Feasibility and effectiveness of laparoscopic incisional XXXX repair after liver transplantation.

@entity1 @entity7502 @entity409 @entity281 @entity134 @entity547 @entity230 @entity736 @entity282
BACKGROUND: Incisional @entity547 is a frequent problem after liver transplantation. It is related to immunosuppression, use of @entity230 , obesity, as well as the type of incision. Laparoscopic repair shows a lower rate of complications in @entity281 and recurrence, as well as @entity282 and faster recovery. METHODS: We reviewed our experience with laparoscopic incisional @entity547 repair (LIHR) in @entity1 after liver transplantation, using the BARD Composix mesh which is composed of two layers of @entity7502 and @entity736 ( @entity736 ) and fixed with metal ProTack. RESULTS: Between March 2002 and April 2010, we performed 20 LIHR in 17 male and three female subjects of overall mean age of 58.3 years, and body mass Index of 31.05 kg/m(2). The mean size of the defects was 215.25 cm(2). All @entity1 had undergone bilateral subcostal incisions with a midline extension, and seven had additional operations after the transplantation for various reasons. There were no differences in immunosuppression. Three @entity1 had needed @entity134 boluses for acute graft rejection episodes. There was no conversion of therapy. The size of mesh was 18   23 cm in seven cases and 20   25 in 12 cases. The mean postoperative hospital stay was 2.1 days. Oral feeding was initiated a few hours after surgery, and routine immunosuppression was not discontinued. There were no major early complications. During follow-up, we identified one @entity1 with a @entity281 (5%) and one with a recurrence (5%). CONCLUSION: LIHR is safe and feasible even for @entity409 .
