Advertisement

Results and Complications of Laparoscopic Ventral and Incisional Hernia Repair

  • A. Sharma
Chapter

Abstract

This chapter describes the postoperative outcomes of laparoscopic ventral incisional hernia repair (LVIHR). These postoperative outcomes for purposes of convenience have been divided into early and late. Early outcomes comprise iatrogenic enterotomy (IE), early postoperative pain, and seroma. Late postoperative outcomes include recurrence, chronic pain, mesh infection, small bowel obstruction, trocar site hernia, and quality of life assessment. Traditionally, recurrence has been considered the primary outcome measure after hernia repair. However, postoperative pain and quality of life assessment are now considered equally important measures of surgical outcomes. Constant monitoring and evaluation of clinical outcomes of surgery provide the best means to improve upon surgical audit and results.

References

  1. 1.
    Leblanc KA, Elieson MJ. Enterotomy and mortality rates of laparoscopic incisional and ventral hernia repair: a review of the literature. JSLS. 2007;11:408–14.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Sharma A, Khullar R, Soni V, Baijal M, et al. Iatrogenic enterotomy in laparoscopic ventral/incisional hernia repair: a single centre experience of 2,346 patients over 17 years. Hernia. 2013;17(5):581–7.  https://doi.org/10.1007/s10029-013-1122-7.CrossRefPubMedGoogle Scholar
  3. 3.
    Szczerba SR, Dumanian GA. Definitive surgical treatment of infected or exposed ventral hernia mesh. Ann Surg. 2003;237:437–41.PubMedPubMedCentralGoogle Scholar
  4. 4.
    Voyles CR, Richardson JD, Bland KI, Tobin GR, Flint LM, Polk HC. Emergency abdominal wall reconstruction with polypropylene mesh: short- term benefits versus long-term complications. Ann Surg. 1981;194(2):219–23.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Alder AC, Alder SC, Livingston EH, Bellows CF. Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons. Am J Surg. 2007;194(5):652–62.CrossRefGoogle Scholar
  6. 6.
    Bringman S, Conze J, Cuccurullo D, Deprest J, Junge K, Klosterhalfen B, et al. Hernia repair: the search for ideal meshes. Hernia. 2010;14:81–7.CrossRefPubMedGoogle Scholar
  7. 7.
    Brown CN, Finch JG. Which mesh for hernia repair? Ann R Coll Surg Engl. 2010;92:272–8.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Gillian GK, Geis WP, Grover G. Laparoscopic incisional and ventral hernia repair (LIVH): an evolving outpatient technique. JSLS. 2002;6:315–22.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Parker HH III, Nottingham JM, Bynoe RP, Yost MJ. Laparoscopic repair of large incisional hernias. Am Surg. 2002;68:530–3.PubMedGoogle Scholar
  10. 10.
    Birch DW. Characterizing laparoscopic incisional hernia repair. Can J Surg. 2007;50:195–201.PubMedPubMedCentralGoogle Scholar
  11. 11.
    Barbaros U, Asoglu O, Seven R, Erbil Y, Dinccag A, Deveci U, et al. The comparison of laparoscopic, open ventral hernia repairs: a prospective randomized study. Hernia. 2007;11:51–6.CrossRefPubMedGoogle Scholar
  12. 12.
    Susmallian S, Gewurtz G, Ezri T, Charuzi I. Seroma after laparoscopic repair of hernia with PTFE patch: is it really a complication? Hernia. 2001;5:139–41.CrossRefPubMedGoogle Scholar
  13. 13.
    Palanivelu C, Jani KV, Senthilnathan P, Parthasarathi R, Madhankumar MV, Malladi VK. Laparoscopic sutured closure with mesh reinforcement of incisional hernias. Hernia. 2007;11:223–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Perrone JM, Soper NJ, Eagon JC, Klingensmith ME, Aft RL, Frisella MM, Brunt LM. Perioperative outcomes, complications of laparoscopic ventral hernia repair. Surgery. 2005;138:708–15.CrossRefPubMedGoogle Scholar
  15. 15.
    Ben-Haim M, Kuriansky J, Tal R, et al. Pitfalls and complications with laparoscopic intraperitoneal expanded polytetrafluoroethylene patch repair of postoperative ventral hernia. Surg Endosc. 2002;16:785–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Kaafarani HM, Hur K, Hirter A, Kim LT, Thomas A, Berger DH, Reda D, Itani KM. Seroma in ventral incisional herniorrhaphy: incidence, predictors, outcome. Am J Surg. 2009;198:639–44.CrossRefPubMedGoogle Scholar
  17. 17.
    Berrevoet F, Fierens K, De Gols J, Navez B, Van Bastelaere W, Meir E, Ceulemans R. Multicentric observational cohortstudy evaluating a composite mesh with incorporated oxidized regenerated cellulose in laparoscopic ventral hernia repair. Hernia. 2009;13:23–7.CrossRefPubMedGoogle Scholar
  18. 18.
    Edwards C, Angstadt J, Whipple O, Grau R. Laparoscopic ventral hernia repair: postoperative antibiotics decrease incidence of seroma related cellulites. Am Surg. 2005;71:931–5.PubMedGoogle Scholar
  19. 19.
    Sodergren MH, Swift I. Seroma formation, method of mesh fixation in laparoscopic ventral hernia repair—highlights of a case series. Scand J Surg. 2010;99:24–7.CrossRefPubMedGoogle Scholar
  20. 20.
    Tsimoyiannis EC, Siakas P, Glantzounis G, Koulas S, Mavridou P, Gossios KI. Seroma in laparoscopic ventral hernioplasty. Surg Laparosc Endosc Percutan Tech. 2001;11:317–21.CrossRefPubMedGoogle Scholar
  21. 21.
    Appeltans BM, Zeebregts CJ, Cate Hoedemaker HO. Laparoscopic repair of a Spigelian hernia using an expanded polytetrafluoroethylene (ePTFE) mesh. Surg Endosc. 2000;14:1189.PubMedGoogle Scholar
  22. 22.
    Orenstein SB, Dumeer JL, Monteagudo J, Poi MJ, Novitsky YW. Outcomes of laparoscopic ventral hernia repair with routine defect closure using “shoelacing” technique. Surg Endosc. 2011;25:1452–7.CrossRefPubMedGoogle Scholar
  23. 23.
    Pham CT, Perera CL, Watkin DS, et al. Laparoscopic ventral hernia repair: a systematic review. Surg Endosc. 2009;23(1):4–15.  https://doi.org/10.1007/s00464-008-0182-8. Epub 2008 Oct15.CrossRefPubMedGoogle Scholar
  24. 24.
    Sauerland S, Korenkov M, Kleinen T, et al. Obesity is a risk factor for recurrence after incisional hernia repair. Hernia. 2004;8(1):42–6.CrossRefPubMedGoogle Scholar
  25. 25.
    Sørensen LT, Hemmingsen UB, Kirkeby LT, et al. Smoking is a risk factor for incisional hernia. Arch Surg. 2005;140(2):119–23.  https://doi.org/10.1001/archsurg.140.2.119.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Wong SY, Kingsnorth AN. Prevention and surgical management of incisional hernias. Int J Surg Investig. 2001;3:407–14.Google Scholar
  27. 27.
    van’t Riet M, De Vos Van Steenwijk PJ, Bonjer HJ, Steyerberg EW, Jeekel J. Incisional hernia after repair of wound dehiscence: incidence and risk factors. Ann Surg. 2004;70:281–6.Google Scholar
  28. 28.
    Sharma A, Mehrotra M, Khullar R, et al. Laparoscopic ventral/incisional hernia repair: a single centre experience of 1,242 patients over a period of 13 years. Hernia. 2011;15:131–9.  https://doi.org/10.1007/s10029-010-0747-z.CrossRefPubMedGoogle Scholar
  29. 29.
    den Hartog D, Dur AH, Tuinebreijer WE, Kreis RW. Open surgical procedures for incisional hernias. Cochrane Database Syst Rev. 2008;(3):CD006438.Google Scholar
  30. 30.
    Lowe JB, Garza JR, Bowman JL, et al. Endoscopically assisted “components separation” for closure of abdominal wall defects. Plast Reconstr Surg. 2000;105:720.CrossRefPubMedGoogle Scholar
  31. 31.
    Sailes FC, Walls J, Guelig D, et al. Ventral hernia repairs: 10-year single-institution review at Thomas Jefferson University Hospital. J Am Coll Surg. 2011;212:119.CrossRefPubMedGoogle Scholar
  32. 32.
    Phillips EH, Rosenthal R, Fallas M, Carroll B, Arregui M, Corbitt J, et al. Reasons for early recurrence following laparoscopic hernioplasty. Surg Endosc. 1995;9:140e5.Google Scholar
  33. 33.
    Bittner R, Bingener-Casey J, Dietz U, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS]), Part 2. Surg Endosc. 2014;28:353–79.CrossRefPubMedGoogle Scholar
  34. 34.
    Christoffersen MW, Brandt E, Helgstrand F, et al. Recurrence rate after absorbable tack fixation of mesh in laparoscopic incisional hernia repair. Br J Surg. 2015;102(5):541–7.  https://doi.org/10.1002/bjs.9750. Epub 2015 Feb 19.CrossRefPubMedGoogle Scholar
  35. 35.
    Loeser JD, Butler SH, Chapman CR, et al. Bonica’s management of pain. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2001.Google Scholar
  36. 36.
    Huskisson EC. Measurement of pain. Lancet. 1974;2:1127–31.CrossRefPubMedGoogle Scholar
  37. 37.
    Briggs M, Closs JS. A descriptive study of the use of visual analogue scales and verbal rating scales for the assessment of postoperative pain in orthopedic patients. J Pain Symptom Manag. 1999;18:438–46.CrossRefGoogle Scholar
  38. 38.
    Srikandarajah S, Gilron I. Systematic review of movement-evoked pain versus pain at rest in postsurgical clinical trials and meta-analyses: a fundamental distinction requiring standardized measurement. Pain. 2011;152:1734–9.CrossRefPubMedGoogle Scholar
  39. 39.
    Macrae WA, Davies HTO. Chronic postsurgical pain. In: Crombie IK, Croft PR, Linton SJ, LeResche L, Von Korff M, editors. Epidemiology of pain. Seattle: IASP Press; 1999. p. 125–42.Google Scholar
  40. 40.
    Jones RC 3rd, Backonja MM. Review of neuropathic pain screening and assessment tools. Curr Pain Headache Rep. 2013;17(9):363.CrossRefPubMedGoogle Scholar
  41. 41.
    Werner MU, Mjobo HN, Nielsen PR, Rudin A. Prediction of postoperative pain: a systematic review of predictive experimental pain studies. Anesthesiology. 2010;112:1494–502.CrossRefPubMedGoogle Scholar
  42. 42.
    Starling JR, Harms BA. Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia. World J Surg. 1989;13:586–91.CrossRefPubMedGoogle Scholar
  43. 43.
    Rab M, Ebmer And J, Dellon AL. Anatomic variability of the ilioinguinal and genitofemoral nerve: implications for the treatment of groin pain. Plast Reconstr Surg. 2001;108:1618–23.CrossRefPubMedGoogle Scholar
  44. 44.
    Lomanto D, Iyer SG, Shabbir A, Cheah WK. Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surg Endosc. 2006;20(7):1030–5.CrossRefPubMedGoogle Scholar
  45. 45.
    Carbajo C aballero MA, Martin del Olmo JC, Blanco Alvarez JI. Laparoscopic incisional hernia repair. Surg Endosc. 2001;15:223–4.CrossRefGoogle Scholar
  46. 46.
    Franklin ME, Dorman JP, Glass JL, Balli JE, et al. Laparoscopic ventral and incisional hernia repair. Surg Laparosc Endosc. 1998;8:294–9.CrossRefPubMedGoogle Scholar
  47. 47.
    Asencio F, Aguiló J, Peiró S, et al. Open randomized clinical trial of laparoscopic versus open incisional hernia repair. Surg Endosc. 2009;23:1441–8.CrossRefPubMedGoogle Scholar
  48. 48.
    Muysoms F, Vander Mijnsbrugge G, Pletinckx P, Boldo E, Jacobs I, Michiels M, Ceulemans R. Randomized clinical trial of mesh fixation with “double crown” versus “sutures and tackers” in laparoscopic ventral hernia repair. Hernia. 2013;17:603–12.CrossRefPubMedGoogle Scholar
  49. 49.
    Cobb WS, Kercher KW, Heniford BT. Laparoscopic repair of incisional hernias. Surg Clin N Am. 2005;85:91–103.CrossRefPubMedGoogle Scholar
  50. 50.
    McGreevy JM, Goodney PP, Birkmeyer CM, Finlayson SRG, Laycock WS, Birkmeyer JD. A prospective study comparing the complication rates between laparoscopic and open ventral hernia repairs. Surg Endosc. 2003;17:1778–178.CrossRefPubMedGoogle Scholar
  51. 51.
    DeMaria EJ, Moss JM, Sugerman HJ. Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia. Surg Endosc. 2000;14:326–32.CrossRefPubMedGoogle Scholar
  52. 52.
    Carbajo MA, Martin del Olmo JC, Blanco JI, et al. Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh. Surg Endosc. 1999;13:250–2.CrossRefPubMedGoogle Scholar
  53. 53.
    Nguyen SQ, Divino CM, Buch KE, Schnur J, Weber KJ, Katz LB, Reiner MA, Aldoroty RA, Herron DM. Postoperative pain after laparoscopic ventral hernia repair: a prospective comparison of sutures versus tacks. JSLS. 2008;12:113–6.PubMedPubMedCentralGoogle Scholar
  54. 54.
    Kaul A, Hutfless S, Le H, et al. Staple versus fibrin glue fixation in laparoscopic total extraperitoneal repair of inguinal hernia: a systematic review and meta-analysis. Surg Endosc. 2012;26(5):1269–78.CrossRefPubMedGoogle Scholar
  55. 55.
    Avtan L, Avci C, Bulut T, et al. Mesh infections after laparoscopic inguinal hernia repair. Surg Laparosc Endosc. 1997;7:192–5.CrossRefPubMedGoogle Scholar
  56. 56.
    Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg. 2003;238:391–9.PubMedPubMedCentralGoogle Scholar
  57. 57.
    Petersen S, Henke G, Freitag M, Faulhaber A, Ludwig K. Deep prosthesis infection in incisional hernia repair: predictive factors and clinical outcome. Eur J Surg. 2001;167:453–7.CrossRefPubMedGoogle Scholar
  58. 58.
    Cobb WS, Harris JB, Lokey JS, McGill ES, Klove KL. Incisional herniorrhaphy with intraperitoneal composite mesh: a report of 95 cases. Am Surg. 2003;69:784–7.PubMedGoogle Scholar
  59. 59.
    Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg. 2000;190:645–50.CrossRefPubMedGoogle Scholar
  60. 60.
    Chowbey P. Endoscopic repair of abdominal wall hernias. Delhi: Byword Books; 2012.Google Scholar
  61. 61.
    Carbonell AM, Mathews BD, Dreau D, Foster M, Austin CE, et al. The susceptibility of prosthetic materials to infection. Surg Endosc. 2005;19:430–5.CrossRefPubMedGoogle Scholar
  62. 62.
    Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia. 1997;1:15–21.CrossRefGoogle Scholar
  63. 63.
    Bellon JM, Bujan J, Contreras L, Hernando A, Jurado F. Macrophage response to experimental implantation of polypropylene prostheses. Eur Surg Res. 1994;26:46–53.PubMedGoogle Scholar
  64. 64.
    Walker AP, Henderson J, Condon RE. Double-layer prostheses for repair of abdominal wall defects in a rabbit model. J Surg Res. 1993;55:32–7.  https://doi.org/10.1006/jsre.1993.1104.CrossRefPubMedGoogle Scholar
  65. 65.
    Taylor SG, O’Dwyer PJ. Chronic groin sepsis following tension-free inguinal hernioplasty. Br J Surg. 1999;86:562–5.CrossRefPubMedGoogle Scholar
  66. 66.
    Falagas ME, Kasiakou SK. Mesh-related infections after hernia repair surgery. Clin Microbiol Infect. 2005;(1):3–8.Google Scholar
  67. 67.
    Duron JJ, Hay JM, Msika S, Gaschard D, Domergue J, Gainant A, Fingerhut A. Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery: a retrospective multicenter study. French Association for Surgical Research. Arch Surg. 2000;135(2):208–12.CrossRefPubMedGoogle Scholar
  68. 68.
    Gossios K, Zikou A, Vazakas P, Passas G, Glantzouni A, Glantzounis G, Kontogiannis D, Tsimoyiannis E. Value of CT after laparoscopic repair of postsurgical ventral hernia. Abdom Imaging. 2003;28(1):99–102.CrossRefPubMedGoogle Scholar
  69. 69.
    Zinther NB, Fedder J, Friis-Andersen H. Noninvasive detection and mapping of intraabdominal adhesions: a review of the current literature. Surg Endosc. 2010;24(11):2681–6.CrossRefPubMedGoogle Scholar
  70. 70.
    Kua KB, Coleman M, Martin I, O'Rourke N. Laparoscopic repair of ventral incisional hernia. ANZ J Surg. 2002;72(4):296–9.CrossRefPubMedGoogle Scholar
  71. 71.
    Berger D, Bientzle M, Muller A. Postoperative complications after laparoscopic incisional hernia repair. Incidence and treatment. Surg Endosc. 2002;16:1720–3.CrossRefPubMedGoogle Scholar
  72. 72.
    Sanchez LJ, Bencini L, Moretti R. Recurrences after laparoscopic ventral hernia repair: results and critical review. Hernia. 2004;8:138–43.CrossRefPubMedGoogle Scholar
  73. 73.
    Immè A, Cardì F. Incisional hernia at the trocar site in laparoscopic surgery [in Italian]. Chir Ital. 2006;58(5):605–9.PubMedGoogle Scholar
  74. 74.
    Boldó E, Perez de Lucia G, Aracil JP, et al. Armelles trocar site hernia after laparoscopic ventral hernia repair. Surg Endosc. 2007;21:798–800.CrossRefPubMedGoogle Scholar
  75. 75.
    Johnson WH, Fecher AM, McMahon RL, Grant JP, Pryor AD. VersaStep trocar hernia rate in unclosed fascial defects in bariatric patients. Surg Endosc. 2006;20:1584–6.CrossRefPubMedGoogle Scholar
  76. 76.
    Stewart AL, Hays RD, Ware GE. The MOS short form general health survey: reliability and validity in a patient population. Med Care. 1988;26:724–35.CrossRefPubMedGoogle Scholar
  77. 77.
    Barkun JS, Wexler MJ, Hinchey EJ, Thibeault D, Meakins JL. Laparoscopic versus open inguinal herniorrhaphy: preliminary results of a randomized controlled trial. Surgery. 1995;118(4):703–9.CrossRefPubMedGoogle Scholar
  78. 78.
    McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, Vale L, Grant A. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess. 2005;9:1–203.CrossRefPubMedGoogle Scholar
  79. 79.
    De Jonge P, Lloyd A, Horsfall L, Tan R, O’Dwyer P. The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia. 2008;12:561–9.CrossRefGoogle Scholar
  80. 80.
    Gholghesaei M, Langeveld HR, Veldkamp R, Bonjer HJ. Costs and quality of life after endoscopic repair of inguinal hernia vs open tension-free repair: a review. Surg Endosc. 2005;19:816–21.CrossRefPubMedGoogle Scholar
  81. 81.
    Eriksen JR, Poornoroozy P, Jørgensen LN, Jacobsen B, Friis-Andersen HU, Rosenberg J. Pain, quality of life and recovery after laparoscopic ventral hernia repair. Hernia. 2009;13:13–21.  https://doi.org/10.1007/s10029-008-0414-9.CrossRefPubMedGoogle Scholar
  82. 82.
    Wassenaar E, Schoenmaeckers E, Raymakers J, et al. Mesh-fixation method and pain and quality of life after laparoscopic ventral or incisional hernia repair: a randomized trial of three fixation techniques. Surg Endosc. 2010;24(6):1296–302.  https://doi.org/10.1007/s00464-009-0763-1. Epub 2009 Dec 24.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Max Super Specialty HospitalSaketIndia

Personalised recommendations