World Journal of Laparoscopic Surgery

Register      Login

VOLUME 15 , ISSUE 1 ( January-April, 2022 ) > List of Articles

ORIGINAL RESEARCH

Laparoscopic Ventral Hernia Repair: Our Experience and Review of Literature

Tajamul Rashid, Mohammad Mohsin, Manzoor Ahmad

Keywords : Incisional hernia, Laparoscopic repair, Ventral hernia

Citation Information : Rashid T, Mohsin M, Ahmad M. Laparoscopic Ventral Hernia Repair: Our Experience and Review of Literature. World J Lap Surg 2022; 15 (1):69-73.

DOI: 10.5005/jp-journals-10033-1499

License: CC BY-NC 4.0

Published Online: 13-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background: The incidence of primary ventral hernias has been relatively static, while the incidence of incisional hernias has increased over time with the increase in the number of abdominal surgeries performed. The repair of ventral wall hernias continues to be a surgical challenge. Laparoscopic ventral hernia repair is nowadays being performed in every laparoscopic center and has become a preferred treatment methodology of ventral hernias. This approach is a feasible option for almost all ventral hernias. Materials and methods: This was a prospective observational study, conducted in the Department of Surgery, Hamdard Institute of Medical Sciences and Research, New Delhi over a period of 2 years from December 2016 to December 2018. A total of 40 patients who met the inclusion criteria were included in the study. The procedure was done by a single surgical team. The average follow-up ranged from 6 to 12 months. Results: Out of 40 patients in the age-group of 30–79 years, 24 were females and 16 were males. Fifty-five percent of the patients had incisional hernias with the average defect size ranging from 2 to 4 cm. The average operative time was 71–90 minutes. The hospital stay ranged from 2 to 4 days.There was no major intraoperative complication in our study. There was no conversion to open. Early postoperative pain was noted in 10 patients. Port site infection was noted in one patient and two patients developed postoperative seroma. Chronic pain was noted in one patient at 6 months follow-up. Port site herniation was noted in none. The recurrence of hernia was noted on one patient at the end of the follow-up. Conclusion: Laparoscopic ventral hernia repair, although sometimes technically challenging is an extremely safe and effective option in the management of ventral hernias. This approach offers a good cosmetic outcome to the patient without compromising on the results of hernia repair.


HTML PDF Share
  1. Wantz GE. Abdominal wall hernias. In: Schwartz SI, editor. Principles of surgery. 7th ed. New York, NY: Mc Graw Hill; 1999. p. 1585–1611.
  2. Sajid MS, Bokhari SA, Mallick AS, et al. Laparoscopic versus open repair of incisional/ventral hernia: a meta-analysis. Am J Surg 2009;197(1):64–72. DOI: 10.1016/j.amjsurg.2007.12.051.
  3. Moreau PE, Helmy N, Vons C. Laparoscopic treatment of incisional hernia. State of the art in 2012. J Visc Surg 2012;149:e40–e48. DOI: 10.1016/j.jviscsurg.2012.09.001.
  4. Nguyen MT, Berger RL, Hicks SC, et al. Comparison of outcomes of synthetic mesh vs. suture repair of elective primary ventral herniorrhaphy: a systematic review and meta-analysis. JAMA Surg 2014;149(5):415–421. DOI: 10.1001/jamasurg.2013.5014.
  5. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 1993;3(1):39–41. PMID: 8258069.
  6. Funk LM, Perry KA, Narula VK, et al. Current national practice patterns for inpatient management of ventral abdominal wall hernia in the United States. Surg Endosc 2013;27(11):4104–4112. DOI: 10.1007/s00464-013-3075-4.
  7. Muysoms FE, Miserez M, Berrevoet F, et al. Classification of primary and incisional abdominal wall hernias. Hernia 2009;13(4):407–414. DOI: 10.1007/s10029-009-0518-x.
  8. Eker HH, Hansson BM, Buunen M, et al. Laparoscopic vs. open incisional hernia repair: a randomized clinical trial. JAMA Surg 2013;148(3):259–263. DOI: 10.1001/jamasurg.2013.1466.
  9. Olmi S, Scaini A, Cesana GC, et al. Laparoscopic versus open incisional hernia repair: an open randomized controlled study. Surg Endosc 2007;21(4):555–559. DOI: 10.1007/s00464-007-9229-5.
  10. Topart P, Vandenbroucke F, Lozac'h P. Tisseel versus tack staples as mesh fixation in totally extraperitoneal laparoscopic repair of groin hernias: a retrospective analysis. Surg Endosc 2005;19(5):724–727. DOI: 10.1007/s00464-004-8812-2.
  11. Navarra G, Musolino C, De Marco ML, et al. Retromuscular sutured incisional hernia repair: a randomized controlled trial to compare open and laparoscopic approach. Surg Laparosc Endosc Percutan Tech 2007;17(2):86–90. DOI: 10.1097/SLE.0b013e318030ca8b.
  12. Barbaros U, Asoglu O, Seven R, et al. The comparison of laparoscopic and open ventral hernia repairs: a prospective randomized study. Hernia 2007;11(1):51–56. DOI: 10.1007/s10029-006-0160-9.
  13. Sauerland S, Walgenbach M, Habermalz B, et al. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev 2011;(3):CD007781. DOI: 10.1002/14651858.CD007781.pub2.
  14. Chalabi HA, Larkin J, Mehigan B, et al. A systematic review of laparoscopic versus open abdominal incisional hernia repair, with meta-analysis of randomized controlled trials. Int J Surg 2015;20:65–74. DOI: 10.1016/j.ijsu.2015.05.050.
  15. Helgstrand F, Rosenberg J, Bisgaard T. Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia 2011;15(2):113–121. DOI: 10.1007/s10029-010-0757-x.
  16. Misra MC, Bansal VK, Kulkarni MP, et al. Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study. Surg Endosc 2006;20(12):1839–1845. DOI: 10.1007/s00464-006-0118-0.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.