BACKGROUND: Laparoscopy, specifically the bridged mesh technique, is a popular means used for @entity4037 repair. While laparoscopy has decreased the incidence of @entity281 ( @entity281 ), @entity547 recurrence rates remain unchanged. Some surgeons advocate laparoscopic primary fascial closure (PFC) with placement of intraperitoneal mesh to decrease recurrence rates. We hypothesize that in @entity1 undergoing @entity4037 repair (LVHR), PFC compared to a bridged mesh repair decreases @entity547 recurrence rates. METHODS: A multicenter, retrospective database of all @entity4037 repairs performed from 2010-2012 was accessed. @entity1 who underwent LVHR with mesh were reviewed. @entity1 who had PFC were compared to bridged repair. Primary outcome was @entity547 recurrence determined by clinical examination or CT scan. Secondary outcomes included @entity281 and @entity2080 formation. RESULTS: A total of 1594 @entity1 were identified. Following exclusion, a total of 196 @entity1 were left who underwent LVHR with a mean follow-up period of 17.5  months. Ninety-seven @entity1 underwent PFC, while 99 underwent bridged repairs. Initial comparisons between both groups was negative for any significant statistical difference in terms of recurrence, @entity2080 formation, @entity281 , deep/organ space @entity281 , reoperation, and readmission. The same initial findings held true during subgroup analysis. Propensity score analysis was then performed for recurrence, @entity2080 , and @entity281 controlling for age, gender, immune status, ASA class, BMI, smoking status, and acute repair. No statistically significant differences were identified in either group. CONCLUSION: Primary fascial closure during laparoscopic @entity547 repairs did not result in reduced recurrence, @entity2080 , and @entity281 as compared to bridge repairs in a retrospective, multi-institutional study. However, additional research is needed to further evaluate benefits to the @entity1 in terms of @entity158 , function, cosmesis, and overall satisfaction. Randomized, blinded, control trials should focus on these parameters in future investigations.

XXXX repair with primary fascial closure versus bridged repair: a risk-adjusted comparative study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity2080 :: ('MESH:D049291', 'Disease') :: ['seroma'] @entity281 :: ('MESH:D007239', 'Disease') :: ['surgical site infection', 'SSI'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia', 'laparoscopic ventral hernia']
@entity4037 :: (MESH:D006555,Disease) :: ['Laparoscopic ventral hernia']
