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A novel reconstruction method for giant incisional hernia: Hybrid laparoscopic technic
Ozturk Gokmen1, Malya Fatma Umit2, Ersavas Cenk1, Ozdenkaya Yasar1, Bektasoglu Huseyin2, Citgez Bulent2, Karatepe Oguzhan1
1 Department of Surgery, Medipol University, Bezmialem Faculty of Medicine, Istanbul, Turkey 2 Department of Hepatobiliary Surgery, Bezmialem Faculty of Medicine, Istanbul, Turkey
Correspondence Address: Karatepe Oguzhan, Department of Surgery, Bezmialem Vakif University, Adnan Menderes Bulvar?, Vatan Cad, 34000, Istanbul Turkey
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/0972-9941.142403 PMID: 27251799
Background And Objectives: Laparoscopic reconstruction of ventral hernia is a popular technic today. Patients with large defects have various difficulties of laparoscopic approach. In this study, we aimed to present a new reconstruction technic that combines laparoscopic and open approach in giant incisional hernias. Materials And Methods: Between January 2006 and August 2012, 28 patients who were operated consequently for incisional hernia with defect size over 10 cm were included in this study and separated into two groups. Group 1 (n = 12) identifies patients operated with standard laparoscopic approach, whereas Group 2 (n = 16) labels laparoscopic technic combined with open approach. Patients were evaluated in terms of age, gender, body mass index (BMI), mean operation time, length of hospital stay, surgical site infection (SSI) and recurrence rate. Results: There were 12 patients in Group 1 and 16 patients in Group 2. Mean length of hospital stay and SSI rates are similar in both groups. Postoperative seroma formation was observed in 6 patients for Group 1 and in only 1 patient for Group 2. Group 1 had 1 patient who suffered from recurrence where as Group 2 had no recurrence. Discussion: Laparoscopic technic combined with open approach may safely be used as an alternative method for reconstruction of giant incisional hernias.
Keywords: Combine approach, giant hernia, laparoscopic ventral hernia repair
How to cite this URL: Gokmen O, Umit MF, Cenk E, Yasar O, Huseyin B, Bulent C, Oguzhan K. A novel reconstruction method for giant incisional hernia: Hybrid laparoscopic technic. J Min Access Surg [Epub ahead of print] [cited 2022 May 21]. Available from: https://www.journalofmas.com/preprintarticle.asp?id=144092 |
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