Midline versus nonmidline laparoscopic incisional hernioplasty: a comparative study

Abstract

Laparoscopic incisional hernioplasty can be applied to nonmidline defects with the same rates of morbidity and recurrence as for patients with midline defects. The four types of nonmidline defects seem to have their own evolutionary characteristics.

Lateral Incisional Hernia Repair by the Retromuscular Approach with Polyester Standard Mesh: Topographic Considerations and Long‐term Follow‐up of 61 Consecutive Patients

“…In parallel, the recent development of laparoscopic incisional hernia repair with encouraging results has added another alternative in the choice of surgical approach [9]. Compared with the laparoscopic approach for the treatment of LIH, Moreno-Egea et al [9] reported in a cohort of 53 patients an average operative time of 60 min, while it was 136 min in our study. However, 31 % of our patients had miltifocal defects versus 9 % for Moreno-Egea et al [9].…”

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

“…A multicenter clinical trial showed that seroma rate is twofold in laparoscopic repair [188]. Other large trial reported contradictory data with higher seroma rates after open surgery [189].…”

Management of non-midline incisional hernia by the laparoscopic approach: results of a long-term follow-up prospective study

“…In our study, specialization in the treatment of abdominal wall hernias and the multidisciplinary approach helps to explain the size of the study [15].…”