Closing the gap between the laparoscopic and open approaches to abdominal wall hernia repair: a trend and outcomes analysis of the ACS-NSQIP database

Abstract

The laparoscopic approach is used in a minority of abdominal wall hernia repairs, though utilization increased by 40 % from 2009 to 2012. The laparoscopic approach continues to be safer on many fronts, but not all, and is arguably not better for umbilical or primary hernia repairs on the basis of overall morbidity and length of stay.

Racial disparities in postmastectomy breast reconstruction: National trends in utilization from 2005 to 2014

“…Thus, the rates reported in this study are likely to be inflated and may underestimate some utilization disparities. Nonetheless, assessing trends in the ACS‐NSQIP sample renders important information on many of the largest institutions in the United States, and several groups have published reports in the peer‐reviewed literature on ACS‐NSQIP utilization trends …”

“…Nonetheless, assessing trends in the ACS-NSQIP sample renders important information on many of the largest institutions in the United States, and several groups have published reports in the peer-reviewed literature on ACS-NSQIP utilization trends. [47][48][49] Another limitation is that ACS-NSQIP data are not longitudinal. Thus, we made the assumption that patients undergoing delayed breast reconstruction were also captured as patients undergoing mastectomy without immediate breast reconstruction.…”

Unusual complication of seroma after ventral hernia mesh repair: Digestive perforation by tacks. A case report

“…Ventral hernia repair is increasingly based on intraperitoneal mesh by laparoscopic approach [ 4 ]. This technique causes less parietal damage and less postoperative pain compared to the open approach [ 5 ].…”

Feasibility of laparoscopic abdominal wall reconstruction in an outpatient community-hospital setting using cPTFE prosthetic mesh: a prospective, multicenter case series

“…They develop in approximately 10%-15% of abdominal incisions, 3 necessitating 90,000-245,000 ventral hernia operations per year in the United States. 4 Late complications were defined as complications that occurred any time after postoperative day 7.…”