ACS: Advantages of Laparoscopic Incisional Hernia Surgery
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ACS: Advantages of Laparoscopic Incisional Hernia Surgery

FLAGSTAFF, AZ. -- October 15, 1999 -- Shorter hospital stays and a lower recurrence rate were cited as key outcomes of a long-term multi-center study on large abdominal wall defect repairs. The results of "Laparoscopic Ventral and Incisional Hernia Repair in 407 Patients" were presented at the American College of Surgeons’ 85th Annual Clinical Congress, in San Francisco, CA.

Co-author Dr. Guy Voeller, of University of Tennessee, in Memphis, TN, presented the study that spanned six years, ending in August. Patients in four national centers were followed for an average of two years.

Traditional repair of incisional, or ventral, hernias usually involves considerable dissection and mobilization of tissue. The authors reported that with their minimally invasive technique, they achieved a recurrence rate of 3.4 percent, compared to traditional failure rates of 25 to 49 percent. Complications associated with the procedure were also lower than those reported on traditional repairs.

In their combined series, the authors implanted Gore-Tex® DualmesH® Plus Biomaterial intra-peritoneally after laparoscopic introduction. The material is held in place by sutures and tacks.

The average time of surgery was 97 minutes, which is comparable to a traditional repair. Average duration of hospital stay for patients in the study was 1.8 days compared to almost three days for traditional repair.

The other authors of the paper, which will be published in The Journal of the American College of Surgeons, are Dr. B. Todd Heniford, from Charlotte, Dr. Bruce Ramshaw, from Atlanta, and Dr. Adrian Park, Lexington.

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