Recurrences after XXXX repair: results and critical review.

@entity1 @entity4037 @entity55 @entity3885 @entity547 @entity282 @entity130 @entity1209
We describe the whole cohort of @entity1 operated on laparoscopically for @entity4037 at our institution. Information on early results, complications, and long-term follow-up was collected prospectively. Of 90 operations attempted, five (5.8%) required conversion. Of the remaining 85 @entity1 , 65 (76%) had an incisional @entity547 , while 20 (24%) had primary defects. Three trocars were routinely employed (Hasson and two 5-mm). The prosthetic mesh used was ePTFE inserted through the first trocar and fixed using helicoidal staplers. @entity1 were periodically followed in the outpatient clinic for at least 12 months postoperatively and contacted at the time of this review. Mean operative time was 101 min. We had three small @entity130 repaired laparoscopically. @entity282 was limited. Bowel movements, deambulation, and discharge were prompt. We had six (7%) urinary retentions, eight (9%) seromas, three (3.5%) cases of @entity55 , two (2%) @entity1209 , and one (1%) prolonged ileus, which resolved spontaneously on postoperative day 2. Mean postoperative stay was 4 days. One @entity1 was readmitted after 4 weeks with @entity3885 , resolved conservatively. There were three recurrences (3.5%), which developed within 1 year of the operation, and a trocar-site herniation (1%). The technique appears safe and efficacious.
