ArticleSurgical endoscopy2013
Combined laparoscopic and open technique for the repair of large complicated incisional hernias.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Comparative effectiveness of hybrid and laparoscopic techniques for repairing complex incisional ventral hernias: a systematic review and meta-analysis.BMC surgery · 2023Pooled it
- A systematic review of the surgical treatment of large incisional hernia.Hernia : the journal of hernias and abdominal wall surgery · 2015Pooled it
- Unplanned conversion to open in elective laparoscopic and robotic paraesophageal hernia repair: a propensity score matched analysis of the ACS-NSQIP registry.Surgical endoscopy · 2026Article
- Ventral hernia repair with a hybrid laparoscopic technique.ANZ journal of surgery · 2022Article
- A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Transabdominal midline reconstruction by minimally invasive surgery: technique and results.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Hybrid technique for postoperative ventral hernias - own experience.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016Article
- Hybrid approach for ventral incisional hernias of the abdominal wall: A systematic review of the literature.Journal of minimal access surgeryReview
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Authors and funding
4 authors.
Funding
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Abstract
backgroundDuring laparoscopic incisional hernia repair, conversion to open surgery is sometimes needed, especially in cases of large complicated incisional hernias. No guidelines exist for determining when conversions should be considered. This study aimed to investigate the safety of a combined technique as an alternative to conversion in the laparoscopic repair of large complicated incisional hernias and to evaluate the impact of early conversion to the combined technique on patient outcome.
methodsBeginning in November 2008, early conversion was initiated for patients with large complicated incisional hernia when dense extensive intraabdominal adhesions were present. Two cohorts of patients with large complicated incisional hernia were retrospectively analyzed: 21 patients before the initiation of early conversion (group 2) and 21 patients after its inception (group 1). The data analyzed included patient demographics, operative parameters, complications, and recurrence.
resultsNo significant differences were found between the two groups with respect to age, gender, body mass index, coexisting conditions, number of previous laparotomies, number of previous repairs, or features of the hernia. Groups 1 and 2 differed significantly in terms of mean operative time (110.7 vs 138.8 min), enterotomy rate (0 vs 29 %), and postoperative hospital stay (4.7 vs 6.1 days). In group 1, early conversion to the combined technique was necessary for 16 patients (76 %), and no delayed conversion occurred. In group 2, delayed conversion to the combined technique was necessary for 11 patients (52 %), and no early conversion occurred. During the follow-up period, neither wound/mesh infection nor trocar-site hernia occurred.
conclusionThe combined technique proved to be a safe and minimally invasive alternative to conversion in laparoscopic repair of large complicated incisional hernias. Early conversion to the combined technique was associated with less technical difficulty, deceased operative time, lower enterotomy rate, and shorter postoperative hospital stay.
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