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Postoperative Comparison In Open Vs. Laparoscopic Ventral Hernia Repair In Obese Patients

Postoperative Comparison In Open Vs. Laparoscopic Ventral Hernia Repair In Obese Patients AbstractIntroduction: Obesity is an important problem in our society. Recent studies shows that laparoscopic ventral hernia repair has advantages in obese patients comparing with the standard open approach. This study wants to compare length of stay (LOS), hospitalization costs (HC) and operative time (OT) in laparoscopic and open ventral hernia repair.Methods: A retrospective study of obese patients (BMI>30kg/m2) that underwent ventral hernia repair between 2014 and 2015 were included. We compared demographics, hernia size, OT, LOS, HC between the two approaches.Results: 100 patients with ventral hernia repair were included, 11 had laparoscopic approach (11%). Laparoscopy was performed only in elective surgery and for small defects. The operation time was almost the same (119.09 vs.118.87 min). The length of stay was significantly longer in open approach (8.53 vs. 2.9 days) and hospitalization costs were higher for laparoscopic repair.Conclusions: Laparoscopy offers a better length of stay, but the costs remains higher for this approach. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png ARS Medica Tomitana de Gruyter

Postoperative Comparison In Open Vs. Laparoscopic Ventral Hernia Repair In Obese Patients

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Publisher
de Gruyter
Copyright
© by Iuliana Dogaru
ISSN
1841-4036
eISSN
1841-4036
DOI
10.1515/arsm-2017-0003
Publisher site
See Article on Publisher Site

Abstract

AbstractIntroduction: Obesity is an important problem in our society. Recent studies shows that laparoscopic ventral hernia repair has advantages in obese patients comparing with the standard open approach. This study wants to compare length of stay (LOS), hospitalization costs (HC) and operative time (OT) in laparoscopic and open ventral hernia repair.Methods: A retrospective study of obese patients (BMI>30kg/m2) that underwent ventral hernia repair between 2014 and 2015 were included. We compared demographics, hernia size, OT, LOS, HC between the two approaches.Results: 100 patients with ventral hernia repair were included, 11 had laparoscopic approach (11%). Laparoscopy was performed only in elective surgery and for small defects. The operation time was almost the same (119.09 vs.118.87 min). The length of stay was significantly longer in open approach (8.53 vs. 2.9 days) and hospitalization costs were higher for laparoscopic repair.Conclusions: Laparoscopy offers a better length of stay, but the costs remains higher for this approach.

Journal

ARS Medica Tomitanade Gruyter

Published: Feb 1, 2017

References