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Laparoscopic ventral hernia repair using a two (5-mm) port technique
Farshad Abir1, Dan Eisenberg, Robert Bell
1Yale University, School of Medicine, Department of Surgery, New Haven, Connecticut 06520-8062, USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|March 29, 2005
Summary
This study shows that a modified laparoscopic hernia repair using only two small ports is safe and effective for small ventral and incisional hernias. Patients experienced minimal pain and no recurrence after this minimally invasive outpatient procedure.
Area of Science:
- Minimally invasive surgery
- Abdominal wall reconstruction
- Hernia repair techniques
Background:
- Primary repair of incisional hernias is associated with high recurrence rates.
- Laparoscopic ventral and incisional hernia repairs offer very low recurrence rates.
- A modified technique for small incisional and ventral hernias was developed.
Purpose of the Study:
- To document a modified laparoscopic technique for small incisional and ventral hernias.
- To demonstrate the safety, effectiveness, and feasibility of this two-port approach.
- To evaluate outcomes of this novel surgical method.
Main Methods:
- A modified laparoscopic ventral hernia repair was performed on three patients with small hernias (2.5-4 cm).
- The technique utilized two 5-mm ports for mesh insertion and fixation.
- Expanded polytetrafluoroethylene mesh was secured with transfascial sutures and spiral tacks.
Main Results:
- Operative time ranged from 53 to 57 minutes.
- All patients were discharged same-day with minimal postoperative pain.
- Follow-up (6 months to 1 year) showed no recurrence in any patient.
Conclusions:
- Laparoscopic repair of ventral or incisional hernias is feasible using only two 5-mm ports.
- This technique allows for safe and timely outpatient hernia repair.
- The modified two-port approach is a viable option for select hernia cases.