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A Journal on Surgery

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Minerva Chirurgica 2001 December;56(6):567-72

language: Italian

Indications for laparoscopic treatment of incisional hernias

Scalera G., Moscatiello P., Mekkaoui M., Brassier D., Habib E., Elhadad A.


Objective. The aim of this article is to describe the technique used in the treatment of ventral hernia using the laparoscopic method and at the same time to evaluate the possible advantages of this surgical approach.
Methods. The clinical case we present regards a case of a patient who had undergone a double eventration treated with an application of a new type of prosthesis ''Parietex Composite'' of the Sofradim, using the laparoscopic method, we can be applied in intraperitoneal in contact with the intestinal loops.
Results. The method we used in the laparoscopic treatment of ventral hernias has highlighted, in a short time, the solidity of the abdominal wall, a noticeable reduction of infections and a reduction of hospitalization. There developed no long term recurrence in our patients treated with this technique.
Conclusions. Laparoscopic ventral hernia treatment is currently used in a limited amount even though this pathology could be approached using the laparoscopic method. Our laparoscopic method, using the ''Composite'' prosthesis could represent a very valid method for primary and recurrent ventral hernia. This technique gives the opportunity to repair the eventration applying a prosthesis without any muscular tension, consenting, furthermore a reduction of any complications (infections, seroma, pain) that could arise and of any recurrence after the operation. Furthermore the surgical access is minimum and as we know this is of noticeable importance in aesthetics today.

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