TITLE

Five-Year Experience with the `Four-Before' Laparoscopic Ventral Hernia Repair

AUTHOR(S)
Reitter, David R.; Paulsen, J. Kevin; Debord, James R.; Estes, Norman C.
PUB. DATE
May 2000
SOURCE
American Surgeon;May2000, Vol. 66 Issue 5, p465
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Between 1993 and 1998, we performed a linear study of laparoscopic ventral hernia repair performed in a standard fashion using expanded polytetrafluoroethylene on 49 patients. Eighteen patients had recurrent hernias and 30 patients were morbidly obese with a body mass index >30. Conversion to open procedure was required in two patients. Patients were observed a mean of 27 months. Three patients died of unrelated causes during the observation period. Three patients developed recurrent hernias. By a follow-up survey, we found that 90 per cent of patients were "satisfied" with their operation and results. Because of decreased complications, postoperative pain, hospital stay, and hernia recurrence, the "four-before" laparoscopic repair is our preference for ventral hernias. It has been particularly useful for obese patients and patients with recurrent ventral hernias.
ACCESSION #
3086416

 

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics