Laparoscopic incisional and XXXX repair in a district general hospital.

@entity1 @entity28 @entity260 @entity547 @entity4037
INTRODUCTION: The laparoscopic approach to repairing ventral and incisional @entity547 has gained increasing popularity worldwide. We reviewed the experience of @entity4037 repair at a district general hospital in the UK with particular reference to @entity1 with massive defects (diameter >= 15cm) and the morbidly @entity28 . METHODS: A total of 144 @entity1 underwent laparoscopic ventral (incisional or umbilical/paraumbilical) @entity547 repair between April 2007 and September 2012. RESULTS: The prevalence of conversion to open surgery was 2.8%. The prevalence of @entity260 was 3.5%. Median postoperative follow-up was 30.2 months. A total of 5.6% cases suffered late complications and 2.8% developed recurrence. Thirty-four @entity1 underwent repair of defects >= 10cm in diameter with a prevalence of recurrence of 5.6%. Sixteen @entity1 underwent repair of 'massive' incisional @entity547 (diameter >= 15cm) with a prevalence of recurrence of 12.5%. Sixteen @entity1 with a body mass index (BMI) >= 40kg/m(2) (range, 40-61kg/m(2)) underwent laparoscopic repair with a prevalence of recurrence of 6.3% (p>0.05 vs BMI <40kg/m(2)). CONCLUSIONS: @entity4037 repair can be carried out safely with a low prevalence of recurrence. It may have advantages in morbidly @entity28 @entity1 in whom open repair would represent a significant undertaking. @entity4037 repair may be used in cases of large and massive @entity547 , in which the risk of recurrence increases but is comparable with open repair and associated with low morbidity.
