Abstract:Laparoscopic repair of ventral hernia can be done with advanced training. We present a case report with intraoperative photographs and description of the surgical technique.
“…The higher rate of infection reported in open series is most likely due to the extensive subcutaneous dissection, flap creation, and prolonged exposure of the mesh to skin flora, none of which are required in the laparoscopic approach. Moreover, the routine placement of percutaneous drains in the open procedure has been associated with an increased infection rate [18,20].…”
Although LVHR remains the preferred method of hernia repair at our institution, this study documents a higher recurrence rate than many other short-term series. There results underscore the importance of long-term follow-up in assessing hernia surgery outcome.
“…The higher rate of infection reported in open series is most likely due to the extensive subcutaneous dissection, flap creation, and prolonged exposure of the mesh to skin flora, none of which are required in the laparoscopic approach. Moreover, the routine placement of percutaneous drains in the open procedure has been associated with an increased infection rate [18,20].…”
Although LVHR remains the preferred method of hernia repair at our institution, this study documents a higher recurrence rate than many other short-term series. There results underscore the importance of long-term follow-up in assessing hernia surgery outcome.
“…The obligatory placing of aspiration drainages prolongs the postoperative phase and increases the risks of mesh infection [11,12]. Postoperative pain and immobilization are required in major abdominal wall repairs using open surgery, regardless of the surgical technique used.…”
Laparoscopic treatment of postoperative eventration and primary ventral hernia reduces complications and relapse rates, eliminates reintervention through mesh infection, reduces operative time, and considerably shortens the hospital stay.
“…Mesh repair of noninguinal abdominal hernia has been superior to suture repair in randomized trials [2,18]. Overall, there has been a move to repair most incisional hernias with prosthetic mesh [19].The minimally invasive approach to incisional herniorrhaphy was first described in the mid-1990s [17,24]. This technique typically involves the intraperitoneal (subfascial) placement of prosthetic mesh to repair the defect.…”
mentioning
confidence: 99%
“…The minimally invasive approach to incisional herniorrhaphy was first described in the mid-1990s [17,24]. This technique typically involves the intraperitoneal (subfascial) placement of prosthetic mesh to repair the defect.…”
Minimally invasive incisional herniorrhaphy yielded an acceptable morbidity and recurrence rate during the follow-up period. The outcome compares favorably with that for open incisional hernia repair. Although long-term follow-up evaluation is desirable, the data support the contention that the minimally invasive approach is an appropriate option for incisional hernia.
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