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Related Experiment Videos

Characterizing laparoscopic incisional hernia repair.

Daniel W Birch1

  • 1Centre for the Advancement of Minimally Invasive Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada. dbirch@ualberta.ca

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|June 15, 2007
PubMed
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Laparoscopic ventral and incisional hernia repair (LVIHR) is a feasible procedure for complex cases. While challenging, LVIHR can be a primary approach for most ventral and incisional hernias, offering good outcomes.

Area of Science:

  • Minimally Invasive Surgery
  • Abdominal Wall Reconstruction
  • Surgical Outcomes Research

Background:

  • Laparoscopic ventral and incisional hernia repair (LVIHR) is a feasible surgical approach.
  • Key aspects of LVIHR, including indications, techniques, and postoperative care, require standardization for optimal outcomes and training.
  • This study addresses the need for defined protocols in LVIHR.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of laparoscopic ventral and incisional hernia repair (LVIHR).
  • To document perioperative outcomes in patients undergoing LVIHR at a tertiary care center.

Main Methods:

  • Retrospective analysis of patients referred for LVIHR between 1999 and 2004.
  • Data collected included patient demographics, hernia characteristics, operative details, and postoperative outcomes.

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  • Focus on outcomes in challenging cases, such as recurrent hernias and previous mesh repairs.

    • Main Results:

    • 64 patients underwent LVIHR, with a mean age of 61.4 years, BMI of 32.8 kg/m², and ASA score of 2.5.
    • Mean operative time was 130.7 minutes for a defect of 123.9 cm² using a 344 cm² mesh.
    • Complication rates included 78% seroma formation (managed nonoperatively), 18.7% minor complications, and 3.1% major complications, with a 3.1% recurrence rate after a mean follow-up of 7.7 months.

    Conclusions:

    • Laparoscopic ventral and incisional hernia repair (LVIHR) is a viable option for a wide range of hernias.
    • Despite challenges, LVIHR can be considered a primary treatment modality for ventral and incisional hernias.
    • Patient status and hernia complexity do not preclude the use of LVIHR.