Mortality following laparoscopic ventral hernia repair: lessons from 90 consecutive cases and bibliographical analysis

摘要: The popularity of laparoscopic repair ventral hernias is increasing due to the apparent advantages procedure, but this approach still a controversial technique. aim our study was evaluate mortality rate hernia and analyse literature. authors performed prospective in 90 patients with who were treated by repair. Clinical parameters intra- postoperative complications evaluated. A case reported nonrecognised bowel injury. mean follow-up (100%) 42 months (range: 1–5 years). bibliographical analysis carried out (MEDLINE). Four injuries presented (4.4%): three recognised, which required conversion (two minilaparotomy completed afterwards laparoscopy, one laparotomy); nonrecognised, re-operated on evolved sepsis multiorgan failure resulted death 48 h (1.1%). further rates have been documented literature (0.6%, 1.1%, 3.1%, 3.4% their series). Bowel injury show statistically significant tendency decrease number operations (P<0.05). In conclusion, risk has higher than 1%, must be made known. It that depends surgeon’s experience does not seem predictable.