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Laparoscopic Incisional Hernia Repair After Solid-Organ Transplantation—Invited Critique
Michael E. de Vera, MD
Arch Surg. 2009;144(3):233.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Laparoscopic repair of incisional hernias is increasingly becoming the procedure of choice over the open approach.1 Advantages of laparoscopic repair include lower rates of recurrence and complications as well as shorter hospital stay. Laparoscopic incisional hernia repair in solid-organ transplant recipients, however, is still unproved, and its safety and efficacy in these immunocompromised patients is unknown. This article describes the outcomes of LIHR in 31 transplant recipients, 21 of whom underwent liver transplantation. Only a minority of patients (23%) were receiving corticosteroid therapy. The superlative laparoscopic skills were evident in that operative times were relatively short, blood loss was minimal, and no conversion to open repair was required. Although the overall complication rate was 58%, the most frequent complication was the occurrence of seroma, which was managed expectantly. No bowel injuries occurred, and there was notably no occurrence of any mesh or wound infections. The . . . [Full Text of this Article]
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Laparoscopic Incisional Hernia Repair After Solid-Organ Transplantation
Peter T. Kennealey, Cynthia S. Johnson, A. Joseph Tector, III, and Don J. Selzer
Arch Surg. 2009;144(3):228-233.
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