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

Abstract

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.

Incisional Hernia Repair: Laparoscopic or Open? A Randomized Clinical Trial

“…Although Carbajo et al reported 4 cases with seroma in a 30-patient series [16] and Park et al reported 2 cases with seroma in a 56-patient series [5], in agreement with our study, Reitter et al reported no case with seroma in a 49-patient series [17]. Interestingly, a number of studies reported higher rate of seroma in patients who underwent laparoscopic repair than those who underwent conventional hernia repair [14,18]. We suggest that use of sepramesh in our study prevented dead volume, and, hence, seroma occurrence [19].…”

A Study of incisional hernia repair at teaching tertiary care hospital - Laparoscopic vs. Open Repair

“…Shorter operative time for laparoscopic incisional hernia repair was reported by a number of recently published studies, 13,14,20,21 while other studies show no differences or longer operative times in the laparoscopic group. 22,23 In small incisional hernia, introduction of trocars and positioning of instruments can be time-consuming. In the open technique, the hernia is often already reduced within this time.…”

“…5 vs 3 days). 13,14,[20][21][22] After laparoscopic surgery, patients are expected to mobilize and recover faster. This, however, could not be confirmed by our data since length of hospital stay was comparable for both groups.…”

“…Previous studies have not shown significant differences in recurrence rates for laparoscopic and open incisional hernia repair. 13,14,[20][21][22] Contrary to previous studies that reported recurrence rates up to 20% with mesh repair, there are some studies showing exceptionally low recurrence rates varying between 0% and 5%. 9,13,14 In this study, recurrence rates were found to be similar for both groups at an overall rate of 17% (14% vs 18%; P = .30).…”

Laparoscopic Incisional Hernia Repair

“…Most studies revealed that operation time in laparoscopic incisional hernia repair is longer compared to open surgery [12][13][14]. However, there was always a statistically difference in all these studies.…”