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Multicenter Study
. 2016 Sep:33 Suppl 1:S108-13.
doi: 10.1016/j.ijsu.2016.06.023. Epub 2016 Jun 21.

Laparoscopic management of non-midline incisional hernia: A multicentric study

Alessia Ferrarese  1 , Stefano Enrico  2 , Mario Solej  3 , Alessandra Surace  4 , Mario Junior Nardi  5 , Paolo Millo  6 , Rosaldo Allieta  7 , Cosimo Feleppa  8 , Luigi D'Ambra  9 , Stefano Berti  10 , Enrico Gelarda  11 , Felice Borghi  12 , Gabriele Pozzo  13 , Bartolomeo Marino  14 , Emma Marchigiano  15 , Pietro Cumbo  16 , Maria Paola Bellomo  17 , Claudio Filippa  18 , Paolo Depaolis  19 , Mario Nano  20 , Valter Martino  21
Affiliations
Free article
Multicenter Study

Laparoscopic management of non-midline incisional hernia: A multicentric study

Alessia Ferrarese et al. Int J Surg. 2016 Sep.
Free article

Abstract

Background: The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years.

Methods: A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs: subcostal, suprapubic, lumbar, and epigastric. We also conducted a literature review.

Results: No difference was found between the four subgroups in terms of demographic data, defect characteristics, admission data, and complications. Subcostal defects required a shorter operating time. Obesity was found to be a risk factor for recurrence.

Conclusions: In our experience, subcostal defects were easier to perform, with a lower recurrence rate, lesser chronic pain, and faster surgical performance. A more specific prospective randomized trial with a larger sample is awaited. Based on our experience, however, the laparoscopic approach is a safe treatment for NMVHs in specialized centers.

Keywords: Laparoscopic repair; Non-midline ventral hernia; Ventral hernia.

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