Laparoscopic sutured closure with mesh reinforcement of incisional hernias
- 343 Downloads
This study reports medium-term outcomes of laparoscopic incisional hernia repair.
Laparoscopic repair was performed on 721 patients with ventral hernia. After adhesiolysis the defect was closed with no. 1 polyamide suture or loop. This was followed by reinforcement with intraperitoneal onlay repair with a bilayered mesh.
Laproscopic repair of ventral hernia was performed on 613 females and 108 males. Of these, 185 (25.7%) were recurrent incisional hernias of which 93 had undergone previous open hernioplasty. The remaining 92 patients had previously undergone sutured repair. The average operating time was 95 min (range 60–115 min). Conversion rate was 1%. The average hospital stay was 2 days (range 1–6 days). The commonest complication was seroma formation at the incisional hernia site. Full-thickness bowel injury occurred in two patients. The mean follow-up period was 4.2 years (range 3 months to 10 years). Recurrence was noted in four (0.55%) patients.
Laparoscopic repair is well-tolerated and can be accomplished with minimum morbidity in ventral hernias.
KeywordsVentral hernia repair Incisional hernia repair Laparoscopy
- 10.Jani K, Palanivelu C, Parthasarathi R, et al. Laparoscopic repair of paracolostomy hernia: secure reinforced closure of the defect prevents recurrence. Accepted for publication. J Laparoendosc Adv Surg Tech AGoogle Scholar
- 11.Palanivelu C, Rangarajan M, Senthilkumar R et al. Laparoscopic management of drain site incisional hernias following laparotomies—a simple suture technique. Accepted for publication. J Laparoendosc Adv Surg Tech AGoogle Scholar
- 25.Voeller GR (2001) Repair of incisional hernias and midline defects. In: Bendavid R, Abrahamson J, Arregui ME, Flament JB, Phillips EH (eds) Abdominal wall hernias: principles and management. Springer, New York, pp 519–524Google Scholar
- 27.Joels CS, Matthews BD, Austin CE et al (2004) Evaluation of fixation strength and adhesion formation after ePTFE mesh placement with various fixation devices. Presented at SAGES Scientific Session. Denver, ColoradoGoogle Scholar