Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia

Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban en...
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Autor*in:	DeMaria, E. J. [verfasserIn] Moss, J. M. [verfasserIn] Sugerman, H. J. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2000

Übergeordnetes Werk:	Enthalten in: Surgical endoscopy and other interventional techniques - New York, NY : Springer, 1987, 14(2000), 4 vom: Apr., Seite 326-329
Übergeordnetes Werk:	volume:14 ; year:2000 ; number:4 ; month:04 ; pages:326-329

Links:	Volltext

DOI / URN:	10.1007/s004640020013

Katalog-ID:	SPR006235913

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520			\|a Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias.
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allfields	10.1007/s004640020013 doi (DE-627)SPR006235913 (SPR)s004640020013-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl DeMaria, E. J. verfasserin aut Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia 2000 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias. Moss, J. M. verfasserin aut Sugerman, H. J. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 14(2000), 4 vom: Apr., Seite 326-329 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:14 year:2000 number:4 month:04 pages:326-329 https://dx.doi.org/10.1007/s004640020013 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_121 GBV_ILN_150 GBV_ILN_267 GBV_ILN_374 GBV_ILN_711 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2188 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2472 GBV_ILN_4125 GBV_ILN_4246 GBV_ILN_4305 GBV_ILN_4700 44.87 ASE AR 14 2000 4 04 326-329
spelling	10.1007/s004640020013 doi (DE-627)SPR006235913 (SPR)s004640020013-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl DeMaria, E. J. verfasserin aut Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia 2000 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias. Moss, J. M. verfasserin aut Sugerman, H. J. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 14(2000), 4 vom: Apr., Seite 326-329 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:14 year:2000 number:4 month:04 pages:326-329 https://dx.doi.org/10.1007/s004640020013 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_121 GBV_ILN_150 GBV_ILN_267 GBV_ILN_374 GBV_ILN_711 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2188 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2472 GBV_ILN_4125 GBV_ILN_4246 GBV_ILN_4305 GBV_ILN_4700 44.87 ASE AR 14 2000 4 04 326-329
allfields_unstemmed	10.1007/s004640020013 doi (DE-627)SPR006235913 (SPR)s004640020013-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl DeMaria, E. J. verfasserin aut Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia 2000 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias. Moss, J. M. verfasserin aut Sugerman, H. J. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 14(2000), 4 vom: Apr., Seite 326-329 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:14 year:2000 number:4 month:04 pages:326-329 https://dx.doi.org/10.1007/s004640020013 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_121 GBV_ILN_150 GBV_ILN_267 GBV_ILN_374 GBV_ILN_711 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2188 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2472 GBV_ILN_4125 GBV_ILN_4246 GBV_ILN_4305 GBV_ILN_4700 44.87 ASE AR 14 2000 4 04 326-329
allfieldsGer	10.1007/s004640020013 doi (DE-627)SPR006235913 (SPR)s004640020013-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl DeMaria, E. J. verfasserin aut Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia 2000 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias. Moss, J. M. verfasserin aut Sugerman, H. J. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 14(2000), 4 vom: Apr., Seite 326-329 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:14 year:2000 number:4 month:04 pages:326-329 https://dx.doi.org/10.1007/s004640020013 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_121 GBV_ILN_150 GBV_ILN_267 GBV_ILN_374 GBV_ILN_711 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2188 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2472 GBV_ILN_4125 GBV_ILN_4246 GBV_ILN_4305 GBV_ILN_4700 44.87 ASE AR 14 2000 4 04 326-329
allfieldsSound	10.1007/s004640020013 doi (DE-627)SPR006235913 (SPR)s004640020013-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl DeMaria, E. J. verfasserin aut Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia 2000 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias. Moss, J. M. verfasserin aut Sugerman, H. J. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 14(2000), 4 vom: Apr., Seite 326-329 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:14 year:2000 number:4 month:04 pages:326-329 https://dx.doi.org/10.1007/s004640020013 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 GBV_ILN_121 GBV_ILN_150 GBV_ILN_267 GBV_ILN_374 GBV_ILN_711 GBV_ILN_2007 GBV_ILN_2014 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2188 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2472 GBV_ILN_4125 GBV_ILN_4246 GBV_ILN_4305 GBV_ILN_4700 44.87 ASE AR 14 2000 4 04 326-329
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author	DeMaria, E. J.
spellingShingle	DeMaria, E. J. ddc 610 bkl 44.87 Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia
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title	Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia
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title_full	Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia
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author_browse	DeMaria, E. J. Moss, J. M. Sugerman, H. J.
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title_sort	laparoscopic intraperitoneal polytetrafluoroethylene (ptfe) prosthetic patch repair of ventral hernia
title_auth	Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia
abstract	Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias.
abstractGer	Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias.
abstract_unstemmed	Abstract Background: The purpose of this study was to determine whether laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch (LIPP) repair of a ventral hernia is superior to open prefascial polypropylene mesh (OPPM) repair in a tertiary care university hospital in an urban environment. Methods: Data on 39 consecutive patients undergoing either LIPP repair (n= 21) or OPPM repair (n= 18) were compared. Results: Findings showed that LIPP repair is characterized by less painful recovery and shorter hospital stay, with 90% of patients treated successfully as outpatients as compared with 7% in the OPPM group. The total facility costs for the LIPP repair ($8,273 ± $2,950) was significantly lower than for the OPPM repair ($12,461 ± $5,987) (p < 0.05). Two serious delayed complications in the LIPP group were treated by reoperation (colocutaneous fistula, mesh infection), but the higher readmission costs in this group did not negate the overall cost advantage for LIPP repair. In the follow-up evaluation, 1 hernia recurrence was found in the LIPP repair group, and none in the OPPM group. Conclusions: Initial experience suggests that LIPP repair has advantages over OPPM repair in terms of decreased hospitalization, postoperative pain, and disability. Refinements in the technique to reduce complications may make LIPP repair the procedure of choice for repair of ventral hernias.
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title_short	Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia
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