World Journal of Laparoscopic Surgery

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VOLUME 11 , ISSUE 2 ( May-August, 2018 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Repair of Non-midline Abdominal Wall Hernia: Retrospective Analysis of Cases done by a Single Surgeon in the Past Four Years

Jitendra Kumar, Rajni Raina

Keywords : Complex hernia, Non-midline ventral hernia, Lateral abdominal wall hernia, Non-midline incisional hernia, Laparoscopic ventral hernia repair

Citation Information : Kumar J, Raina R. Laparoscopic Repair of Non-midline Abdominal Wall Hernia: Retrospective Analysis of Cases done by a Single Surgeon in the Past Four Years. World J Lap Surg 2018; 11 (2):85-89.

DOI: 10.5005/jp-journals-10033-1341

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Aim: Abdominal wall ventral hernias are either midline or nonmidline. Non-midline abdominal wall hernias are not a common entity and even rarer is a lateral ventral hernia. Laparoscopic management of these hernias are surgically challenging, and outcomes are unpredictable. This study aims to evaluate and analyze the results of laparoscopic repair of comparatively rare non-midline hernias done at the tertiary teaching hospital in the span of last four years. Material and methods: For this retrospective descriptive study, from record file, all cases of laparoscopic ventral hernia repair done in the last four years (from 01/01/2012 to 01/01/2016) by the main author at Lady Hardinge Medical College screened and out of these, total of thirteen cases (n-13) of non-midline ventral hernia selected for their data analysis. Results: Out of total thirteen cases (n = 13), a large percentage was of female gender (76.92%), their mean age of the patients were 43 +/- 9.30 years. (SD = 11.41). Range 24–64 years. Most of the patients were overweight with mean weight was 72.846 kg. (SD = 13.369). Mean operating time were 78.84 minutes (SD = 22.62) (range 60-120 minutes). One patient (7.69%) had developed chronic infected discharging sinus which ultimately required removal of mesh. Same and only patient in our series reported recurrence which makes an overall percentage of recurrence 07.69%. Conclusion: Even though non-midline abdominal wall hernias are comparatively atypical in its presentation and challenging for the laparoscopic surgeon, overall patient's epidemiology, the surgical outcome in term of recurrence and complications are not much different. Clinical significance: Presentation of a non-midline hernia is atypical and surgically complex which require an experience to handle it.


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  1. McGlannan A. Lateral Ventral Hernia. Ann Surg. 1927 Feb;85(2):284-7. PubMed PMID: 17865625; PubMed Central PMCID: PMC1399272.
  2. Holloway JK. Spontaneous Lateral Ventral Hernia. Ann Surg. 1922 Jun;75(6):677-85. PubMed PMID: 17864645; PubMed Central PMCID: PMC1400017.
  3. Moreno-Egea A, Guzman P, Morales G, Carrillo A, Aguayo JL. Treatment of non-midline ventral hernia: experience in an abdominal wall unit and literature review. Cirugia espanola. 2007 Jun;81(6):330-334.
  4. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993 Feb;3(1):39-41.
  5. Zhang, Y., Zhou, H., Chai, Y. et al. World J Surg. 2014 April 29; 38: 2233.
  6. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)—Part 1. Surgical endoscopy. 2014 Jan 1;28(1):2-9.
  7. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—Part 2. Surgical endoscopy. 2014 Feb 1;28(2):353-379.
  8. Misiakos EP, Patapis P, Zavras N, Tzanetis P, Machairas A. Current trends in laparoscopic ventral hernia repair. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2015 Jul;19(3).
  9. Alexander AM, Scott DJ. Laparoscopic ventral hernia repair. Surg Clin North Am. 2013;93:1091–1110.
  10. Misiakos EP, Machairas A, Patapis P, Liakakos T. Laparoscopic ventral hernia repair: pros and cons compared with open hernia repair. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2008 Apr;12(2):117-125.
  11. Lal R, Sharma D, Hazrah P, Kumar P, Borgharia S, Agarwal A. Laparoscopic management of nonmidline ventral hernia. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2014 Jul 1;24(7):445-450.
  12. Park AE, JS Roth, Kavic SM. Abdominal wall hernia. Curr Probl Surg. 2006 43:32675. Medline
  13. Moreno-Egea A, Carrillo A, Aguayo JL. Midline versus nonmidline laparoscopic incisional hernioplasty: a comparative study. Surgical endoscopy. 2008 Mar 1;22(3):744-749.
  14. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg. 2003 Sep;238(3):391-399; discussion 399-400. PubMed PMID: 14501505; PubMed Central PMCID: PMC1422707.
  15. Goodney PP, Birkmeyer CM, Birkmeyer JD. Short-term outcomes of laparoscopic and open ventral hernia repair. Arch Surg. 2002; 137:1161-5.
  16. Ferrari GC, Miranda A, Sansonna F, Magistro C, Di Lernia S, Maggioni D, Franzetti M, Costanzi A, Pugliese R. Laparoscopic repair of incisional hernias located on the abdominal borders: a retrospective critical review. Surgical Laparoscopy Endoscopy and Percutaneous Techniques. 2009 Aug 1;19(4):348-352. 17 LeBlanc KA, Whitaker JM, Bellanger DE, Rhynes VK. Laparoscopic incisional and ventral hernioplasty: lessons learned from 200 patients. Hernia. 2003 Sep;7(3):118-124. Epub 2003 Mar 21. PubMed PMID: 12942345.
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