Laparoscopic ventral hernia repair

Abstract

Introduction

With the advent of laparoscopic surgeries and laparoscopic era new and better methods of performing laparoscopic surgeries have been found. Laparoscopic repair of ventral hernia is performed, as these days more and more patients ask for laparoscopic repair compared to traditional repair.

Aims and Objectives

To measure the outcomes of laparoscopic repair and its benefits

Materials and Methods

62 patients of age range 26 -78 years participated in the study from January 2014 to June 2016, with primary ventral hernias taken for surgery. All the patients underwent laparoscopic ventral hernia repair. Surgical repair consisted of intraperitoneal placement of a composite mesh centred on the defect with a minimum overlapping of 3 cm. The mesh was secured to the abdominal wall with a double crowning of tacks alone or by transfascial sutures and tacks. Patients' data were recorded prospectively.

Results

Cosmetic scar, reduced post operative pain and resultant lower hospital stay were observed in the cases, which underwent laparoscopic repair. Lesser hospital stay led to early return to work and resuming day to day activities in the patients leading to lesser surgical trauma to the patients and their relatives.

Conclusion

Laparoscopic repair surpasses the traditional open repair in all terms and should be the choice of surgery in primary ventral hernia repair.

Conclusions

Pre-treatment serum IL-6 levels can be considered a good biomarker to predict response to chemotherapy.