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Laparoscopic Hernia Repair Safe in Transplant Patients

Outcomes in kidney, pancreas transplant patients similar to those in nontransplant patients

THURSDAY, March 10 (HealthDay News) -- Laparoscopic incisional hernia repair (LIHR) appears to be a reasonable alternative to open surgery in kidney and/or pancreas transplant patients, as it is in nontransplant patients, according to research published in the February issue of the American Journal of Transplantation.

Govardhana R. Yannam, M.D., of the University of Nebraska Medical Center in Omaha, and colleagues compared the results of LIHR in 36 transplant patients and 62 nontransplant patients to investigate the utility of LIHR for transplant recipients.

The researchers found that conversions to open procedures occurred in five transplant and four nontransplant patients. The transplant group experienced three seromas and one bowel perforation, whereas the nontransplant group experienced eight seromas, one bowel perforation, and one small bowel obstruction. Mesh infections requiring explant occurred in one of each group, and recurrences occurred in five and four patients in the transplant and nontransplant groups, respectively.

"We conclude that LIHR is a safe and effective alternative to open incisional hernia repair in kidney and/or pancreas transplant recipients with results comparable to nontransplant patients," the authors write.

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