Minimally Invasive Hernia Surgery

  • Karl A. LeBlanc
  • Zinda Z. LeBlanc
Part of the Clinical Gastroenterology book series (CG)


Minimally invasive hernia surgery is a field of general surgery that should be understood by the internist. Many patients will ask for guidance on this option. This chapter develops the general preoperative workup, the general intraoperative details, and the postoperative expectations that can be seen following these procedures. In general, the MIS method allows for a faster recovery from the surgery and superior outcomes compared to the traditional open surgical approach. The relatively recent addition of the surgical robot to the MIS repair of hernias has introduced another layer of MIS repair. It should be remembered that the robot is a laparoscopic method rather than a truly new operation.


Inguinal Incisional Hernia Minimally invasive surgery Laparoscopy Surgical robot 


  1. 1.
    Kirkpatrick T, Allain BW, LeBlanc KA. Laparoscopic inguinal hernia repair. In: KA LB, Kingsnorth AN, Sanders D, editors. Management of abdominal wall hernias. 5th ed: Springer; In press.Google Scholar
  2. 2.
    LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Lap Endo. 1993;3(1):39–41.Google Scholar
  3. 3.
    Liang MK, Holihan JL, Itani K, et al. Ventral hernia management: expert consensus guided by systematic review. Ann Surg. 2017;265(1):80–9.CrossRefGoogle Scholar
  4. 4.
    Luijendijk RW, Hop WC, van den Tol MP, et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343(6):392–8.CrossRefGoogle Scholar
  5. 5.
    Burger JW, Luijendijk RW. Hop et al. long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004;240(4):578–83; discussion 583–5.PubMedPubMedCentralGoogle Scholar
  6. 6.
    LeBlanc KA. Prostheses and products for hernioplasty. In: KA LB, Kingsnorth AN, Sanders D, editors. Management of abdominal wall hernias. 5th ed: Springer; In press.Google Scholar
  7. 7.
    Rosen MJ, Bauer JJ, Harmaty M, Carbonell AM, Cobb WS, Matthews B, Goldblatt MI, Selzer DJ, Poulose BK, Hansson BME, Rosman C, Chao JJ, Jacobsen GR. Multicenter, prospective longitudinal study of the recurrence, surgical site infection, and quality of life after contaminated ventral hernia repair using biosynthetic absorbable mesh. Ann Surg. 2017;265:205–11.CrossRefGoogle Scholar
  8. 8.
    McCormack K, Scott N, Go PM, Ross SJ, Grant A, Collaboration of EU Hernia Trialists. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003;1: Art. No:CD001785.
  9. 9.
    Roll S, Skinovsky J. Laparoscopic TAPP inguinal hernia repair. In: Novitsky YW, editor. Hernia surgery − current principles. Cham: Springer; 2016. p. 451–60.Google Scholar
  10. 10.
    Kindel T, Oleynikov D. Laparoscopic total extra-peritoneal (TEP) inguinal hernia repair. In: Novitsky YW, editor. Hernia surgery − current principles. Cham: Springer; 2016. p. 461–6.Google Scholar
  11. 11.
    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):724–7.CrossRefGoogle Scholar
  12. 12.
    Taylor C, Layani L, Liew V, Ghusn M, Crampton N, White S. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomized clinical trial. Surg Endosc. 2008;22(3):757–62.CrossRefGoogle Scholar
  13. 13.
    Hallén M, Sevonius D, Westerdahl J, Gunnarsson U, Sandblom G. Risk factors for reoperation due to chronic groin postherniorrhaphy pain. Hernia. 2015;19:863–9.CrossRefGoogle Scholar
  14. 14.
    Belyansky I, Tsirline VB, Klima DA, Walters AL, Lincourt AE, Heniford T. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg. 2011;254:709–15.CrossRefGoogle Scholar
  15. 15.
    Carter NH, Chen DC. Chronic pain after inguinal repair. In: KA LB, Kingsnorth AN, Sanders D, editors. Management of abdominal wall hernias. 5th ed: Springer; In press.Google Scholar
  16. 16.
    Novitsky YW, Cobb WS, Kercher KW, Matthews BD, Sing RF, Heniford BT. Laparoscopic ventral hernia repair in obese patients: a new standard of care. Arch Surg. 2006;141(1):57–61.CrossRefGoogle Scholar
  17. 17.
    Soliani G, De Troia A, Protinari M, Targa S, Carcoforo P, Vasquez G, Fisichella PM, Feo CV. Laparoscopic versus open incisional hernia repair: a retrospective cohort study with costs analysis on 269 patients. Hernia. 2017;21:609–18.CrossRefGoogle Scholar
  18. 18.
    Elieson MJ, Corder JM, LeBlanc KA. Enterotomy and mortality rates of laparoscopic incisional and ventral hernia repair: a review of the literature. JSLS. 2007;11:408–14.PubMedPubMedCentralGoogle Scholar
  19. 19.
    Sharma A, Khullar R, Soni V, Baijal M, Kapahi A, Najma K, Chowbey PK. Iatrogenic enterotomy in laparoscopic ventral/incisional hernia repair: a single center experience of 2,346 patients over 17 years. Hernia. 2013;17(5):581–7.CrossRefGoogle Scholar
  20. 20.
    LeBlanc KA. Mesh overlap is a key determinant of hernia recurrence following laparoscopic ventral and incisional hernia repair. Hernia. 2016;20(1):85–9.CrossRefGoogle Scholar
  21. 21.
    Tulloh B, de Beaux A. Defects and donuts: the importance of the mesh:defect area ratio. Hernia. 2016;20:893–5.CrossRefGoogle Scholar
  22. 22.
    Hauters P, Desmet J, Gherardi D, Dewaele S, Poilvache H, Malvaux P. Assessment of predictive factors for recurrence in laparoscopic ventral hernia repair using a bridging technique. Surg Endosc. 2017;31:3656. Scholar
  23. 23.
    Tandon A, Pathak S, Lyons NJ, Nunes QM, Daniels IR, Smart NJ. Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair. Br J Surg. 2016;103(12):1598–607.CrossRefGoogle Scholar
  24. 24.
    Rakic S, LeBlanc KA. The radiologic appearance of prosthetic materials use in hernia repair and a recommended classification. AJR. 2013;201(6):11890–3.CrossRefGoogle Scholar
  25. 25.
    Gonzales A, Escobar E, Romero R, Walker G, Mejias J, Gallas M, Dickens E, Johnson CJ, Rabaza J, Kudsi OY. Robotic-assisted ventral hernia repair: a multicenter evaluation of clinical outcomes. Surg Endosc. 2017;31(3):1342–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Karl A. LeBlanc
    • 1
  • Zinda Z. LeBlanc
    • 2
  1. 1.Department of SurgeryOur Lady of the Lake Regional Medical CenterBaton RougeUSA
  2. 2.Woman’s Hospital of Baton RougeBaton RougeUSA

Personalised recommendations