Incisional @entity547 after abdominal operations are a significant cause of long-term morbidity and have been reported to occur in 3 to 20 per cent of laparotomy incisions. Traditional primary suture closure repair is plagued with up to a 50 per cent recurrence rate. With the introduction of prosthetic mesh repair recurrence decreased, but complications with mesh placement emerged ushering in the development of laparoscopic incisional herniorrhaphy. The records of @entity1 who underwent laparoscopic incisional hernia repair between June 1, 1995 and September 1, 2001 were reviewed. @entity1 demographics, @entity154 size, recurrence, operative time, and procedure-related complications were evaluated. Fifty @entity1 (22 male and 28 female, mean age 57 years with range of 24-83) were scheduled for laparoscopic incisional hernia repair between June 1, 1995 and September 1, 2001. The average @entity1 was @entity28 with a mean body mass index of 35.8 kg/m2 (range 16-57 kg/m2). Two @entity1 (4%) had primary @entity4037 . Forty-eight @entity1 (96%) had @entity547 (46%) of these previously repaired with prosthetic mesh. Mean defect size was 206.1 cm2 (range 48-594 cm2). The average mesh size was 510.2 cm2 (range 224-1050 cm2). Gore-Tex DualMesh and Bard Composite Mesh were used in 84 and 16 per cent of the repairs, respectively. Mean operating time was 97 minutes. There were no deaths. Complications were seen in 12 per cent @entity1 (six occurrences) and included two small bowel enterotomies, a symptomatic seroma requiring aspirate, a mesh reaction requiring a short course of intravenous antibiotics, and trocar site @entity158 (two @entity1 ). There were no recurrences during a mean follow-up of 41 months (range 3-74 months). We conclude that laparoscopic incisional herniorrhaphy offers a safe and effective repair for large primary and recurrent @entity4037 with low morbidity.

Laparoscopic repair of large incisional XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity154 :: ('MESH:D000013', 'Disease') :: ['hernia defect'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernias', 'incisional hernias with 22'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia', 'ventral hernias']
@entity547 :: (MESH:D006547,Disease) :: ['hernias']
