Skip to main content
SpringerLink
Log in

The comparison of laparoscopic and open ventral hernia repairs: a prospective randomized study

  • Original Article
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Background

The laparoscopic approach has emerged in the search for a surgical technique to decrease the morbidity associated with conventional repair of ventral hernias. In this study we aimed to compare the results of our open and laparoscopic ventral hernia repairs prospectively.

Methods

Between January 2001 and October 2005, a total of 46 patients diagnosed with ventral hernias (primary and incisional) who were admitted to our surgical unit and accepted to be included in this study group were examined. All patients were divided into laparoscopic repair (n = 23) and open repair (n = 23) subgroups in a randomized fashion. The patients’ demographic characteristics, operation times, body mass indices, sizes of fascial defects, hernia locations, durations of hospital stay, presence and degrees of postoperative pain, and postoperative minor and major complications were analysed and compared. All the data were expressed as means ± SDs. Chi-square and Wilcoxon tests were used for statistical analysis, and P < 0.05 was accepted as a significant statistical value (SPSS 11.0 for Windows).

Results

The demographic characteristics of both groups were similar. Women predominated, especially in the laparoscopy group (P < 0.05). The comparison of the results revealed that the major advantage of laparoscopy was the shortened postoperative hospital stay and the reduced incidence of mesh infection (P < 0.05, P < 0.05). On the other hand, operation time was significantly longer in the laparoscopy group (P < 0.05). The major complications encountered in the laparoscopy group were ileus and a missed enterotomy. The most frequent minor complication was seroma, which was significantly more frequent in the laparoscopy group (P < 0.05). Postoperative pain assessment revealed similar results in both groups (P > 0.05).

Conclusions

The laparoscopic approach appears to be as effective as open repairs in the treatment of ventral hernias. Advanced surgical skill, laparoscopic experience and high technology are mandatory factors for successful ventral hernia repair.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 3:39–41

    PubMed  CAS  Google Scholar 

  2. Topart P, Ferrand L, Vandenbroucke F, Lozac’h P (2005) Laparoscopic ventral hernia repair with the Goretex Dualmesh: long-term results and review of the literature. Hernia 9:348–352

    Article  PubMed  Google Scholar 

  3. Itani KM, Neumayer L, Reda D, Kim L, Anthony T (2004) Repair of ventral incisional hernia: the design of a randomized trial to compare open and laparoscopic surgical techniques. Am J Surg 188 [6A Suppl]:22S–29S

    Article  PubMed  Google Scholar 

  4. Wewers ME, Lowe NK (1990) A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 13:227–236

    PubMed  CAS  Google Scholar 

  5. Anthony T, Bergen PC, Kim LT, Henderson M, Fahey T, Rege RV, Turnage RH (2000) Factors affecting recurrence following incisional herniorrhaphy. World J Surg 24:95–100

    Article  PubMed  CAS  Google Scholar 

  6. Carbajo MA, Martp del Olmo JC, Blanco JI, Toledano M, de la Cuesta C, Ferreras C, Vaquero C (2003) Laparoscopic approach to incisional hernia. Surg Endosc 17:118–122

    Article  PubMed  CAS  Google Scholar 

  7. Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554

    Article  PubMed  CAS  Google Scholar 

  8. Rives J, Pire JC, Flament JB, Palot JP, Body C (1985) Treatment of large eventrations. New therapeutic indications apropos of 322 cases. Chirurgie 111:215–225

    PubMed  CAS  Google Scholar 

  9. Wantz GE (1991) Incisional hernioplasty with Mersilene. Surg Gynecol Obstet 172:129–137

    PubMed  CAS  Google Scholar 

  10. Heniford BT, Park A, Ramshaw BJ, Voeller G (2000) Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 190:645–650

    Article  PubMed  CAS  Google Scholar 

  11. Carbajo MA, Martín del Olmo JC, Blanco JI, Cuesta C, Toledano M, Martin F, Vaquero C, Inglada L (1999) Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh. Surg Endosc 13:250–252

    Article  PubMed  CAS  Google Scholar 

  12. McGreevy JM, Goodney PP, Birkmeyer CM, Finlayson SR, Laycock WS, Birkmeyer JD (2003) A prospective study comparing the complication rates between laparoscopic and open ventral hernia repairs. Surg Endosc 17:1778–1780

    Article  PubMed  CAS  Google Scholar 

  13. McKinlay RD, Park A (2004) Laparoscopic ventral incisional hernia repair: a more effective alternative to conventional repair of recurrent incisional hernia. J Gastrointest Surg 8:670–674

    Article  PubMed  Google Scholar 

  14. Toy FK, Bailey RW, Carey S, Chappuis CW, Gagner M, Josephs LG, Mangiante EC, Park AE, Pomp A, Smoot RT Jr, Uddo JF Jr, Voeller GR (1998) Prospective, multicenter study of laparoscopic ventral hernioplasty. Preliminary results. Surg Endosc 12:955–959

    Article  PubMed  CAS  Google Scholar 

  15. Park A, Birch DW, Lovrics P (1998) Laparoscopic and open incisional hernia repair: a comparison study. Surgery 124:816–821

    Article  PubMed  CAS  Google Scholar 

  16. Berger D, Bientzle M, Muller A (2002) Postoperative complications after laparoscopic incisional hernia repair. Incidence and treatment. Surg Endosc 16:1720–1723

    Article  PubMed  CAS  Google Scholar 

  17. Park A, McKinlay R (2004) Laparoscopic ventral hernia repair (review). Adv Surg 38:31–46

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Istanbul Medical School, Istanbul University, Capa, Istanbul, Turkey

    U. Barbaros, O. Asoglu, R. Seven, Y. Erbil, A. Dinccag, U. Deveci, S. Ozarmagan & S. Mercan

Authors
  1. U. Barbaros
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. O. Asoglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Seven
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Y. Erbil
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Dinccag
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. U. Deveci
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. S. Ozarmagan
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. S. Mercan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to U. Barbaros.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Barbaros, U., Asoglu, O., Seven, R. et al. The comparison of laparoscopic and open ventral hernia repairs: a prospective randomized study. Hernia 11, 51–56 (2007). https://doi.org/10.1007/s10029-006-0160-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-006-0160-9

Keywords

Search

Navigation