0 Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias Surgical Endoscopy, 09/17/2012 Clinical Article

Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias
Surgical Endoscopy, 09/17/2012  Clinical Article

Schroeder AD et al. – The initial results indicate that the new laparoscopic transperitoneal sublay mesh repair is a safe and effective method for the treatment of small– and medium–size ventral and incisional hernias.
Methods

• This prospective cohort study with a control group involved 93 patients. Between 2008 and 2010, 43 patients underwent the laparoscopic transperitoneal sublay mesh repair.
• During the same period of time, a control group of 50 patients underwent an open sublay repair after Rives and Stoppa.
• In 2011, all patients were invited for follow–up.
• This included pain assessments and physical examinations with use of ultrasound.

Results

• The two groups were comparable in terms of patient characteristics and hernia data.
• The operating time was slightly longer for the laparoscopic technique. The hospital stay was shorter in the laparoscopy group.
• There was less chronic pain in the laparoscopy group, but this difference was not statistically significant.
• There was no significant difference in postoperative complications, use of analgetics, foreign body sensation, and paresthesia between the two groups.
• The authors found one long–term hematoma in the laparoscopy group and one seroma in the open group. In this series, there were no recurrences and no wound infections.
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