ArticleWorld journal of surgery2015
Complications in Laparoscopic Versus Open Incisional Ventral Hernia Repair. A Retrospective Comparative Study.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Comparative analysis of laparoscopic, retro-muscular, and open mesh repair techniques for ventral and incisional hernias: a comprehensive review and meta-analysis.Updates in surgery · 2025Pooled it
- Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomized multicenter study of 1-month follow-up results.Hernia : the journal of hernias and abdominal wall surgery · 2018Trial
- Outcomes of recurrent incisional hernia repair by open and laparoscopic approaches: a propensity score-matched comparison.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Elective incisional hernia repair: lower risk of postoperative wound infection with laparoscopic versus open repair.Singapore medical journal · 2023Article
- Endoscopic transversus abdominis release in the treatment of midline incisional hernias: a prospective single-center observational study on 100 patients.Hernia : the journal of hernias and abdominal wall surgery · 2022Observational
- Comparative review of outcomes: single-incision laparoscopic total extra-peritoneal sub-lay (SIL-TES) mesh repair versus laparoscopic intraperitoneal onlay mesh (IPOM) repair for ventral hernia.Updates in surgery · 2022Review
- Comparison of two fascial defect closure methods for laparoscopic incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Article
- Incisional abdominal hernia repair with concomitant abdominoplasty: Maintaining umbilical viability.JPRAS open · 2018Article
- Robotic assistance in ventral hernia repair may decrease the incidence of hernia recurrence.Journal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe objective of the study was to evaluate peri- and postoperative outcomes, especially severe complications in adult incisional ventral hernia repair performed by open or laparoscopic surgery.
methodsAdult patients who were operated for incisional ventral hernias in two tertiary hospitals in Finland during 2006-2012 were included in the study. Clinical data were collected from patient registers. Peri- and postoperative parameters were gathered and compared between open and laparoscopic groups. Postoperative complications were analyzed, and the focus was on major complications.
resultsThe results of 818 hernioplasties were evaluated: 291 (36.3 %) open and 527 (63.7 %) laparoscopic operations. In the laparoscopic group, the number of patients with postoperative complications was slightly lower (18.4 vs. 23.4 %, p = 0.090), and there were significantly fewer surgical site infections (3.2 vs. 8.6 %, p = 0.001). Twelve major complications occurred. In the laparoscopic group, four of the five major complications were consequences of undetected enterotomies, leading to reoperations, longer hospital stays, and death of one patient. Major complications in the open group consisted of four cardiac infarctions and three septic surgical site infections. Complex adhesions had a significant influence on major complications, enterotomies, and surgical site infections. Laparoscopic operations had a lower mean blood loss (13 vs. 31.5 ml, p = 0.028), and hospital stay (4 vs. 6 days, p = 0.001) compared to open operations.
conclusionsLaparoscopic incisional ventral hernia repair has a low rate of postoperative complications but it is associated with an increased risk of undetected enterotomies, in particular during cases involving adhesiolysis.
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