

incisional hernia, open hernia, laparoscopic hernia

İnsizyonel Herni Cerrahisinde Açık ve Laparoskopik Yöntemin Karşılaştırılması: Tek Merkez Deneyimi

Abstract

Amaç: Hastanemizde insizyonel
herni nedeniyle açık ve laparoskopik onarım yapılan hastaların sonuçlarını
literatür eşliğinde değerlendirmek.

Gereç ve Yöntem: 2012-2016 yılları arasında  insizyonel herni  nedeniyle opere  edilen 250 hastanın sonuçları  incelendi. Hastalar laparaskopik yapılanlar
grupI (n:122) , açık yapılan grup II (n:128) olarak ayrıldı. Demografik
özellikleri, ameliyat süresi, yatış süresi, post operatif erken-geç
komplikasyonları ve nüks açısından istatistiksel olarak incelendi.

Bulgular:

Demografik özelliklerden yaşın açık teknik uygulanan
hastalarda daha yüksek olduğu gözlendi. Perioperatif özellikler ve post
operatif komplikasyonlar açısından açık ve kapalı teknik arasında istatistiksel
açıdan anlamlı fark bulunmadı.

Sonuç:

Laparoskopik insizyonel fıtık onarımı, uygun
hastalarda açık teknik kadar güvenli bir şekilde uygulanabilmektedir. Tekniğin
daha standardize edilebilmesi için hala geniş hasta gruplu prospektif kontrollü
çalışmalara ihtiyaç olduğu kanaatindeyiz.

Keywords

İnsizyonel herni, açık herni, Laparoskopik herni

References

• 1. Fink C, Baumann P, Wente M, Knebel P, Bruckner T, Ulrich A, et al. Incisional hernia rate 3 years after midline laparotomy. British Journal of Surgery. 2014;101(2):51-4.
• 2. Sanders DL, Kingsnorth AN. The modern management of incisional hernias. Bmj. 2012;344(may091):e2843.
• 3. Eker HH, Hansson BM, Buunen M, Janssen IM, Pierik RE, Hop WC, et al. Laparoscopic vs open incisional hernia repair: a randomized clinical trial. JAMA surgery. 2013;148(3):259-63.
• 4. Llaguna OH, Avgerinos DV, Lugo JZ, Matatov T, Abbadessa B, Martz JE, et al. Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon resections. The American Journal of Surgery. 2010;200(2):265-9.
• 5. Rosch R, Junge K, Knops M, Lynen P, Klinge U, Schumpelick V. Analysis of collagen-interacting proteins in patients with incisional hernias. Langenbeck's archives of surgery. 2003;387(11-12):427-32.
• 6. Çakır T, Aslaner A, Yardımcı EC, Gündüz UR, Mayir B, Doğan U, et al. Dual Mesh ile Açık ve Laparoskopik Ventral İnsizyonel Fıtık Onarımı Karşılaştırılması. Selçuk Tıp Derg. 2015;31(4):341-3.
• 7. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surgical laparoscopy & endoscopy. 1993;3(1):39-41.
• 8. LeBlanc K, Booth W, Whitaker J, Bellanger D. Laparoscopic incisional and ventral herniorraphy: our initial 100 patients. Hernia. 2001;5(1):41-5.
• 9. Warren JA, Love M. Incisional Hernia Repair: Minimally Invasive Approaches. Surgical Clinics of North America. 2018.
• 10. SORMAZ İC, CANBAY B, BAYRAKTAR A, AZAMAT İF, KARAKUŞ Ş, HÜSEYNOV E, et al. KARIN ÖN DUVARI FITIKLARININ TAMİRİNDE AÇIK VE LAPAROSKOPİK YÖNTEMLERİN SONUÇLARININ KARŞILAŞTIRILMASI. İstanbul Tıp Fakültesi Dergisi. 2017;80(2):54-8.
• 11. Itani KM, Hur K, Kim LT, Anthony T, Berger DH, Reda D, et al. Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia: a randomized trial. Archives of surgery. 2010;145(4):322-8.
• 12. Pring CM, Tran V, O’Rourke N, Martin IJ. Laparoscopic versus open ventral hernia repair: a randomized controlled trial. ANZ journal of surgery. 2008;78(10):903-6.
• 13. Bingener J, Buck L, Richards M, Michalek J, Schwesinger W, Sirinek K. Long-term outcomes in laparoscopic vs open ventral hernia repair. Archives of Surgery. 2007;142(6):562-7.
• 14. Rudmik L, Schieman C, Dixon E, Debru E. Laparoscopic incisional hernia repair: a review of the literature. Hernia. 2006;10(2):110-9.
• 15. Itani KM, Neumayer L, Reda D, Kim L, Anthony T. Repair of ventral incisional hernia: the design of a randomized trial to compare open and laparoscopic surgical techniques. The American journal of surgery. 2004;188(6):22-9.
• 16. Carlson M, Frantzides C, Shostrom V, Laguna L. Minimally invasive ventral herniorrhaphy: an analysis of 6,266 published cases. Hernia. 2008;12(1):9-22.
• 17. Lederman AB, Ramshaw BJ. A short-term delayed approach to laparoscopic ventral hernia when injury is suspected. Surgical innovation. 2005;12(1):31-5.
• 18. Petersen S, Henke G, Freitag M, Faulhaber A, Ludwig K. Deep prosthesis infection in incisional hernia repair: predictive factors and clinical outcome. European Journal of Surgery. 2001;167(6):453-7.
• 19. Kirshtein B, Lantsberg L, Avinoach E, Bayme M, Mizrahi S. Laparoscopic repair of large incisional hernias. Surgical Endoscopy and Other Interventional Techniques. 2002;16(12):1717-9.
• 20. Itani K, Schumpelick V, Fitzgibbons R. Incisional hernia. Recurrent Hernia: Prevention and Treatment Berlin, Germany: Springer-Verlag. 2007:10-7.
• 21. Gagner M. Laparoscopic ventral hernia repair [videotape]. Woodbury, CT: Cine-Med Inc. 1997.
• 22. Chevrel J. The treatment of large midline incisional hernias by" overcoat" plasty and prothesis (author's transl). La Nouvelle presse medicale. 1979;8(9):695-6.
• 23. Hurst P. Repair of long, large midline incisional hernias using reflected flaps of anterior rectus sheath reinforced with Marlex mesh. The American Journal of Surgery. 1979;138(5):740-1.
• 24. Whiteley M, Ray-Chaudhuri S, Galland R. Combined fascia and mesh closure of large incisional hernias. Journal of the Royal College of Surgeons of Edinburgh. 1998;43(1):29-30.
• 25. Dindo D, Demartines N, Clavien P-A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of surgery. 2004;240(2):205.