Safety of laparoscopic ventral hernia repair in older adults

Deron J. Tessier, James M. Swain, Kristi L. Harold

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The published recurrence rate after laparoscopic ventral hernia repair is much less than the rate of recurrence via the open approach. Studies have demonstrated the safety and efficacy of this procedure but have had relatively young patient populations. We present our experience in a significantly older population. A retrospecitve chart review of all patients undergoing a laparoscopic ventral hernia repair at our institution from May 2000 to September 2004 was performed. Data extracted from charts included demographics, number and type of previous abdominal operations, number of previous hernia repairs, defect and mesh size, postoperative complications, and follow-up. Ninety-seven patients underwent laparoscopic ventral hernia repair (50 men and 47 women). The mean age was 68.5 years (37-85 years) with 78% of patients over the age of 60. Patients had undergone a mean of 2.1 prior abdominal operations. Thirty-five (36%) patients had undergone a mean of 1.8 previous open hernia repairs; 54% with mesh. The mean length of stay was 3.4 days (0-31 days). Thirty-three minor complications occurred in 27 patients. Six major complications occurred in five patients. Three patients required reoperation. Thirty-one percent of patients complained of pain at a transabdominal suture site 6 weeks after surgery. Nine percent of patients had seromas lasting longer than 6 weeks. Two recurrences occurred during follow-up and two patients required mesh removal. There were no deaths. Laparoscopic ventral hernia repair can be performed safely in patients regardless of age. Length of stay and overall complications are not affected by age. Long-term follow-up is necessary to evaluate the effectiveness of LVHR in this patient population.

Original languageEnglish (US)
Pages (from-to)53-57
Number of pages5
JournalHernia
Volume10
Issue number1
DOIs
StatePublished - Mar 2006

Fingerprint

Ventral Hernia
Herniorrhaphy
Safety
Recurrence
Length of Stay
Population
Seroma
Reoperation

Keywords

  • Complications
  • Elderly
  • Laparoscopy
  • Ventral hernia

ASJC Scopus subject areas

  • Surgery

Cite this

Tessier, D. J., Swain, J. M., & Harold, K. L. (2006). Safety of laparoscopic ventral hernia repair in older adults. Hernia, 10(1), 53-57. https://doi.org/10.1007/s10029-005-0033-7

Safety of laparoscopic ventral hernia repair in older adults. / Tessier, Deron J.; Swain, James M.; Harold, Kristi L.

In: Hernia, Vol. 10, No. 1, 03.2006, p. 53-57.

Research output: Contribution to journalArticle

Tessier, DJ, Swain, JM & Harold, KL 2006, 'Safety of laparoscopic ventral hernia repair in older adults', Hernia, vol. 10, no. 1, pp. 53-57. https://doi.org/10.1007/s10029-005-0033-7
Tessier, Deron J. ; Swain, James M. ; Harold, Kristi L. / Safety of laparoscopic ventral hernia repair in older adults. In: Hernia. 2006 ; Vol. 10, No. 1. pp. 53-57.
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