JAMA surgery
The most recent articles from:
JAMA Surg
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Randomized Controlled Trial Multicenter Study Comparative Study
Laparoscopic vs. open incisional hernia repair: a randomized clinical trial.
Incisional hernia is the most frequent surgical complication after laparotomy. Up to 30% of all patients undergoing laparotomy develop an incisional hernia. ⋯ During the operation, there was less blood loss and less need for a wound drain in the laparoscopic group. However, operative time was longer during laparoscopy. Perioperative complications were significantly higher in the laparoscopic group. Visual analog scores for pain and nausea did not differ between groups. The incidence of a recurrence was similar in both groups. The size of the defect was found to be an independent factor for recurrence of an incisional hernia.