|
KMID : 1033020170070010001
|
|
Journal of Hemiology: Diagnosis and Treatment of Hernias
2017 Volume.7 No. 1 p.1 ~ p.6
|
|
|
A Single Port Laparoscopic Surgery (SPLS) for an Incisional Hernia: A Comparative Analysis with Open and Conventional Laparoscopic Surgery
|
|
Baek Seung-Hyun
Son Gyung-Mo
Park Byung-Soo
Kim Hyun-Sung
Cho Yong-Hoon
Jo Hong-Jae
|
|
|
Abstract
|
|
|
Purpose: We evaluated the safety and utility of a single port laparoscopic surgery (SPLS) and carried out the comparative analysis with conventional laparoscopy and open technique for incisional hernia repair.
Methods: Typically, 50 patients who underwent incisional hernia repair from December 2008 to March 2014 were included in the present study. The present study is a retrospective research using chart review. We investigated the age, sex, body mass index, the size of an incisional hernia and implanted mesh type in all the patients. Also, the operation time, hospital stay (days), complication and recurrence were evaluated. The outcomes of SPLS group were compared with the outcomes of the open and laparoscopic group.
Results: The SPLS group was the oldest with the mean age of the patient as 64.4±13.4 years and highest BMI of 27.7±4.4. The laparoscopic group had the largest incisional area. In the open group, 18 patients were treated with 12 cases of simple approximation and 6 cases of prolene mesh. The other groups were all treated using the composite mesh. The mean operation time in the SPLS group (54.2 min) was shorter than the open group (54.5 min) and laparoscopic group (63.8 min). However, no statistical significance was observed between the three groups (P=0.653). The hospital stay of SPLS group (3.8 days) was not significantly different from the open group (3.8 days) and laparoscopic group (3.4 days) (P=0.908). Also, no statistical significance was observed between the three groups with respect to complication and recurrence.
Conclusion: Overall, it is proposed that the SPLS can be an alternative and safe surgical technique for the repair of an incisional hernia compared to other existing operation techniques.
|
|
|
KEYWORD
|
|
|
Incisional hernia, Single port laparoscopic surgery, Laparoscopic incisional hernia repair, Open hernia repair
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|