Abstract:

Objective

To evaluate the efficacy and feasibility of laparoscopic surgery for the repair of incisional hernias following liver transplantation.

Methods

The clinical data of 30 patients with incisional hernia following liver transplantation who underwent laparoscopic incisional hernia repair in Beijing Chaoyang Hospital, Capital Medical University from January 2020 to January 2022 were retrospectively analyzed.The general condition, operation condition and hospitalization time of the patients were analyzed, and the postoperative recurrence, postoperative pain, intestinal obstruction, intestinal fistula, wound infection, mesh infection, hematoma and seroma, postoperative satisfaction rate were followed up and recorded.

Results

The 30 patients, aged between 43 and 70 years, had a hospital stay ranging from 6 to 10 days.All surgeries were performed using laparoscopic techniques, with operation times between 50 and 80 minutes.Follow-up was conducted at 3 days, 7 days, 1 month, 3 months, 6 months, 1 year, and 2 years, with no cases lost to follow-up.During the follow-up period, there were no incidences of hernia recurrence, chronic pain, bowel obstruction, intestinal fistula, wound infection, mesh infection, hematoma, or seroma.The postoperative satisfaction rate was 100%.

Conclusion

Laparoscopic surgery is a reliable and feasible approach for the repair of incisional hernias following liver transplantation,with promising results that support its further clinical application.

Key words: Incisional hernia, Liver transplantation, Laparoscopes, Retrospective study