• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

Laparoscopic hernia repair linked with lower rate of surgical infection

bys25qthea
September 6, 2013
in Chronic Disease, Infectious Disease, Surgery
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

Image: PD 

1. Compared with open ventral hernia repair, laparoscopic ventral hernia repair had a lower rate of surgical site infection (7.6% vs 34.1%). 

2. Laparoscopic ventral hernia repair had a higher rate of postoperative ileus, bulging, and port-site hernias, as compared to open repair. 

Evidence Rating Level: 2 (Good) 

Study Rundown: Ventral hernia repair is one of the most common surgical procedures, and laparoscopic ventral hernia repair (LVHR) has been increasing in popularity. However, there is limited evidence to support the use of LVHR over open ventral hernia repair (OVHR). This study demonstrated that the occurrence of surgical site infection (SSI) is lower in LVHR compared to OVHR, but LVHR had more cases of postoperative ileus, complaints of bulging, and port-site hernia recurrence than OVHR. The limitations of the study include the retrospective nature of the study, which could allow for biases in cohort selection. Moreover, the study was conducted at a Veteran’s Affairs hospital with primarily male patients, making the study less generalizable to other populations. Finally, the individual surgeon proficiency and experience could affect patient outcomes.

Click to read the study in JAMA Surgery

Relevant Reading: Epidemiology and cost of ventral hernia repair: making the case for hernia research

RELATED REPORTS

#VisualAbstract: Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations

Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations

Dexamethasone non-inferior to placebo for surgical-site infection incidence

In-Depth [retrospective cohort]: This study examined 532 patients who underwent primary ventral hernia repair at a Veteran’s Affairs hospital between 2000 and 2010. The study included patients who had a mesh repair, while patients with suture repair were excluded. Of those included, 91 patients underwent an LVHR, and 165 underwent OVHR. Of the 91 LVHR patients, 79 were matched to 79 OVHR patients, based on hernia size, age, American Society of Anesthesiologists classification, and BMI. Those matched patients tended to be obese, with large hernia defects. Median follow-up length was 56 months.

Overall, patients who had an LVHR had a lower rate of SSI than those who had an OVHR (7.6% vs 34.2%, p<0.01). However, LVHR had a higher rate of postoperative ileus (10.1% vs 1.3%, p=0.05). There was also a higher rate of bulging (21.5% vs 1.3%, p<0.01) and port site hernia (2 patients vs 0 patients). Bulging was defined as patient complaint or clinician assessment of bulging not related to hernia reoccurrence or seroma. The rate of central hernia reoccurrence was the same in both groups (11.4%).

By James Jiang and Allen Ho

More from this author: Study suggests general surgery residency graduates unprepared for fellowship, NEXUS Chest decision criteria sensitive for thoracic injury, Mortality after trauma increasingly due to preexisting conditions, Physical examination sufficient to evaluate abdominal stab wounds,  Mortality risk higher in pediatric trauma patients with chronic conditions,

© 2013 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  

Tags: herniasurgical site infections
Previous Post

Postoperative readmission rates correlated with length of stay and ASA class

Next Post

Key patient characteristics predict outcomes in children with cardiomyopathy

RelatedReports

#VisualAbstract: Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations
StudyGraphics

#VisualAbstract: Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations

January 6, 2022
Addressing non-obesity related barriers may improve bariatric surgery effectiveness
Infectious Disease

Rates of surgical site infections are similar between chlorhexidine and iodine-based skin preparations

December 29, 2021
Resident involvement may not increase postoperative complications in neurosurgery
Chronic Disease

Dexamethasone non-inferior to placebo for surgical-site infection incidence

May 12, 2021
Normal renal ultrasound only rules out high grade vesicoureteral reflux in infants
Infectious Disease

Quick Take: Association of Screening and Treatment for Preoperative Asymptomatic Bacteriuria with Postoperative Outcomes Among US Veterans

December 23, 2018
Next Post
Antidepressant may reduce mental stress-induced myocardial ischemia (REMIT Trial)

Key patient characteristics predict outcomes in children with cardiomyopathy

Carotid body ablation effective for congestive heart failure in rats

Carotid body ablation effective for congestive heart failure in rats

Smokeless tobacco use in children has not changed

Nicotine electronic cigarettes: No difference in abstinence from placebo or nicotine patches

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

Get 2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • #VisualAbstract: Severe actinic keratosis and need for additional treatment are markers for an increased risk of cutaneous squamous cell carcinoma
  • Virtual yoga and meditation intervention may be associated with increased health-related quality of life
  • Wellness Check: Mental Health
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.