caa a22 4500 475780582 CHVBK 20180406123643.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s004640020013 doi (NATIONALLICENCE)springer-10.1007/s004640020013 Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia [Elektronische Daten] Prospective comparison to open prefascial polypropylene mesh repair [E. J. DeMaria, J. M. Moss, H. J. Sugerman] 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. Springer-Verlag New York Inc., 2000 Key words: Laparoscopic intraperitoneal polytetrafluoroethylene — Laparoscopic intraperitoneal prosthetic patch nationallicence DeMaria E. J. Department of Surgery, Section of General and Endoscopic Surgery, MCV Station Box 980519, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23298, USA, US aut Moss J. M. Department of Surgery, Section of General and Endoscopic Surgery, MCV Station Box 980519, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23298, USA, US aut Sugerman H. J. Department of Surgery, Section of General and Endoscopic Surgery, MCV Station Box 980519, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23298, USA, US aut Surgical Endoscopy Springer-Verlag 14/4(2000-04-01), 326-329 0930-2794 14:4<326 2000 14 464 https://doi.org/10.1007/s004640020013 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640020013 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- DeMaria E. J. Department of Surgery, Section of General and Endoscopic Surgery, MCV Station Box 980519, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23298, USA, US aut NATIONALLICENCE 700 1- Moss J. M. Department of Surgery, Section of General and Endoscopic Surgery, MCV Station Box 980519, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23298, USA, US aut NATIONALLICENCE 700 1- Sugerman H. J. Department of Surgery, Section of General and Endoscopic Surgery, MCV Station Box 980519, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23298, USA, US aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/4(2000-04-01), 326-329 0930-2794 14:4<326 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer