Laparoscopic Repair of Incisional Hernia for Patients over Seventy Years Old (Report of 8 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

FEI Yang , LI Jiye.

Department of General Surgery, The First Affiliated Hospital of PLA General Hospital, Beijing 100048, China;

Corresponding author：

Keywords：

Ventral hernia; Laparoscope; Intraperitoneal onlay mesh; Senility

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate and summarize preliminarily the clinical experiences of laparoscopic incisional hernia repair with intraperitoneal patch placement for the patients over 70 years old.
Methods From July 2005 to July 2008, laparoscopic incisional hernia repair with intraperitoneal onlay meshes were applied in 8 patients, and whose clinical data were studied retrospectively.
Results The procedures were performed successfully in all patients except one converted to open because of severe adhesion. The mean operative time was 105 min (ranged from 50 min to 180 min). One postoperative hypercapnia was resolved through mechanic ventilation for 24 h. One seroma and 1 prolonged postoperative pain over 1 month occurred, which were cured with conservative therapy. Mean postoperative hospital stay was 9.5 d (ranged from 7 d to 14 d). There was no recurrence or local discomfort during 12-36 months (average 26.5 months) follow-up.
Conclusions Laparoscopic incisional hernia repair with intraperitoneal onlay mesh for the patients over 70 years old is safe and feasible, which has some advantages such as less trauma and rapid recovery. The perioperative management and operative technique are very important for the success of operation.

Citation： FEI Yang,LI Jiye.. Laparoscopic Repair of Incisional Hernia for Patients over Seventy Years Old (Report of 8 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(3): 263-266. doi: Copy

1.	Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes [J]. Br J Surg, 1985; 72(1): 7071.
2.	van’t RM, De Vos Van Steenwijk PJ, Bonjer HJ, et al. Incisional hernia after repair of wound dehiscence: incidence and risk factors [J]. Am Surg, 2004; 70(4): 281286.
3.	YahchouchyChouillard E, Aura T, Picone O, et al. Incisional hernias. Ⅰ. Related risk factors [J]. Dig Surg, 2003; 20(1): 39.
4.	Heniford BT, Park A, Ramshaw BJ, et al. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias [J]. Ann Surg, 2003; 238(3): 391400.
5.	Benhidjeb T, Benecke C, Strik MW. Incisional hernia repair: sublay or intraperitoneal onlay mesh (IPOM)? [J]. Zentralbl Chir, 2008; 133(5): 458463.
6.	中华医学会外科学分会疝和腹壁外科学组. 腹股沟疝、股疝和腹壁切口疝手术治疗方案草案 [J]. 中国实用外科杂志, 2001; 21(10): 篇首.
7.	李基业. 巨大切口疝的现代外科治疗 [J]. 中国普外基础与临床杂志, 2003; 10(1): 1012.
8.	LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings [J]. Surg Laparosc Endosc, 1993; 3(1): 3941.
9.	Sains PS, Tilney HS, Purkayastha S, et al. Outcomes following laparoscopic versus open repair of incisional hernia [J]. World J Surg, 2006; 30(11): 20562064.
10.	Rudmik LR, Schieman C, Dixon E, et al. Laparoscopic incisional hernia repair: a review of the literature [J]. Hernia, 2006; 10(2): 110119.
11.	马颂章. 疝和腹壁外科的现状与进展 [J]. 中国普外基础与临床杂志, 2003; 10(1): 13.
12.	李基业, 马颂章. 腹部手术切口疝手术治疗方案(草案) [J]. 中华普通外科杂志, 2004; 19(2): 125.
13.	Korenkov M, Paul A, Sauerland S, et al. Classification and surgical treatment of incisional hernia. Results of an experts’ meeting [J]. Langenbecks Arch Surg, 2001; 386(1): 6573.
14.	Nitta AT, Iseman MD, Newell JD, et al. Tenyear experience with artificial pneumoperitoneum for endstage, drugresistant pulmonary tuberculosis [J]. Clin Infect Dis, 1993; 16(2): 219222.
15.	Burch JM, Moore EE, Moore FA, et al. The abdominal compartment syndrome [J]. Surg Clin North Am, 1996; 76(4): 833842.
16.	王存川，张松柏，陈蓥，等. 腹腔镜疝修补手术222例经验 [J]. 中国普外基础与临床杂志， 2005； 12（6）： 551553.
17.	Aura T, Habib E, Mekkaoui M, et al. Laparoscopic tensionfree repair of anterior abdominal wall incisional and ventral hernias with an intraperitoneal GoreTex mesh: prospective study and review of the literature [J]. J Laparoendosc Adv Surg Tech A, 2002; 12(4): 263267.

1. Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes [J]. Br J Surg, 1985; 72(1): 7071.
2. van’t RM, De Vos Van Steenwijk PJ, Bonjer HJ, et al. Incisional hernia after repair of wound dehiscence: incidence and risk factors [J]. Am Surg, 2004; 70(4): 281286.
3. YahchouchyChouillard E, Aura T, Picone O, et al. Incisional hernias. Ⅰ. Related risk factors [J]. Dig Surg, 2003; 20(1): 39.
4. Heniford BT, Park A, Ramshaw BJ, et al. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias [J]. Ann Surg, 2003; 238(3): 391400.
5. Benhidjeb T, Benecke C, Strik MW. Incisional hernia repair: sublay or intraperitoneal onlay mesh (IPOM)? [J]. Zentralbl Chir, 2008; 133(5): 458463.
6. 中华医学会外科学分会疝和腹壁外科学组. 腹股沟疝、股疝和腹壁切口疝手术治疗方案草案 [J]. 中国实用外科杂志, 2001; 21(10): 篇首.
7. 李基业. 巨大切口疝的现代外科治疗 [J]. 中国普外基础与临床杂志, 2003; 10(1): 1012.
8. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings [J]. Surg Laparosc Endosc, 1993; 3(1): 3941.
9. Sains PS, Tilney HS, Purkayastha S, et al. Outcomes following laparoscopic versus open repair of incisional hernia [J]. World J Surg, 2006; 30(11): 20562064.
10. Rudmik LR, Schieman C, Dixon E, et al. Laparoscopic incisional hernia repair: a review of the literature [J]. Hernia, 2006; 10(2): 110119.
11. 马颂章. 疝和腹壁外科的现状与进展 [J]. 中国普外基础与临床杂志, 2003; 10(1): 13.
12. 李基业, 马颂章. 腹部手术切口疝手术治疗方案(草案) [J]. 中华普通外科杂志, 2004; 19(2): 125.
13. Korenkov M, Paul A, Sauerland S, et al. Classification and surgical treatment of incisional hernia. Results of an experts’ meeting [J]. Langenbecks Arch Surg, 2001; 386(1): 6573.
14. Nitta AT, Iseman MD, Newell JD, et al. Tenyear experience with artificial pneumoperitoneum for endstage, drugresistant pulmonary tuberculosis [J]. Clin Infect Dis, 1993; 16(2): 219222.
15. Burch JM, Moore EE, Moore FA, et al. The abdominal compartment syndrome [J]. Surg Clin North Am, 1996; 76(4): 833842.
16. 王存川，张松柏，陈蓥，等. 腹腔镜疝修补手术222例经验 [J]. 中国普外基础与临床杂志， 2005； 12（6）： 551553.
17. Aura T, Habib E, Mekkaoui M, et al. Laparoscopic tensionfree repair of anterior abdominal wall incisional and ventral hernias with an intraperitoneal GoreTex mesh: prospective study and review of the literature [J]. J Laparoendosc Adv Surg Tech A, 2002; 12(4): 263267.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Repair of Incisional Hernia for Patients over Seventy Years Old (Report of 8 Cases)

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