Laparoscopic ventral hernia repair: Primary versus secondary hernias

Mesh Migration in to Colonic Lumen Post Abdominal Hernia Repair: A Case Report

“…This was due to extensive dissection required for mesh placement. However, by advent of Laparoscopic Ventral Hernia Repair (LVHR), in 1993, not only the recurrence rate dropped to 4-16% but also the complications were minimised due to minimal tissue dissection [1]. Mesh repair is particularly important for incisional hernias with a diameter greater than 4 cm as the risk of recurrence is higher as the width increases.…”

“…Primary mechanical migration occurs when an inadequately secured mesh traverses along adjoining paths of least resistance or when a relatively secure mesh is displaced by external forces [1]. Secondary migration, on the other hand, occurs through trans-anatomical planes and is the result of erosion triggered by foreign body reaction [2].…”

“…In a study regarding?? [1] reported that 3% of patients with hernias repaired with a mesh plug suffer from morbidity due to migration of the plug. The size, shape, and positioning of the mesh may also be significant but unfortunately haven't been investigated previously.…”

Ventral Hernia Repair by Laparoscopic Approach, how to do it

“…The average recurrence rate for LVHR is less of 4% and depends of defect type (primary or incisional) and size, mesh defect overlap and type of mesh fixation (apparently transfascial sutures have an advantage in term of recurrence) [7][8][9][10][11][12]. However a recent meta-analysis about mesh fixation devices failed to demonstrate the advantages of transfascial sutures [14].…”

“…access. The use of Veress needle should be avoided because the high risk of small bowel injuries which may preclude mesh placement, because these patients usually have previous surgery and adhesions [5][6][7]12].…”