PURPOSE: The objective of the study was to evaluate peri- and postoperative outcomes, especially severe @entity532 in adult incisional @entity4037 repair performed by open or laparoscopic surgery. METHODS: Adult @entity1 who were operated for incisional @entity4037 in two tertiary hospitals in Finland during 2006-2012 were included in the study. Clinical data were collected from @entity1 registers. Peri- and postoperative parameters were gathered and compared between open and laparoscopic groups. @entity260 were analyzed, and the focus was on major @entity532 . RESULTS: The results of 818 hernioplasties were evaluated: 291 (36.3  %) open and 527 (63.7  %) laparoscopic operations. In the laparoscopic group, the number of @entity1 with @entity260 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 @entity532 occurred. In the laparoscopic group, four of the five major @entity532 were consequences of undetected enterotomies, leading to reoperations, longer hospital stays, and @entity204 of one @entity1 . Major @entity532 in the open group consisted of four cardiac @entity1188 and three septic surgical site infections. Complex adhesions had a significant influence on major @entity532 , enterotomies, and surgical site infections. Laparoscopic operations had a lower mean @entity190 (13 vs. 31.5  ml, p  =  0.028), and hospital stay (4 vs. 6  days, p  =  0.001) compared to open operations. CONCLUSIONS: Laparoscopic incisional @entity4037 repair has a low rate of @entity260 but it is associated with an increased risk of undetected enterotomies, in particular during cases involving adhesiolysis.

Complications in Laparoscopic Versus Open Incisional XXXX . A Retrospective Comparative Study.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity532 :: ('MESH:D003925', 'Disease') :: ['complications'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative complications', 'postoperative complications'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarctions'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia', 'ventral hernias']
@entity4037 :: (MESH:D006555,Disease) :: ['Ventral Hernia Repair']
