Clinical predictors of operative complexity in laparoscopic ventral hernia repair: a prospective study.

Surgical Endoscopy
Eric D JenkinsB D Matthews

Abstract

Because of uncertainties about the complexity of laparoscopic ventral hernia repair for varying patient populations, surgeons may be reluctant to perform this procedure. This study aimed to delineate the risk factors that can be identified in the preoperative setting predictive of longer operative times and complexity in laparoscopic ventral hernia repair. Patient demographics including body mass index (BMI), comorbidities, previous laparoscopic and open surgical procedures, ventral hernia repairs, and hernia characteristics (defect size and location, adhesions, incarceration) were recorded prospectively. Data are given as mean +/- standard deviation. Times (min) required for abdominal access, adhesiolysis, and mesh placement as well as the total operative time were recorded during each case as outcome measures of operative difficulty. Univariate analyses were performed with the t-test or the Mann-Whitney U test as well as multivariate analyses using the stepwise analysis of covariance model to determine demographic and clinical variables influencing operative times. The study enrolled 180 patients (78 men and 102 women) with a mean age of 54.8 +/- 12.2 years and a mean BMI of 33.3 +/- 13.0 kg/m(2). Multivariate analysis demons...Continue Reading

References

Apr 1, 1989·Archives of Surgery·R C Read, G Yoder
Jan 1, 1985·The British Journal of Surgery·M Mudge, L E Hughes
May 1, 1982·The British Journal of Surgery·H Ellis
Mar 1, 1996·Annals of Surgery·R W LuijendijkJ Jeekel
Dec 14, 1999·World Journal of Surgery·T AnthonyR H Turnage
Apr 12, 2000·The British Journal of Surgery·A A Van Der KrabbenH Van Goor
Jul 6, 2000·Surgery·M L BaptistaJ P Delaney
Aug 10, 2000·The New England Journal of Medicine·R W LuijendijkJ Jeekel
Jun 27, 2002·Surgical Endoscopy·E R WinslowL M Brunt
Oct 16, 2003·The Journal of Surgical Research·Brent D MatthewsB Todd Heniford
Mar 31, 2004·Journal of the American College of Surgeons·Isaac FelemoviciusJohn P Delaney
Sep 18, 2004·The British Journal of Surgery·M van der VoortD J Gouma
Feb 23, 2005·Archives of Surgery·Lars Tue SørensenLars Nannestad Jørgensen

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Citations

Oct 17, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·U A DietzC-T Germer
Jun 7, 2013·Journal of Minimal Access Surgery·Asfar AliVivek Bindal
Sep 17, 2013·The Surgical Clinics of North America·William W Hope, W Borden Hooks
Jun 15, 2011·Artificial Intelligence in Medicine·Loubna BouarfaJenny Dankelman
May 15, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M R DanzigC M Divino
Jul 14, 2016·Surgical Endoscopy·David EarleUNKNOWN SAGES Guidelines Committee
Apr 5, 2017·Surgical Endoscopy·Joaquín Picazo-YesteFrancisco Sánchez-De Pedro
Aug 12, 2020·Surgical Endoscopy·Sasha HornockEric Ahnfeldt
Oct 12, 2017·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Juliana Mika KatoWellington Andraus
Dec 21, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·O I Rodriguez-AcevedoN Ibrahim
Jul 23, 2019·Advances in Surgery·Javier OteroB Todd Heniford

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